Faculty of Health Sciences, Department of Public Health, Aarhus University, HoeghGuldbergs Gade 6A, Aarhus C, Denmark.
Nurs Ethics. 2012 Jan;19(1):80-90. doi: 10.1177/0969733011412101. Epub 2011 Dec 2.
The aim of this study was to explore neonatal nurses' and mothers of preterm infants' experiences of daily challenges. Interviews took place asking for good, bad and challenging experiences. Data were analysed using qualitative content analysis and findings were clustered in two categories: good and challenging experiences, each containing three themes. The good experiences were: managing with success as a nurse, small things matter for mothers, and a good day anyhow for mothers and nurses. The challenging experiences were: mothering in public, being pulled between responsibilities, and adverse things stick under the nurses' skin. The study shows that small daily clinical matters become big issues and could lead to moral distress, and that nurses integrate ethics of justice and ethics of care while mothers are concerned about health and well-being of their specific infant only. The challenge for nursing to integrate fairness and sensitive care in family-oriented neonatal care is discussed.
本研究旨在探讨新生儿护士和早产儿母亲在日常挑战方面的体验。通过访谈，询问他们的好、坏和有挑战性的经历。使用定性内容分析法对数据进行分析，结果分为两类：好的体验和有挑战性的体验，每类包含三个主题。好的体验有：作为护士成功应对，对母亲来说小事很重要，母亲和护士都有美好的一天。有挑战性的体验有：在公共场合养育孩子，在责任之间拉扯，护士感到非常困扰。研究表明，日常临床小事可能会成为大问题，导致道德困境，护士在整合公正伦理和关怀伦理的同时，母亲只关心自己特定婴儿的健康和幸福。讨论了护理在以家庭为中心的新生儿护理中整合公平和敏感护理的挑战。
