在COVID-19大流行期间护士的道德困境:一个跨部门调查
Anna Sydor1, Bethan Jones2, Chris Bundy1
1School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Nursing open
|February 13, 2026
概括
在COVID-19大流行期间,注册护士和护理学生经历了严重的道德痛苦和抑郁. 干预对于解决这些对护理劳动力的心理健康影响至关重要.
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:
- 全球范围内,COVID-19大流行给全球医疗保健系统带来了前所未有的挑战.
- 注册护士和护理学生面临着独特的伦理困境和心理压力.
- 了解导致道德困境的因素对于支持护理工作人员至关重要.
研究的目的:
- 调查在注册护士和护理学生中道德困境的普遍性和贡献因素.
- 探索在疫情期间道德困扰和心理健康结果之间的关系.
- 确定与流行病相关的经验对护士职业意图和福祉的影响.
主要方法:
- 在英国威尔士,对287名注册护士和护理学生进行了横截面的在线调查.
- 经过验证的仪器测量了道德困扰 (MMD-HP),抑郁 (PHQ-9),焦虑 (GAD-7) 和创伤 (ITQ).
- 通过自由文本响应收集定性数据,以探索经验和支持需求.
主要成果:
- 道德上的痛苦与抑郁症有显著的关联,在重新部署的护士中更高.
- 拥有2-6年照顾40多名COVID-19患者经验的护士报告了更高的痛苦.
- 定性数据揭示了家庭/工作创伤的相互作用,不健康的应对,感觉没有准备/没有支持,以及职业转变.
结论:
- 在威尔士的疫情期间,护士中普遍存在高水平的道德痛苦和抑郁症.
- 特殊的劳动力压力对护士的心理健康和福祉产生了重大影响.
- 持续的干预是必要的,以解决在护理工作人员的道德痛苦和抑郁症.
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