在重症监护护士的道德脱离:一种传统的内容分析
Ali Khanipour-Kencha1,2, Alun C Jackson3, Saba Barati-Rizi2,4
1Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMC medical ethics
|October 8, 2025
概括
重症护理护士使用认知理由,保护策略和正常化来从道德上脱离具有挑战性的伦理情况. 了解这些过程是开发改善患者护理的干预措施的关键.
科学领域:
- 护理伦理学 护理伦理学
- 定性研究是指质量研究.
- 医疗保健管理的管理
背景情况:
- 高风险的重症监护室 (ICU) 需要了解护士的伦理决策.
- 在护理文献中,道德脱离是越来越关注的问题.
- 在ICU中缺乏关于道德脱离的基础定性研究.
研究的目的:
- 探索重症监护病房护士的道德脱离现象.
- 提供对ICU护士所面临的伦理挑战的定性理解.
- 确定涉及道德脱离的过程和策略.
主要方法:
- 使用了传统的定性内容分析.
- 通过深入,非结构化和半结构化访谈收集的数据.
- 与25名ICU护士进行了30次采访,直到数据和为止.
主要成果:
- 出现了三个主要类别:认知理由,保护策略和实践的规范化.
- 确定的子类别包括责任外部化和战略性违反法规.
- 结果突出了护士管理道德困境和保持工作安全的方法.
结论:
- 这项研究揭示了在重症监护护理中道德脱离的各种方面.
- 结果可以为未来的研究提供有关促成因素和干预措施的信息.
- 结果为制定策略提供了基础,以防止道德脱离,提高患者护理质量.
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