Powell Shannon Baker, Engelke Martha Keehner, Swanson Melvin S
1 East Carolina University College of Nursing, Greenville, NC, USA.
J Sch Nurs. 2018 Oct;34(5):390-397. doi: 10.1177/1059840517704965. Epub 2017 Apr 20.
School nurses are well positioned to provide care to a diverse population of school-age children, but their role and work environment can present a variety of moral dilemmas leading to moral distress. The purpose of this study is to identify the moral distress level that exists in school nurses and to describe its relationship to common moral dilemmas and school nurse characteristics. Data were collected through face-to-face attendance at school nurse meetings in North Carolina where 307 school nurses participated in the survey. Moral distress was measured using the moral distress thermometer, and common moral dilemmas were identified using a researcher developed questionnaire. Almost all of the school nurses (97.3%) experienced some degree of moral distress. Each of the common moral dilemmas was positively correlated with moral distress levels. The findings suggest that many of the common moral dilemmas experienced by school nurses are strongly related to moral distress.
学校护士具备为不同年龄段的学龄儿童提供护理的良好条件，但其角色和工作环境可能会带来各种道德困境，从而导致道德困扰。本研究的目的是确定学校护士中存在的道德困扰程度，并描述其与常见道德困境及学校护士特征之间的关系。数据是通过在北卡罗来纳州亲自参加学校护士会议收集的，共有307名学校护士参与了调查。使用道德困扰温度计来测量道德困扰程度，并通过研究人员编制的问卷来确定常见的道德困境。几乎所有的学校护士（97.3%）都经历了某种程度的道德困扰。每一种常见的道德困境都与道德困扰程度呈正相关。研究结果表明，学校护士经历的许多常见道德困境与道德困扰密切相关。
