护士对严重疾病的经验与COVID-19中边缘化的患者的对话
Masami Tabata-Kelly1, Amy L Bulger2, Amanda J Reich3
1Center for Surgery and Public Health (M.T.-K., A.J.R.), Brigham and Woman's Hospital, Boston, Massachusetts, USA; Center for Geriatric Surgery (M.T.-K., A.L.B., R.E.B.), Brigham and Women's Hospital, Boston, Massachusetts, USA; The Heller School for Social Policy and Management (M.T.-K.), Brandeis University, Waltham, Massachusetts, USA.
Journal of pain and symptom management
|September 11, 2025
概括
在COVID-19期间,与边缘患者进行严重疾病对话 (SIC) 的护士尽管具有高度的自我效能,但面临着挑战,由于社会需求和流行病障碍而经历道德困境. 解决这些需求和支持护士至关重要.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 健康 公平 卫生 公平
背景情况:
- 护士在进行严重疾病对话 (SIC) 时处于有利位置.
- 他们在COVID-19大流行期间与边缘化群体进行SIC的经验不足.
- 了解这些经验对于改善护理至关重要.
研究的目的:
- 探索护士在COVID-19大流行期间与边缘患者和家庭进行SIC的经验.
- 在这些对话中识别挑战和促进者.
主要方法:
- 这是一项混合方法研究,涉及20名护士/护士从业人员.
- 数据收集包括调查 (人口统计,自我效能,道德困境) 和虚拟焦点小组.
- 整合了定性和定量数据以确定主题.
主要成果:
- 护士报告了高的自我效能,但适度的道德痛苦.
- 关键主题包括人际关系技能,流行病挑战,道德困难/倦怠,患者的社会需求和缓解策略.
- 由于流行病背景和边缘患者的结构性障碍,护士们面临着挑战.
结论:
- 解决患者与健康相关的社会需求是必不可少的.
- 护士需要支持才能有效地进行SIC.
- 促进有利于护士福祉的环境至关重要.
相关概念视频
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
7.2K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
7.2K
Current Trends in Nursing I
5.3K
Current trends in nursing include:
5.3K
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Aims Of Nursing
15.8K
Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
15.8K


