姑息关怀的伦理问题:护理与生命质量。

IF 3.1 2区 医学 Q1 NURSING
Ateya Megahed Ibrahim, Donia Elsaid Fathi Zaghamir, Hassanat Ramadan Abdel-Aziz, Omaima Mohamed Elalem, Taliaa Mohsen Al-Yafeai, Hosny Maher Sultan Sultan, Amina Mohamed Abdelfatah Sliman, Reham AbdElhamed AbdElmawla Elsaid, Taghreed Hussien Aboelola, Fathia Ahmed Mersal
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引用次数: 0

摘要

背景:护士在提供姑息关怀方面发挥着举足轻重的作用,她们作为一线医疗服务提供者,负责满足病人在身体、情感、社会和精神方面的需求。姑息关怀所固有的复杂性经常会引发伦理困境,对护士的决策和与患者的互动产生重大影响。因此,有必要了解护士对伦理问题、生活质量和遵守病人权利的看法,以加强在这些环境中提供的护理服务。目的:本研究旨在评估护士在姑息关怀中遇到的伦理问题,评价他们的生活质量,并衡量他们对病人权利的理解和遵守情况:对 85 名在姑息关怀机构工作的护士进行了横断面定量调查,特别是在埃及一家专科医院的肿瘤科和疼痛门诊工作的护士。调查采用了分层随机抽样技术。采用标准化问卷收集数据,包括伦理问题量表(EIS)、护理生活质量量表(NQOLS)和患者权利问卷(PRQ)。这些工具的有效性和可靠性已在研究开始前确定。对收集到的数据进行了平均值和标准差(SD)计算。统计分析包括皮尔逊相关系数的计算:研究样本由不同的护士组成,平均年龄为 40 岁。对伦理问题进行评估后,EIS 的平均得分为 4.03(标准差 = 0.74),其中 "患者护理 "得分最高(中=4.2,标准差 = 0.7)。总体生活质量平均分为 6.75 分,其中工作方面的平均分最高,为 7.1 分。PRQ 结果表明,患者对自身权利的认识程度较高,总平均分为 49.5 分(标准差 = 6.8)。相关分析结果表明,伦理问题与患者权利之间存在中度正相关(r = 0.52,p 结论):研究结果阐明了护士在姑息关怀中面临的伦理挑战及其对生活质量和患者权利的影响。从事姑息关怀的护士必须接受持续的教育和培训,以提高他们的伦理决策能力,从而改善他们所提供的关怀质量:当务之急是制定策略,支持护士应对伦理困境,提高对患者权利的认识,并通过有针对性的干预措施和资源提高护士的整体生活质量:无临床试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethical issues in palliative care: nursing and quality of life.

Background: Nurses occupy a pivotal role in the provision of palliative care, acting as frontline providers who address the physical, emotional, social, and spiritual needs of patients. The complexities inherent in palliative care frequently give rise to ethical dilemmas that significantly impact nurses' decision-making and patient interactions. It is therefore essential to gain an understanding of nurses' perceptions of ethical issues, quality of life, and adherence to patient rights in order to enhance the care delivered in these settings.

Aim: This study aims to assess the ethical issues encountered by nurses in palliative care, evaluate their quality of life, and measure their understanding and adherence to patient rights.

Methods: A quantitative cross-sectional survey was conducted among a sample of 85 nurses working in palliative care settings, specifically within the Oncology Department and Pain Clinic at a Specialized Hospital in Egypt. A stratified random sampling technique was employed. The data were collected using standardised questionnaires, including the Ethical Issues Scale (EIS), the Nursing Quality of Life Scale (NQOLS), and the Patient Rights Questionnaire (PRQ). The validity and reliability of these instruments were established prior to the commencement of the study. The collected data were subjected to mean and standard deviation (SD) calculations. Statistical analyses, including the calculation of Pearson correlation coefficients, were conducted.

Results: The study sample comprised a diverse cohort of nurses, with a mean age of 40 years. The ethical issues were evaluated, yielding a mean score of 4.03 (SD = 0.74) on the EIS, with the highest score for "Patient Care" (M = 4.2, SD = 0.7). The overall quality of life mean score was 6.75, with the working dimension exhibiting the highest mean score at 7.1. The PRQ results indicated a high level of awareness regarding patient rights, with a total mean score of 49.5 (SD = 6.8). The results of the correlation analysis indicated a moderate positive correlation between ethical issues and patient rights (r = 0.52, p < 0.01), and ethical issues and quality of life (r = 0.45, p < 0.01). Conversely, a weaker correlation was found between quality of life and patient rights (r = 0.40, p < 0.05).

Conclusions: The findings elucidate the ethical challenges confronted by nurses in palliative care and their ramifications for the quality of life and adherence to patient rights. It is imperative that nurses engaged in palliative care undergo continuous education and training in order to enhance their ethical decision-making abilities and thereby improve the quality of care they provide.

Recommendations: It is imperative that strategies be developed to support nurses in addressing ethical dilemmas, to promote awareness of patient rights, and to enhance their overall quality of life through targeted interventions and resources.

Clinical trial: No clinical Trial.

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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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