Radzvin Linda Clerici
Community College of Allegheny County, Boyce Campus, Monroeville, Pennsylvania, USA.
AANA J. 2011 Feb;79(1):39-45.
Registered nurses are frequently confronted with ethical dilemmas in their nursing practice. As a consequence of their decisions regarding ethical challenges, nurses report experiencing moral distress. This experience is often manifested by such feelings as anger, guilt, and sadness, and has been identified as a contributing factor to burnout and turnover in nursing. The purpose of this exploratory, descriptive study was to determine if Certified Registered Nurse Anesthetists (CRNAs) experience moral distress in their nursing practice. A random sample of 800 CRNAs from the registry of the American Association of Nurse Anesthetists was selected to participate in this study. Participating nurses were asked to complete a demographic data survey and the Ethics Stress Scale. Three hundred surveys were analyzed for this study. The data supported the assumption that CRNAs do experience moral distress in their nursing practice. Although a small number of nurse anesthetists experienced high levels of moral distress, CRNAs generally experienced moderate levels of moral distress. Moral distress was associated with situations in which anesthetists believed they were aware of the morally correct course of action but were unable to follow through with these behaviors. Also, CRNAs reported physical and psychological manifestations in relation to moral distress.
注册护士在护理实践中经常面临伦理困境。由于他们在应对伦理挑战时所做的决定，护士们报告称经历了道德困扰。这种经历通常表现为愤怒、内疚和悲伤等情绪，并且已被确定为导致护士职业倦怠和离职的一个因素。这项探索性描述性研究的目的是确定注册护士麻醉师（CRNA）在其护理实践中是否会经历道德困扰。从美国护士麻醉师协会的登记册中随机抽取了800名CRNA参与这项研究。参与研究的护士被要求完成一份人口统计学数据调查问卷和伦理压力量表。本研究对300份调查问卷进行了分析。数据支持了CRNA在其护理实践中确实会经历道德困扰这一假设。虽然少数护士麻醉师经历了高水平的道德困扰，但CRNA总体上经历的是中等程度的道德困扰。道德困扰与麻醉师认为自己知道道德上正确的行动方针但无法付诸实施的情况有关。此外，CRNA报告了与道德困扰相关的身体和心理表现。
