家庭护理护士在息性决策过程中的道德指南针
Sandra Jahr Svendsen1, Ellen Karine Grov2, Katrine Staats2
1Lillestrøm Municipality. Postboks 313, 2001 Lillestrøm, Norway. Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Postboks 4, St. Olavs plass 0130 Oslo, Norway.
概括
家庭护理护士在息护理中面临着道德困境:共享决策,平衡指导方针与个人价值观,应对复杂的角色. 这影响了患者护理和护士支持需求.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 医疗保健道德 医疗保健道德
背景情况:
- 家庭护理护士在支持家庭住院患者在息阶段发挥着至关重要的作用.
- 共享决策 (SDM) 在息护理中至关重要,但对护士来说存在独特的挑战.
- 了解护士对他们在SDM中的角色的看法对于改善护理质量至关重要.
研究的目的:
- 探索家庭护理护士的经验和对他们在息护理患者的共享决策中的角色的看法.
- 确定家庭护理护士在终身护理中在SDM期间所面临的伦理挑战.
- 提供关于支持护士在复杂决策过程中进行导航的见解.
主要方法:
- 探索性定性设计利用四个焦点小组采访.
- 来自四个市镇的24名家庭护理护士参与了这项研究.
- 分析以加达梅尔的解释学为指导.
主要成果:
- 护士经历"在指导方针和个人价值观之间被捕",需要"掩护自己的背部"并管理患者在生死决策中的矛盾.
- 护士在"模糊的边界网络"中航行,并练习"紧紧地坐着",尽管有明显的行动方案,但保留行动或观点.
- 在家庭护理息环境中,确定了SDM的重大伦理挑战.
结论:
- 家庭护理护士在息护理期间在共享决策方面遇到重大伦理挑战.
- 该研究强调,需要加强家庭护理护士的支持结构.
- 应用核心医疗保健伦理原则可以帮助澄清护士的角色,并加强息护理中的SDM.
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