高年级护理学生的道德困境:一个混合方法研究研究
Mustafa Sabri Kovanci1, Azize Atli Ozbas1
1Psychiatric Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Türkiye.
Nursing ethics
|February 28, 2026
概括
高级护理学生由于临床培训中的教育和系统问题而经历了重大道德困扰. 提高伦理教育和支持对于他们的性至关重要.
科学领域:
- 护理教育 护理教育
- 生物伦理学生物伦理学
- 医学心理学 医学心理学
背景情况:
- 在临床培训期间,道德困扰会影响护理学生,造成道德和情绪上的压力.
- 学生们经常面临着具有挑战性的道德问题,尽管缺乏决策权.
研究的目的:
- 探索导致,影响,应对机制,和预测者在高级护理学生的道德困境的原因.
- 整合定量和定性证据,以全面理解.
主要方法:
- 融合平行混合方法设计,结合定量 (预测相关) 和定性 (描述现象学) 阶段.
- 从200名高级护理学生通过调查和25名通过深入访谈收集的数据.
主要成果:
- 与公立大学学习,有限的伦理课程,较低的角色准备,缺乏信心和法律知识不足相关的更高的道德困境.
- 原因包括道德违规,团队冲突和系统不足;影响涉及负面情绪和质疑承诺.
- 应对策略从寻求支持到道德脱离或勇气;学生建议改善伦理培训和支持.
结论:
- 高级护理学生报告中度至高度的道德困扰,主要来自教育/系统性差距和有限的临床权威.
- 提高道德教育,角色准备,法律素养和支持性环境是减少痛苦和建立性的关键.
相关概念视频
Ethical Issues
2.3K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.3K
Ethical Dilemmas I
2.1K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
2.1K
Nursing Ethical Principles II
2.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.3K
Nursing Ethical Principles I
4.2K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
4.2K
Obedience
35.7K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.7K
Nursing Code of Ethics
5.3K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
5.3K
