“字里行间的伦理”——护士在长期护理中面临的伦理挑战。

IF 2.2 Q1 NURSING
Global Qualitative Nursing Research Pub Date : 2022-01-05 eCollection Date: 2021-01-01 DOI:10.1177/23333936211060036
Hilde Munkeby, Aud Moe, Grete Bratberg, Siri A Devik
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引用次数: 8

摘要

在长期护理方面,随着具有复杂护理需求的老年患者数量的增加,同时对更具成本效益的护理的需求也在不断增长,伦理挑战正变得越来越明显。资源稀缺、交叉压力和价值冲突与错过护理、道德压力和护士想要离开这个行业有关。通过五个焦点小组访谈,本研究旨在探讨在养老院和家庭护理服务工作的护士如何在日常工作中感知、体验和管理道德挑战。内容分析揭示了三个主要主题:努力行善;失败,失望,摆脱挫折,从经验中学习。护士道德主要通过特定情境下产生的情绪来表达。需要有专门的空间供道德反思和认识到组织条件影响个体护患关系的领导者。促进道德反思是一项重要的领导责任,这可能也需要领导者实际参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.

'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.

'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.

'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.

In long-term care, ethical challenges are becoming increasingly apparent as the number of older patients with complex care needs increases, in parallel with growing demands for more cost-efficient care. Scarce resources, cross-pressure and value conflicts are associated with missed care, moral stress and nurses wanting to leave the profession. Through five focus group interviews, this study aimed to explore how nurses working in nursing homes and homecare services perceive, experience and manage ethical challenges in everyday work. Content analysis revealed three main themes: striving to do good; failing and being let down and getting rid of frustrations and learning from experiences. The nurses' morality was mainly expressed through emotions that arose in specific situations. Dedicated spaces for ethical reflection and leaders who recognize that organizational conditions affect the individual nurse-patient relationship are required. Facilitating ethical reflection is an important leadership responsibility, which may also require leaders to actually participate.

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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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