道德困扰,应对性和自我照顾:对重症监护病房护士的研究
Brittany Kelly1, Cara Gallegos2, Anna C Quon3
1Brittany Kelly is a clinical nurse in the intensive care unit, St Luke's Health System, Boise, Idaho.
概括
重症护理护士经历道德困扰,与倦怠有关. 清醒的自我护理实践与应对性相关,这表明了支持面临道德困境的护士的潜在策略.
科学领域:
- 护理 护理 护理
- 医疗保健道德 医疗保健道德
- 心理学 心理学 心理学
背景情况:
- 关键护理护士经常遇到导致道德困扰的情况.
- 道德上的痛苦与增加的护理倦怠,情绪退缩和创伤性压力有关.
- 了解影响道德困境的因素对于护士福祉至关重要.
研究的目的:
- 描述在重症护理护士的道德困扰,应对性和自我护理实践之间的关系.
- 在这个人群中调查正念自我护理和弹性之间的相关性.
主要方法:
- 使用电子调查进行的描述性相关性研究.
- 数据来自5个重症监护病房的74名护士.
- 调查评估了人口统计特征,道德困境,应对性和自我护理实践.
主要成果:
- 护士报告说,与积极的治疗决策和文件负担相关的道德压力很高.
- 在正念自我照顾和弹性应对之间发现了统计学上显著的,尽管很弱的正相关性 (r = 0.27,P = .03).
- 参与者经常使用外部支持系统.
结论:
- 认真自我照顾可能会积极影响重症监护护士的应对性.
- 这些发现表明,自我护理干预措施可以减轻道德痛苦.
- 外部支持系统是护士有价值的资源,应该为未来的支持举措发挥作用.
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