Nurses' values when caring for persons suffering from substance use disorder: A hermeneutical study.

IF 1.9 4区 医学 Q2 NURSING
Scandinavian Journal of Caring Sciences Pub Date : 2024-12-01 Epub Date: 2024-08-13 DOI:10.1111/scs.13290
Kari Marie Thorkildsen, Linda Rykkje, Kari Kaldestad
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引用次数: 0

Abstract

Background: Persons suffering from a substance use disorder (SUD) in need of help from low-threshold centres have complex and severe conditions together with uncontrolled use of mainly illicit substances. Their sufferings are all-encompassing and demand ethically aware nurses with competence to take care of somatic, existential and spiritual needs.

Aim: To explore and describe a new understanding of the ethical and ontological values upon which nurses base their work when caring for persons suffering from SUD.

Methodology: The study had a hermeneutical approach. A focus-group interview was conducted with five nurses working at a low-threshold centre in Norway. Data analysis was carried out through a hermeneutical reading based on Gadamer's hermeneutics.

Ethical considerations: The study was approved by the Norwegian Agency for Shared Services in Education and Research (SIKT). Oral and written consent was obtained from the participants.

Results: The hermeneutical reading revealed three dimensions; A wish to be useful; Nurses' motive for caring for persons suffering from SUD is a wish to be useful and needed. Nurses are fighting a battle against injustice and stigmatisation. Neighbourly love, the core value; Neighbourly love serves as the basis for the nurses` work. Nurses feel humble towards their clients, they feel privileged to have the opportunity to help others through compassionate care. The value of being clients` advocate; Nurses are trying to ensure that clients receive the help they need. A large part of nurses` job is to monitor and take care of the clients` condition. This involves working close to death, trying to save lives.

Conclusion: Nurses wish to care in accordance with their ethos of usefulness. Sacrifice stands out as the ultimate form of neighbourly love, empowering nurses with moral authority to act as advocates for their clients.

护士在护理药物使用障碍患者时的价值观:诠释学研究。
背景:需要低门槛中心帮助的药物使用障碍(SUD)患者的病情复杂而严重,而且主要是无节制地使用违禁药物。他们的痛苦是全方位的,需要具有伦理意识的护士有能力照顾他们的躯体、生存和精神需求。目的:探索并描述护士在照顾药物滥用障碍患者时对其工作所依据的伦理和本体论价值的新理解:研究采用诠释学方法。对在挪威一家低门槛中心工作的五名护士进行了焦点小组访谈。数据分析以伽达默尔的诠释学为基础进行:本研究获得了挪威教育与研究共享服务机构(SIKT)的批准。研究结果:诠释学的解读揭示了三个方面:"希望有用";护士护理患有精神分裂症患者的动机是 "希望有用 "和 "被需要"。护士正在与不公正和污名化作斗争。邻里之爱,核心价值观;邻里之爱是护士工作的基础。护士对其服务对象感到谦卑,他们为有机会通过富有同情心的护理来帮助他人而感到荣幸。成为客户代言人的价值;护士努力确保客户获得所需的帮助。护士工作的很大一部分是监测和护理客户的病情。这涉及到濒临死亡的工作,试图挽救生命:护士希望按照其有用的精神进行护理。牺牲是睦邻友好的终极形式,它赋予护士道德权威,使其成为病人的代言人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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