[减少家庭护理中的道德痛苦的干预措施:与护士和护理伦理学家的采访研究]
Julia Petersen1, Ulrike Rösler2, Gabriele Meyer3
1Internationale Graduiertenakademie (InGrA), Institut für Gesundheits-, Hebammen- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland; Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Dresden, Deutschland.
概括
家庭护理护士经历道德困扰,影响他们的福祉和保留. 加强支持,改善工作条件和道德咨询等干预措施可以有效地减少这种痛苦.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 组织心理学 组织心理学
背景情况:
- 道德上的困扰会对家庭护理护士的健康产生负面影响.
- 这种痛苦可能会导致他们提前离开这个职业.
- 在家庭护理中减轻道德痛苦的策略并未得到充分理解.
研究的目的:
- 确定有效的干预措施,以减少家庭护理护理中的道德痛苦.
- 探索支持护士在家庭护理环境中面临道德挑战的策略.
主要方法:
- 对家庭护理护士 (n=20) 和护理伦理学家 (n=6) 的采访进行了定性内容分析.
- 在2023年4月至2024年4月期间从各种组织和联邦州收集的数据.
主要成果:
- 干预措施包括改善上级支持,工作组织调整 (例如,灵活的工作时间,决策范围) 和更好的利益相关者间合作.
- 护士希望"道德干预",如道德咨询和专业交流机会.
- 解决工作条件和培养积极的文化至关重要.
结论:
- 改善工作条件和组织文化是减少道德困境的关键.
- 在提供者或跨部门层面的门诊伦理咨询是重要的干预措施.
- 专业交流和道德支持对家庭护理护士至关重要.
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