Department of Nursing, Chung-Ang University, Seoul, Korea.
Department of Nursing, Kangwon National University, Chuncheon-si, Korea.
J Clin Nurs. 2018 Mar;27(5-6):1063-1072. doi: 10.1111/jocn.14128. Epub 2018 Jan 23.
To explore barriers to ethical nursing practice for older adults in long-term care facilities from the perspectives of nurses in South Korea.
The number of older adults admitted to long-term care facilities is increasing rapidly in South Korea. To provide this population with quality care, a solid moral foundation should be emphasised to ensure the provision of ethical nursing practices. Barriers to implementing an ethical nursing practice for older adults in long-term care facilities have not been fully explored in previous literature.
A qualitative, descriptive design was used to explore barriers to ethical nursing practice as perceived by registered nurses in long-term care facilities in South Korea.
Individual interviews were conducted with 17 registered nurses recruited using purposive (snowball) sampling who care for older adults in long-term care facilities in South Korea. Data were analysed using qualitative content analysis.
Five main themes emerged from the data analysis concerning barriers to the ethical nursing practice of long-term care facilities: emotional distress, treatments restricting freedom of physical activities, difficulty coping with emergencies, difficulty communicating with the older adult patients and friction between nurses and nursing assistants.
This study has identified methods that could be used to improve ethical nursing practices for older adults in long-term care facilities. Because it is difficult to improve the quality of care through education and staffing alone, other factors may also require attention.
Support programmes and educational opportunities are needed for nurses who experience emotional distress and lack of competency to strengthen their resilience towards some of the negative aspects of care and being a nurse that were identified in this study.
从韩国护士的角度探讨长期护理机构中老年人伦理护理实践的障碍。
在韩国，被送入长期护理机构的老年人数量迅速增加。为了为这一人群提供高质量的护理，应该强调坚实的道德基础，以确保提供符合伦理的护理实践。以前的文献并没有充分探讨长期护理机构中老年人实施符合伦理的护理实践的障碍。
采用定性、描述性设计，探讨韩国长期护理机构注册护士对伦理护理实践障碍的看法。
采用目的抽样（滚雪球）法招募了 17 名注册护士进行个人访谈，他们负责照顾韩国长期护理机构的老年人。使用定性内容分析对数据进行分析。
数据分析中出现了五个关于长期护理机构伦理护理实践障碍的主要主题：情绪困扰、限制身体活动自由的治疗、应对紧急情况的困难、与老年患者沟通困难以及护士和护理助理之间的摩擦。
本研究确定了可以用来改善长期护理机构中老年人伦理护理实践的方法。由于仅通过教育和人员配备很难提高护理质量，因此其他因素也可能需要关注。
对于经历情绪困扰和缺乏能力的护士，需要提供支持计划和教育机会，以增强他们对本研究中确定的一些护理负面方面和作为护士的韧性。
