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[护理中的道德困扰与领导力]

[Moral distress and leadership in nursing].

作者信息

Ko Hsun-Kuei, Yang Mei-Sang

机构信息

College of Nursing, Kaohsiung Medical University, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2009 Jun;56(3):72-7.

PMID:19472115
Abstract

While nursing staff learn the rules of ethical behavior in nursing education programs, they commonly experience confusion, frustration and stress in practice settings due to barriers to moral action faced in the work environment. "Moral distress" is a term used to describe the situation in which a decision-maker cannot carry out an ethical or moral action due to the presence of an obstacle. In this article, we described the meaning of and factors influencing moral distress in nursing work settings in relation to nursing leader management strategies. Goals of the article were to help nursing leaders appreciate their personal beliefs as well as to develop strategies to alleviate emotional distress and promote self-efficacy among nursing staff members. One favorable benefit is expected to be greater retention of nursing staff.

摘要

虽然护理人员在护理教育项目中学习道德行为规范,但由于工作环境中面临道德行为的障碍,他们在实际工作中常常会感到困惑、沮丧和压力。“道德困扰”是一个术语,用于描述决策者由于存在障碍而无法采取符合伦理或道德的行动的情况。在本文中,我们描述了护理工作环境中道德困扰的含义、影响因素以及与护理领导者管理策略的关系。本文的目的是帮助护理领导者认识到他们的个人信念,并制定策略来减轻护理人员的情绪困扰,提高他们的自我效能感。预计一个积极的好处是提高护理人员的留用率。

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