护理实习生为患者寻找代理在线健康信息的伦理挑战:一种定性面试研究
Xiaoyun Zhou1, Hui Xue1, Yanyan Men1
1College of nursing, Qilu Medical University, Zibo, 255300, China.
BMC medical ethics
|January 29, 2026
概括
护理实习生在为患者进行代理在线健康信息搜索 (代理OHIS) 时面临道德挑战. 这项研究分析了他们的决策过程,以改善医疗保健机构的道德支持和教育.
科学领域:
- 护理教育 护理教育
- 生物伦理学生物伦理学
- 医疗信息学 医疗信息学
背景情况:
- 代理在线健康信息搜索 (代理OHIS) 由于健康信息获取挑战而出现.
- 护理实习生经常为患者执行代理OHIS,面临独特的伦理困境.
- 有限的研究存在于护理实习生与代理OHIS的伦理经验.
研究的目的:
- 在代理OHIS中探索护理实习生的道德决策.
- 分析与患者相关的代理OHIS过程中遇到的伦理挑战.
- 为护理学生提供道德决策支持的发展提供信息.
主要方法:
- 使用构造主义范式和Rest的四组件模型进行定性研究.
- 针对来自不同教育背景的18名护理实习生进行了有目的的抽样.
- 半结构面试和使用NVivo 14.0.0.的传统定性内容分析.
主要成果:
- 确定了四个伦理决策类别:问题识别,判断制定,动机平衡和行为战略实施.
- 在整个代理OHIS决策过程中存在道德挑战.
- 护理实习生在代表患者寻求健康信息时,必须面对复杂的伦理问题.
结论:
- 护理实习生在代理OHIS中经历了多方面的伦理挑战,影响了他们的决策,从认可到行动.
- 干预措施应将伦理教育与在线健康信息搜索技能相结合.
- 建议护理教育利益相关者为代理OHIS建立结构化监督协议.
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