在重症监护病房的护士实践者中,他们经历过的道德痛苦的经历
Steven Bocchese1,2, Reiko Asano2, Elizabeth Epstein3
1Center for Nursing Excellence and Innovation, Virtua Health, Marlton, USA.
Journal of the American Association of Nurse Practitioners
|December 31, 2025
概括
重症监护室护士从业人员 (NPs) 经历了他们高级角色独特的道德困境,与注册护士 (RNs) 不同. 这项研究强调了对他们的职业和个人生活的影响,呼吁进行干预.
科学领域:
- 护理 护理 护理
- 生物伦理学生物伦理学
- 医疗保健管理的管理
背景情况:
- 探讨了重症监护室 (ICU) 执业护士 (NPs) 之间道德困境的实践经验.
- 突出反思之前的注册护士 (RN) 角色,对比的责任和道德负担.
- 解决了高级实践角色在道德困境中的独特挑战.
研究的目的:
- 描述了在ICUNP中的道德痛苦的经历.
- 强调道德困境对职业和个人生活的影响.
- 为缓解道德困境的干预提供基础.
主要方法:
- 采用了描述性的现象学研究设计.
- 通过有目的的抽样,对17个ICUNP进行了一对一的采访.
- 通过Colaizzi方法利用主题分析来确定关键主题.
主要成果:
- 确定了一个总体主题:"独特的NP经验",由决策期望和受限制的权威塑造.
- 揭示了三个支持主题:道德困境的原因,负面的情绪/心理影响和反射性解释.
- 在NP中发现的道德困扰与RN不同,通常在复杂的ICU病例中出现,例如生命结束的决定.
结论:
- 旨在刺激关于NP道德困境的对话,并促进缓解干预.
- 鼓励进一步研究跨NP专业的道德困境.
- 建议检查急性护理环境中的感知层次结构.
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