Rejnö Asa, Danielson Ella, Berg Linda
University of Gothenburg, Sweden; Skaraborg Hospital, Sweden.
Nurs Ethics. 2013 Sep;20(6):708-22. doi: 10.1177/0969733012473770. Epub 2013 Mar 1.
How ethical praxis is shaped by different contexts and situations has not been widely studied. We performed a follow-up study on stroke team members' experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. A number of ways for handling ethical problems emerged, which we have now explored further. Data were collected through a three-part form used as base for individual interviews with 15 stroke team members and analyzed using both quantitative and qualitative content analysis. In the analysis, the approaches in the form were condensed into strategies, and the two different ways those strategies were preferred and used by the team members were shown. Hindrances perceived by the team members to impede them from working the preferred way were also revealed and grouped into eight categories.
不同背景和情况如何塑造道德实践尚未得到广泛研究。我们对卒中团队成员在处理道德问题方面的经历以及团队在护理面临卒中突然意外死亡的患者时如何应对这种情况进行了一项随访研究。出现了一些处理道德问题的方法,我们现在对此进行了进一步探讨。通过一份三部分的表格收集数据,该表格用作对15名卒中团队成员进行个人访谈的基础,并使用定量和定性内容分析进行分析。在分析中,表格中的方法被浓缩为策略,并展示了团队成员偏好和使用这些策略的两种不同方式。还揭示了团队成员认为阻碍他们以偏好方式工作的障碍,并将其分为八类。