Settle Peggy Doyle
Massachusetts General Hospital, USA.
Nurs Ethics. 2014 Mar;21(2):198-209. doi: 10.1177/0969733012475254. Epub 2013 Mar 1.
Nurses working in a newborn intensive care unit report that treatment decision disagreements for infants in their care may lead to ethical dilemmas involving all health-care providers. Applying Rest's Four-Component Model of Moral Action as the theoretical framework, this study examined the responses of 224 newborn intensive care unit nurses to the Nurses Ethical Involvement Survey. The three most frequent actions selected were as follows: talking with other nurses, talking with doctors, and requesting a team meeting. The multiple regression analysis indicates that newborn intensive care unit nurses with greater concern for the ethical aspects of clinical practice (p = .001) and an increased perception of their ability to influence ethical decision making (p = .018) were more likely to display Nurse Activism. Future research is necessary to identify other factors leading to and inhibiting Nurse Activism as these findings explained just 8.5% of the variance.
在新生儿重症监护病房工作的护士报告称，他们所护理婴儿的治疗决策分歧可能会导致涉及所有医护人员的伦理困境。本研究以雷斯特道德行为四成分模型作为理论框架，调查了224名新生儿重症监护病房护士对护士伦理参与调查的反应。选择的三种最常见行为如下：与其他护士交谈、与医生交谈以及要求召开团队会议。多元回归分析表明，对临床实践伦理方面更为关注（p = .001）且对自身影响伦理决策能力的认知增强（p = .018）的新生儿重症监护病房护士更有可能表现出护士行动主义。由于这些发现仅解释了8.5%的方差变异，因此有必要进行进一步研究以确定导致和抑制护士行动主义的其他因素。
