护士对道德脱离的经验:一个现象学研究
Fatemeh Karami1, Azadeh Eghbal Manesh2, Monir Mazaheri3,4
1Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing ethics
|March 4, 2026
概括
由于临床环境中的伦理挑战,护士们经历了道德脱离. 解决这个问题需要培养道德认同,支持性环境,以及对道德护理实践的系统性改革.
科学领域:
- 护理伦理学 护理伦理学
- 定性研究是指质量研究.
- 医疗保健管理的管理
背景情况:
- 护士经常遇到复杂的临床情况,导致影响决策的伦理挑战.
- 道德脱离,脱离专业价值观,是护士面临的重大伦理挑战.
- 了解道德脱节对于提高道德实践和护士道德诚信至关重要.
研究的目的:
- 探索伊朗护士在临床实践中道德脱离的实践经验.
- 确定导致伊朗护士士道德疏远的因素.
主要方法:
- 采用了定性解释性的现象学方法.
- 来自伊朗大学医院的18名护士通过有目的的抽样参与了这项研究.
- 用迪克尔曼的解释性现象学方法分析了深入的半结构面试.
主要成果:
- 四个总体主题出现了:脱离道德价值观,在职业挑战中道德不稳定,缺乏承诺的存在,以及恢复道德理想的需要.
- 十个子主题进一步详述了护士道德脱离的复杂性质.
- 研究结果强调了个人,结构,文化和组织因素之间的相互作用.
结论:
- 伦理脱离是多方面的问题,受到医疗保健中的个人和系统因素的影响.
- 解决伊朗的道德脱离需要加强道德认同和组织支持.
- 通过教育,道德领导和改革恢复有意义的护理意识至关重要.
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