讲述治疗小组干预护士的道德性:一个可行性研究
Qiufeng Huang1,2, Shiyi Li1, Chengfeng Lin2
1School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Nursing ethics
|March 6, 2026
概括
经历道德困扰的护士可以通过一种新的叙事治疗小组干预来建立道德性. 这项试点研究发现,护士-MRNT计划是可行的和可接受的,显示了护士福祉的有希望的趋势.
科学领域:
- 护理 护理 护理
- 心理治疗 心理治疗
- 医疗保健道德 医疗保健道德
背景情况:
- 伦理上复杂的护理情况经常导致护士的道德困境,对他们的福祉和患者护理质量产生负面影响.
- 虽然道德性是一种潜在的解决方案,但有效干预的证据仍然有限.
- 叙事疗法有助于创造意义和重建身份,可以增强护士的道德行为和诚信.
研究的目的:
- 开发和完善基于叙事疗法的小组干预,旨在提高护士的道德性.
- 通过试点研究来评估这种干预措施的可行性和可接受性.
- 探索与护士福祉和道德困境相关的潜在结果趋势.
主要方法:
- 一项初步干预计划是从文献审查中开发出来的,并使用德尔菲方法与来自中国的11名专家一起改进.
- 一项试点研究与5名临床护士进行,以评估可行性和可接受性.
- 结果评估 (心理健康,倦怠,道德困扰,道德性) 在基线,干预后和一个月后进行.
主要成果:
- 最终完成的干预,护士-MRNT (道德性叙述治疗护士),包括四个模块.
- 试点数据显示,心理健康的短期改善,燃烧程度降低,道德困境降低.
- 在干预后,道德性得分有所增加,尽管在这个小样本中的所有时间点都没有统计学意义.
结论:
- 护士-MRNT干预是严格开发的,并在试点研究中证明了良好的可行性和可接受性.
- 这项干预显示了提高护士道德性和福祉的潜力.
- 需要对更大规模的受控研究进行进一步的研究,以确认护士-MRNT计划的有效性和可持续性.
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