作为一名医疗ICU护士,成为和维持自己:一种现象学研究
Cassandra M Godzik1, Timothy J Usset, Jennifer K DiBenedetto
1Author Affiliations: Nurse Scientist/Postdoctoral Research Fellow (Dr Godzik), Dartmouth Hitchcock Health System, Lebanon, and Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Research Chaplain (Dr Usset), School of Public Health, University of Minnesota; Maeine VA Health Care System (Dr Usset), Maine; Postdoctoral Research Fellow (Dr DiBenedetto), Dartmouth Hitchcock Health System, Lebanon, New Hampshire; Geisel School of Medicine at Dartmouth (Dr DiBenedetto), Hanover, New Hampshire; Program Director (Dr Bardach), Levy Incubator, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Assistant Professor of Community and Family Medicine (Dr Pepin), Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; Registered Nurse (Stiles), Department of Critical Care, Dartmouth Hitchcock Health System, Lebanon, New Hampshire; Registered Nurse (Klein), Department of Critical Care, Dartmouth Hitchcock Health System, Lebanon, New Hampshire; Assistant Professor (Dr Griggs), Frances Payne Bolton School of Nursing, Case Western University, Cleveland, Ohio; Clinical Research Psychologist (Dr Harris), Maine VA Health System, Chelsea; University of Minnesota School of Medicine (Dr Harris), Minneapolis; and Associate Professor of Emergency Medicine (Dr Barsky), Geisel School of Medicine at Dartmouth, Hanover; Dartmouth Hitchcock Health System (Dr Barsky), Lebanon; Medical Student (Dr Thomason), Geisel School of Medicine at Dartmouth, Hanover; Dartmouth Hitchcock Health System (Dr Thomason), Lebanon; Assistant Professor of Psychiatry (Dr Smith), Geisel School of Medicine at Dartmouth, Hanover; and Dartmouth Hitchcock Health System (Dr Smith), Lebanon, New Hampshire.
医疗重症监护室 (MICU) 的护士因资源有限和缺乏支持而面临潜在的道德伤害事件 (PMIE) 的道德痛苦. 解决这些问题对于护士福祉和伦理患者护理至关重要.
科学领域:
- 护理 护理 护理
- 医学伦理 医学伦理
- 关键的护理关键的护理
背景情况:
- 医疗重症监护室 (MICU) 的护士为重症患者提供直接护理.
- 这种高敏度设置增加了护士遇到潜在的道德损害事件 (PMIEs) 的可能性.
研究的目的:
- 探索MICU护士应对PME的实践经验.
- 了解护士的伦理和道德价值观如何影响患者护理和他们与PMEEs的经验.
主要方法:
- 定性研究涉及25名MICU护士的半结构面试.
- 面试的重点是确定护士的价值观,在患者护理中的应用,以及与PMEEs的经验.
主要成果:
- 出现了三个核心主题:护士的价值观,他们与PME的经验,以及自我保护的策略.
- 护士报告说,资源不足和机构领导力支持不足阻碍了价值调整的护理服务.
结论:
- 提供与个人价值观相冲突的护理,会给护士带来巨大的压力和挫折.
- 医疗机构需要工具来识别,讨论和减轻与PME相关的危害.
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