在COVID-19期间护士的道德伤害:系统审查和元分析
Zhehui Yang1, Hong Yan1, Shijin Wang1
1School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Nursing ethics
|January 23, 2026
概括
护士在COVID-19大流行期间面临着严重的道德伤害,因为面临着严峻的挑战. 医疗保健系统必须加强对护士的支持.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行给护士带来了巨大的压力,包括资源短缺和道德困境.
- 这些挑战使护士面临道德伤害的高风险,影响他们的健康和护理质量.
研究的目的:
- 在COVID-19大流行期间系统评估护士中道德伤害的流行程度和严重程度.
主要方法:
- 一个系统的审查和对16项涉及5824名护士的横截面研究的元分析.
- 搜索了12个数据库的研究报告道德伤害水平使用道德伤害症状尺度-卫生专业人员版本 (MISS-HP).
- 分析了聚合平均分数,并根据调查年和部门进行了子组分析.
主要成果:
- 护士的综合平均总MISS-HP得分为42.12,表明中度至高度的道德伤害.
- 宗教/精神信仰的丧失在各个维度中平均得分最高 (5.68).
- 根据调查年和部门 (p < .001) 观察到道德伤害水平的显著差异,急诊室护士受到影响最大.
结论:
- 在COVID-19大流行期间,护士经历了大量的道德伤害,特别是在早期阶段和急诊室.
- 医疗机构需要加强道德支持,改善管理实践,并承认精神信仰在减轻道德伤害方面的作用.
- 解决道德伤害对于维持护士的福祉和确保高质量的患者护理至关重要.
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