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澳大利亚临床护士督导的道德决策风格。

Australian clinical nurse supervisors' ethical decision-making style.

作者信息

Berggren Ingela, Bégat Ingrid, Severinsson Elisabeth

机构信息

Department of Nursing Science, University Trollhättan-Uddevalla, Vänersborg, Sweden.

出版信息

Nurs Health Sci. 2002 Mar-Jun;4(1-2):15-23. doi: 10.1046/j.1442-2018.2002.00096.x.

Abstract

This paper explores clinical nurse supervisors' ethical styles with regard to supervision in healthcare. Eighty-six registered nurses, all with experience of supervising clinical nurses and students in nursing, completed a specifically designed questionnaire. A qualitative interpretative content analysis identified three core themes: (i) 'Is it safe?'; (ii) 'Is it right?'; and (iii) 'Is it kind?', describing the clinical nurse supervisors' ethical styles. The first core theme 'Is it safe?' covered the supervisors' rules, codes and values that guide their supervisory actions, as well as two sub-themes: (i) empowerment and (ii) integrity. The second core theme 'Is it right?' described the supervisors' responsibility and advocacy as well as the ethical dilemmas experienced in the supervisory process. The third core theme 'Is it kind?' included the supervisors' relationships with patients, professionals and supervisees. The results demonstrate the value of offering a support system, such as clinical supervision, which helps nurses to explore their professional identity for the benefit of the patients.

摘要

本文探讨了临床护士督导人员在医疗保健监督方面的道德风格。八十六名注册护士均有监督临床护士和护理专业学生的经验,他们完成了一份专门设计的问卷。一项定性解释性内容分析确定了三个核心主题:(i)“安全吗?”;(ii)“正确吗?”;以及(iii)“友善吗?”,这些主题描述了临床护士督导人员的道德风格。第一个核心主题“安全吗?”涵盖了指导督导行动的规则、规范和价值观,以及两个子主题:(i)赋权和(ii)正直。第二个核心主题“正确吗?”描述了督导人员的责任和支持,以及在监督过程中遇到的道德困境。第三个核心主题“友善吗?”包括督导人员与患者、专业人员和被督导者的关系。结果表明,提供诸如临床监督这样的支持系统具有价值,它有助于护士探索其职业身份,以造福患者。

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