Aalborg Hospital, Aarhus University Hospital, Denmark.
Nurs Ethics. 2012 Nov;19(6):838-48. doi: 10.1177/0969733012447017. Epub 2012 Jun 15.
The aim of this study was to get a deeper understanding of student nurses' experiences of personal caring ethics by reflection on caring encounters with patients in clinical practice, ethical caring ideals, ethical problems, and sources for inner strength that give courage to practice good caring. In all, 24 Scandinavian student nurses participated voluntarily in an interview study. The interviews were analyzed within a phenomenological-hermeneutical approach and revealed three themes. The students found themselves in two different states of vulnerability: one in which they were overwhelmed by their vulnerability and began to suffer themselves and the other where their vulnerability became a source of development with focus on the patient. The students' ethical caring ideals served as fixed reference points in their ethical development, but their ideals were at risk of decline. The students reflected on the barriers for performing ethical care and nurtured their ethical ideals by providing ethical care in secret. Caring in secret occurred also when student nurses did not experience a shared ethos.
本研究旨在通过反思临床实践中与患者的护理接触、护理伦理理想、伦理问题以及内在力量的源泉，深入了解护生的个人护理伦理体验，这些源泉为践行良好护理提供了勇气。共有 24 名斯堪的纳维亚护生自愿参加了访谈研究。访谈采用现象学-解释学方法进行分析，揭示了三个主题。学生们发现自己处于两种不同的脆弱状态：一种是他们被自己的脆弱所压倒，开始使自己和他人受苦；另一种是他们的脆弱成为发展的源泉，重点关注患者。学生的伦理护理理想是他们伦理发展的固定参考点，但他们的理想面临着下降的风险。学生们反思了执行伦理护理的障碍，并通过秘密提供伦理护理来培养他们的伦理理想。当护生没有体验到共同的精神时，秘密护理也会发生。
