网络分析临床实习护理学生之间的道德困境:一个横截面研究
Yang Xiong1, Ya-Qian Fu1, Zhuo-Heng Li1
1Xiangya School of Nursing, Central South University.
Nursing ethics
|April 16, 2025
概括
临床实习护理学生经历道德困扰,特别是关于维持生命的治疗和沟通中断. 干预措施应针对知情同意和团队合作等关键困难点,以改善学生的福祉.
科学领域:
- 护理教育 护理教育
- 生物伦理学生物伦理学
- 心理学 心理学 心理学
背景情况:
- 在临床实习期间,道德困扰是护理学生的一个重要问题.
- 现有的研究往往忽视了道德困境的不同方面之间的复杂关系.
- 对这些相互作用的更深入的理解对于有效的干预开发至关重要.
研究的目的:
- 绘制临床实习护理学生的道德困境的网络结构.
- 研究道德敏感性和道德性对道德困境的影响.
- 确定旨在减轻道德困境的干预措施的具体目标.
主要方法:
- 使用经过验证的尺度进行横截面设计.
- 使用R (版本4.4.0) 进行网络分析和规范化的部分相关性.
- 使用中心性指数识别中央节点.
主要成果:
- 根据家庭的愿望提供维持生命的治疗和实施拯救生命的措施之间发现了最强的联系.
- 道德困境网络中的中心节点包括团队沟通不佳,忽视知情同意问题以及与表现不佳的同事合作.
- 忽视缺乏充分信息以获得知情同意的情况 (MD19) 是道德困境,道德敏感性和道德性之间的关键联系.
结论:
- 未来的干预措施应优先解决具体的,强烈相互联系的道德困扰因素 (MD3,MD4,MD17,MD18,MD19,MD20).
- 开发有针对性和基于证据的干预措施对于减少护理实习生的道德困扰至关重要.
- 了解网络结构为设计护理学生有效支持系统提供了科学基础.
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