新生儿重症监护病房中的道德困境：一项意大利的研究。
Moral distress in the neonatal intensive care unit: an Italian study.
作者信息
Sannino P, Giannì M L, Re L G, Lusignani M
机构信息
Fondazione I.R.C.C.S. Ca Granda Ospedale Maggiore Policlinico, S.I.T.R.A. Basic Education Sector, Milan, Italy.
Fondazione I.R.C.C.S. Ca Granda Ospedale Maggiore Policlinico, Neonatal Intesive Care Unit, Department of Clinical Science and Community Health, University of Milan, Milan, Italy.
出版信息
J Perinatol. 2015 Mar;35(3):214-7. doi: 10.1038/jp.2014.182. Epub 2014 Oct 9.
OBJECTIVE
The objective of this study was to evaluate the frequency, the intensity and the level of moral distress experienced by nurses working in neonatal intensive care units (NICUs).
STUDY DESIGN
We conducted a cross-sectional questionnaire survey involving 472 nurses working in 15 level III NICUs. Frequency, intensity and level of moral distress was evaluated using a modified version of Moral Distress Scale Neonatal-Pediatric Version. Socio-demographic data were also collected.
RESULT
Four hundred six nurses completed the study material indicating a low-to-moderate experience of moral distress. The situations receiving the highest scores for frequency, intensity and level of moral distress related to the initiation of extensive life-saving actions and participation to the care of ventilator-dependent child. No difference in the mean scores of moral distress was found according to the socio-demographic characteristics investigated.
CONCLUSION
The present study provides further insight into the moral distress experienced by nurses working in Italian NICUs.
目的
本研究的目的是评估在新生儿重症监护病房（NICU）工作的护士经历道德困扰的频率、强度和程度。
研究设计
我们进行了一项横断面问卷调查，涉及15家三级NICU的472名护士。使用改良版的新生儿 - 儿科版道德困扰量表评估道德困扰的频率、强度和程度。还收集了社会人口统计学数据。
结果
406名护士完成了研究材料，表明道德困扰经历程度为低到中度。在道德困扰的频率、强度和程度方面得分最高的情况与启动广泛的救生行动以及参与依赖呼吸机儿童的护理有关。根据所调查的社会人口统计学特征，未发现道德困扰平均得分有差异。
结论
本研究进一步深入了解了意大利NICU护士所经历的道德困扰。
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