护士对道德痛苦的经验:一个定性面试研究
Anna-Henrikje Seidlein1, Michael Schilder2, Radia Miskine2
1Institute of Ethics and History of Medicine, University Medicine Greifswald, Greifswald, Germany.
Nursing ethics
|November 24, 2025
概括
由于复杂的触发因素和个人因素,护士经历道德痛苦,包括道德痛苦和伤害. 了解它的多维本质是有效的医疗干预和促进工作场所幸福感的关键.
科学领域:
- 护理伦理学 护理伦理学
- 医疗保健 专业人员 幸福 幸福
- 定性研究方法 定性研究方法
背景情况:
- 道德上的痛苦,包括道德上的痛苦和伤害,显著影响护士的职业诚信和健康.
- 对道德痛苦的定义和原因缺乏共识,阻碍了有效的干预.
- 共同考虑重叠的概念可以完善理解并告知实践.
研究的目的:
- 探索护士在临床实践中对道德痛苦的看法.
- 分析护士与道德痛苦的经历的本质性质.
主要方法:
- 进行了定性,半结构化的在线访谈.
- 来自德国医院的47名注册护士的数据使用定性内容分析进行了分析.
主要成果:
- 道德痛苦是由五个类别定义的:触发情况,道德倾向,道德意义评估,经验维度 (特征,完整性,行动) 和后果.
- 关键特征包括动态性,上下文依赖性,时间性和模糊性.
- 经验层面包括理性/情绪完整性和处理/应对/预防策略.
结论:
- 护理中的道德痛苦是一个复杂的,多维的现象,受到个人和专业因素的影响.
- 需要一种系统的方法,强调道德领导和工作场所健康促进.
- 在医疗保健团队中培养共同的价值观对于解决道德痛苦至关重要.
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