Being and Sustaining Oneself as a Medical ICU Nurse: A Phenomenologic Study.

IF 1.9 4区医学 Q2 NURSING

Journal of Nursing Administration Pub Date : 2025-10-01 DOI:10.1097/NNA.0000000000001627

Cassandra M Godzik, Timothy J Usset, Jennifer K DiBenedetto, Shoshana H Bardach, Renee L Pepin, Heather Stiles, Heather Klein, Stephanie Griggs, J Irene Harris, Carol L Barsky, Helen A Thomason, Andrew J Smith

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引用次数: 0

Abstract

Objective/background: The purpose of this study was to explore medical ICU (MICU) nurses' lived experiences coping with potentially morally injurious events (PMIEs). Medical ICU nurses directly care for critically ill patients, which increases the likelihood of experiencing PMIEs.

Methods: Researchers conducted interviews with MICU nurses (N = 25) using a semistructured interview guide designed to identify nurses' ethical and moral values, explore how these values informed the care of patients, and discuss PMIEs in their workplace settings.

Results: Three major themes were identified for MICU nurses: 1) values; 2) lived experiences; and 3) sustaining oneself. Participants indicated that a lack of resources and insufficient support from institutional leadership both hinder the ability to provide value-aligned care.

Conclusions: Delivering value-discordant care cultivates stress and frustration. Tools are needed for healthcare organizations to identify and discuss PMIEs and inform resources to mitigate the harm caused by PMIEs.

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ICU护士的生存与维持：现象学研究。

目的/背景：本研究的目的是探讨医学ICU （MICU）护士应对潜在道德伤害事件（pmii）的生活经验。医疗ICU护士直接护理危重病人，这增加了经历pmii的可能性。方法：研究人员使用半结构化访谈指南对MICU护士（N = 25）进行访谈，旨在确定护士的伦理和道德价值观，探讨这些价值观如何影响患者的护理，并讨论PMIEs在其工作场所的设置。结果：确定了MICU护士的三个主要主题：1)价值观；2)生活经历；3)养活自己。与会者指出，缺乏资源和机构领导的支持不足都阻碍了提供符合价值的护理的能力。结论：提供价值不和谐护理会产生压力和挫败感。医疗保健组织需要工具来识别和讨论pmii，并告知资源以减轻pmii造成的危害。

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

Journal of Nursing Administration 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

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