Medical-Legal Communication Among Emergency Nurses in States With Abortion Bans: Implications for Nursing Leaders.

IF 1.8 4区 医学 Q2 NURSING
Lisa Adams Wolf, Lynette Arnold
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引用次数: 0

Abstract

Objective: The objective of this study is to describe how emergency nurses receive and share information about practice concerns related to abortion bans.

Background: In the United Sates, details of abortion bans are changing and create confusion around clinical and legal implications with attendant challenges in maintaining communication.

Methods: A qualitative exploratory descriptive approach was applied, using interview data from 19 emergency nurses working in states with abortion bans and 3 working in states without bans.

Results: Categories of individual, interpersonal, and institutional factors were described, with 11 emerging themes. Participants reported no communication from administrations about practice implications of abortion bans, and distress over implications for both patients and their own practice.

Conclusions: Nurses working in emergency departments (EDs) in states with abortion bans report anger and frustration at the scarcity of both information and guidance provided by hospital administrators and ED managers, with concern about their ability to provide safe and appropriate care. Normal channels of communication about practice changes go unused, leading to practice challenges and moral distress.

禁止堕胎州急诊护士之间的医疗法律沟通:对护理领导者的影响。
目的:本研究的目的是描述急诊护士如何接收和分享有关堕胎禁令的实践问题的信息。背景:在美国,堕胎禁令的细节正在发生变化,在临床和法律意义上造成混乱,随之而来的是保持沟通的挑战。方法:采用定性探索性描述方法,对19名在禁止堕胎州工作的急诊护士和3名在未禁止堕胎州工作的急诊护士进行访谈。结果:描述了个人、人际和制度因素的类别,并提出了11个新主题。与会者报告说,主管部门没有就堕胎禁令对实践的影响进行沟通,并对患者和他们自己的实践的影响感到苦恼。结论:在禁止堕胎州急诊科(ED)工作的护士对医院管理人员和急诊科管理人员提供的信息和指导的缺乏感到愤怒和沮丧,并担心他们是否有能力提供安全和适当的护理。关于实践变化的正常沟通渠道未被利用,导致实践挑战和道德困境。
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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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