癌症护理单元的伦理氛围与护理缺失。

Ethical climate and missed nursing care in cancer care units.

机构信息

Cyprus University of Technology, Cyprus.

出版信息

Nurs Ethics. 2018 Sep;25(6):707-723. doi: 10.1177/0969733016664979. Epub 2016 Sep 27.

DOI:10.1177/0969733016664979

PMID:27679538

Abstract

BACKGROUND

Previous research has linked missed nursing care to nurses' work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ethical climate is unknown.

RESEARCH OBJECTIVES

To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care.

RESEARCH DESIGN

A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson's correlation and analysis of variance. Participants and research context: All nurses from relevant units in the Republic of Cyprus were invited to participate. Ethical considerations: The research protocol has been approved according to national legislation, all licenses have been obtained, and respondents participated voluntarily after they have received all necessary information.

FINDINGS

Response rate was 91.8%. Five types identified were as follows: caring (M = 3.18, standard deviation = 1.39); law and code (M = 3.18, standard deviation = 0.96); rules (M = 3.17, standard deviation = 0.73); instrumental (M = 2.88, standard deviation = 1.34); and independence (M = 2.74, standard deviation = 0.94). Reported overall missed care (range: 1-5) was M = 2.51 (standard deviation = 0.90), and this was positively (p < 0.05) related to instrumental (r = 0.612) and independence (r = 0.461) types and negatively (p < 0.05) related to caring (r = -0.695), rules (r = -0.367), and law and code (r = -0.487).

DISCUSSION

The reported levels of missed care and the types of ethical climates present similarities and differences with the relevant literature. All types of ethical climate were related to the reported missed care.

CONCLUSION

Efforts to reduce the influence of instrumental and independence types and fostering caring, law and code, and rules types might decrease missed nursing care. However, more robust evidence is needed.

摘要

背景

先前的研究将护理缺失与护士的工作环境联系起来。伦理气候是工作环境的一部分，但不同类型的伦理气候与护理缺失的关系尚不清楚。

研究目的

描述成人住院癌症护理环境中的伦理气候类型，并研究其与护理缺失的关系。

研究设计

采用描述性相关设计。使用伦理气候问卷和 MISSCARE 调查工具收集数据，并进行描述性统计、皮尔逊相关和方差分析。

参与者和研究背景

塞浦路斯共和国相关单位的所有护士均受邀参与。

伦理考虑

根据国家立法批准了研究方案，获得了所有许可证，并且在受访者收到所有必要信息后自愿参与。

结果

回应率为 91.8%。确定了以下五种类型：关爱型（M=3.18，标准差=1.39）；法律和规范型（M=3.18，标准差=0.96）；规则型（M=3.17，标准差=0.73）；工具型（M=2.88，标准差=1.34）；独立型（M=2.74，标准差=0.94）。报告的整体护理缺失（范围：1-5）为 M=2.51（标准差=0.90），与工具型（r=0.612）和独立型（r=0.461）呈正相关（p<0.05），与关爱型（r=-0.695）、规则型（r=-0.367）和法律和规范型（r=-0.487）呈负相关（p<0.05）。