在息治疗中监督,道德困扰和道德伤害 - - 一项定性研究
Pia Geuenich1, Lena Schlömer1, Sonja Owusu-Boakye1
1Faculty of Social Sciences, Centre for Nursing Research and Counselling, University of Applied Sciences Bremen, Am Brill 2-4, 28195 Bremen, Germany.
概括
息护理护士因为道德冲突而遭受道德伤害. 监督 (SV) 可以通过解决工作量和等级问题来帮助识别和预防道德困扰和道德伤害 (MI).
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 心理学 心理学 心理学
背景情况:
- 对息治疗的需求不断增加,导致了伦理冲突.
- 这些冲突可能会导致医疗保健专业人员的心理痛苦和道德伤害 (MI).
- 需要制定策略来减轻这些负面影响,防止职业弃.
研究的目的:
- 探索息护理护士如何将道德伤害与他们的日常工作经验联系起来.
- 评估监督 (SV) 在识别和预防道德困扰和MI方面的潜力.
- 分析影响SV实施,参与和认知的因素.
主要方法:
- 定性研究设计. 定性研究设计.
- 与七名息护理护士进行指导采访.
- 与两个息治疗小组 (共16名参与者) 进行监督会期间的参与者观察.
- 使用定性内容分析分析的数据.
主要成果:
- 在急症和息护理机构之间存在工作量差异,时间压力和等级制度加剧了急症病房的痛苦和MI.
- 护士们描述了具体的道德伤害经历.
- 确定了影响SV参与的因素,强调工作负载是道德痛苦的关键原因.
- 视觉服务可以作为一种提高意识和交流的工具,其实施和接受取决于个人和结构因素.
结论:
- 在息治疗中存在道德上的痛苦和道德上的伤害.
- 监督 (SV) 可以是一个有效的工具来应对压力严重的情况和促进福祉.
- 解决工作负载和层次结构对于减轻精神痛苦和预防息护理中的精神伤害至关重要.
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