Häggström Elisabeth, Mbusa Ester, Wadensten Barbro
University of Gävle, Gävle, Sweden.
Nurs Ethics. 2008 Jul;15(4):478-91. doi: 10.1177/0969733008090519.
The aim of this study was to describe Tanzanian nurses' meaning of and experiences with ethical dilemmas and workplace distress in different care settings. An open question guide was used and the study focused on the answers that 29 registered nurses supplied. The theme, ;Tanzanian registered nurses' invisible and visible expressions about existential conditions in care', emerged from several subthemes as: suffering from (1) workplace distress; (2) ethical dilemmas; (3) trying to maintaining good quality nursing care; (4) lack of respect, appreciation and influence; and (5) a heavy workload that did not prevent registered nurses from struggling for better care for their patients. The analysis shows that, on a daily basis, nurses find themselves working on the edge of life and death, while they have few opportunities for doing anything about this situation. Nurses need professional guidance to gain insight and be able to reflect on their situations, so that they do not become overloaded with ethical dilemmas and workplace distress.
本研究的目的是描述坦桑尼亚护士在不同护理环境中面临伦理困境和工作场所困扰的含义及经历。使用了一份开放式问题指南，该研究聚焦于29名注册护士给出的答案。“坦桑尼亚注册护士对护理中生存状况的无形和有形表达”这一主题从几个子主题中浮现出来，包括：遭受（1）工作场所困扰；（2）伦理困境；（3）努力维持高质量护理；（4）缺乏尊重、认可和影响力；以及（5）繁重的工作量，但这并未阻止注册护士为患者争取更好的护理而努力。分析表明，护士每天都发现自己在生死边缘工作，而他们几乎没有机会改变这种状况。护士需要专业指导来深入了解并能够反思自己的处境，以免被伦理困境和工作场所困扰压得喘不过气来。
