伦理教育对NICU护士在新生儿重症监护室伦理挑战方面的能力的影响
Zahra Hasani1, Mitra Khoobi, Aliakbar Rasekhi
1Author Affiliations: Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran (Mrs Hasani and Dr Khoobi) and Biostatistics Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran (Dr Rasekhi).
概括
基于研讨会的伦理教育显著改善了新生儿重症监护室 (NICU) 的护士.
科学领域:
- 护理教育 护理教育
- 医学伦理 医学伦理
- 新生儿重症监护中心
背景情况:
- 新生儿重症监护室 (NICU) 伦理挑战 (EC) 的不有效管理会对临床实践和患者护理产生负面影响.
- 在NICU中的道德挑战可能会导致护士的压力增加,能力降低,护士的护理质量受到损害.
- 解决EC对于改善NICU环境中的护士和患者的结果至关重要.
研究的目的:
- 评估基于研讨会的伦理教育在提高NICU护士能力方面的有效性.
- 评估有针对性的教育对护士在NICU管理道德挑战的能力的影响.
主要方法:
- 在68名NICU护士身上,采用了一种准实验性的,测试前测试后测试的2组设计.
- 护士被随机抽取并随机分配到对照组或干预组.
- 干预组参加了为期6个会议的2.5个月的伦理教育研讨会,在预测,1个月和干预后2个月收集数据.
主要成果:
- 对照组和干预组的基线伦理能力是可比的.
- 干预组在道德挑战得分和研讨会后的尺寸显著下降 (P < .05).
- 对照组在道德挑战得分上没有显著变化,干预组的后测试得分与对照组相比显著较低 (P < .05).
结论:
- 基于研讨会的伦理教育是提高NICU护士在应对伦理挑战方面的能力的有效策略.
- 研究结果表明,这种教育方法有可能在其他NICU环境和地区实施.
- 提高护士的伦理能力可以导致更好的决策,沟通,以及在NICU的整体护理质量.
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