在地震期间,护士们面临着道德挑战的经历:留在林布
Gülhan Erkuş Küçükkelepçe1, Kübra Diyarbakırlıoğlu Kıvanç2
1Department of Nursing, Faculty of Health Sciences, Adiyaman University, Adiyaman, Turkey.
Nursing ethics
|November 12, 2025
概括
在2023年喀拉曼马拉斯地震后提供护理的护士经历了重大的伦理挑战和道德困境,感到被困在个人需求和职业职责之间. 研究结果强调了文化和系统因素对灾难护理伦理和准备能力的影响.
科学领域:
- 灾难护理 灾难护理
- 医学伦理 医学伦理
- 定性研究是一种定性研究.
背景情况:
- 像2023年卡拉曼马拉斯地震这样的大规模灾难会对医疗保健系统和前线专业人员产生深远的影响.
- 了解护士在灾难环境中的伦理经验对于有效的准备和伦理实践至关重要.
研究的目的:
- 探索护士在地震后面临的伦理挑战和道德困境.
- 为了确定护士的应对策略和生活经验.
- 检查文化和系统因素对灾难护理的影响.
主要方法:
- 使用了定性现象学方法.
- 在2024年6月至8月期间,与17名护士进行了半结构面试.
- 手动编码和主题开发确保了与参与者体验的深入接触.
主要成果:
- 确定的主题是"停留在边缘",反映了护士在个人需求和职业责任之间存在的冲突.
- 关键的子主题包括职业责任 (道德困境,动机,价值观),管理问题 (资源稀缺,组织缺陷,培训缺口) 和经验教训 (团队合作,集体决策,准备).
- 护士们经历了道德模两可,时间偏差和身份分裂,在复杂的道德困境中进行导航.
结论:
- 文化,结构和制度因素显著影响护士在灾难期间的伦理决策.
- 调查结果强调了对强有力的灾难准备和应对策略的迫切需要,这些策略积极支持护士的道德决策和福祉.
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