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一项研究爱尔兰精神科护士在经历道德困境时的情况、特征和应对机制。

A study of the situations, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress.

机构信息

Nursing Ethics, University College Cork, College of Medicine and Health, Catherine McAuley School of Nursing and Midwifery, Cork, Ireland.

出版信息

Perspect Psychiatr Care. 2010 Jul;46(3):209-20. doi: 10.1111/j.1744-6163.2010.00260.x.

DOI:10.1111/j.1744-6163.2010.00260.x
PMID:20591128
Abstract

PURPOSE

The purpose of this study was to investigate moral distress in Irish psychiatric nurses.

DESIGN

A qualitative descriptive methodology was used.

FINDINGS

The study confirmed the presence of moral distress and the situations that gave rise to moral distress within psychiatric nurses working in acute care settings.

PRACTICE IMPLICATIONS

The findings indicate that while multidisciplinary teams appear to function well on the surface, situations that give rise to moral distress are not always acknowledged or dealt with effectively. Furthermore, unresolved moral conflict impacts upon the quality of clinical decision-making by not allowing open and transparent discussions that allow clinicians the opportunity to address their concerns adequately.

摘要

目的

本研究旨在调查爱尔兰精神科护士的道德困境。

设计

采用定性描述性方法。

结果

该研究证实了在急症护理环境中工作的精神科护士存在道德困境和引起道德困境的情况。

实践意义

研究结果表明,尽管多学科团队表面上运作良好,但引起道德困境的情况并不总是得到承认或有效处理。此外,未解决的道德冲突会影响临床决策的质量,因为它不允许进行开放和透明的讨论,从而使临床医生有机会充分解决他们的问题。

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