在重症护理护士中道德困境的后果:综合性审查
Tharaa Ananzeh1, Elaine Miller1
1College of Nursing, University of Cincinnati, Cincinnati, OH, USA.
Journal of research in nursing : JRN
|November 28, 2025
概括
重症护理护士 (CCN) 经历了道德困境的重大负面后果,影响了他们的福祉,工作满意度,并导致疲劳和营业额增加. 解决道德困扰对于支持护士至关重要.
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:
- 由于限制,当医疗保健专业人员不能根据他们的道德价值观采取行动时,就会出现道德困扰.
- 由于患者死亡率高,强烈的压力因素和终身护理决策,重症监护机构的护士中尤其普遍存在.
研究的目的:
- 综合现有的关于重症护理护士 (CCN) 经历的道德痛苦后果的文献.
主要方法:
- 在PubMed,CINAHL和PsycINFO进行了经验文献的综合性审查.
- 在选366篇论文并使用约翰霍普金斯护理基于证据的实践工具评估质量后,包括了9项研究.
- 用内容分析来综合发现.
主要成果:
- 在CCN中,道德上的困扰会对护士的幸福感和工作满意度产生负面影响.
- 其后果延伸到患者护理质量.
- 增加营业额的意图和燃烧率是显著的结果.
结论:
- 所有审查的研究都表明道德困扰对CCN的有害影响.
- 显然需要组织策略和进一步的研究来缓解道德困境并支持护士的福祉.
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