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伊朗儿科护士的经历:道德实践学习的促进因素

Iranian Pediatric Nurse's Experience: The Facilitators of the Learning of Ethical Practices.

作者信息

Karami Kobra, Maddah Sadat SeyedBagher, Abbaszadeh Abbas, Shahboulaghi Farahnaz Mohammadi, Hosseini Mohammadali, MousaviArfa Nazila, Almasian Mohammad

机构信息

Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran.

Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):490-496. doi: 10.4103/ijnmr.IJNMR_104_16.

Abstract

BACKGROUND

Ethical care is a core value in nursing. Pediatric nurses are in direct and continuous contact with children and their parents. They manage their lives and health. As part of the pediatric nurses' daily work, ethical issues play an important role in making decisions, are important to make decisions, and this capability is only achieved by ethical practice. This study aimed to explore the factors facilitating the learning of ethical practice among Iranian pediatric nurses.

MATERIALS AND METHODS

This study is a conventional qualitative content analysis based on the Graneheim and Lundman method. It was conducted through semi-structured interviews with two focus groups, incorporating 28 nurses working in pediatric wards. Unstructured observation and field notes were other methods of data collection. Purposive sampling continued until data saturation was ensured. All interviews were tape recorded and transcribed in verbatim.

RESULTS

Three main categories and 12 subcategories emerged from this study. The facilitating factors include (1) individual competencies (knowledge, experience, emotional intelligence, and loving children), (2) ethical imprinting (responsibility, reflection, empathy, and ethical beliefs), and (3) an environment that nurtures moral values (organizational, spiritual, family, and cultural environments) as facilitating factors.

CONCLUSIONS

The promotion of nurses' competencies, ethical virtues, and imprinting, as well as improvement of the quality of nursing care must be the top priority of the health team. Undoubtedly, the success of the health care system is not possible without ensuring that pediatric nurses learn ethical practices.

摘要

背景

道德护理是护理工作的核心价值。儿科护士与儿童及其父母直接且持续接触。他们负责管理儿童的生活和健康。作为儿科护士日常工作的一部分,伦理问题在决策过程中发挥着重要作用,对于做出决策至关重要,而这种能力只能通过道德实践来实现。本研究旨在探讨促进伊朗儿科护士学习道德实践的因素。

材料与方法

本研究是一项基于格兰海姆和伦德曼方法的传统定性内容分析。通过对两个焦点小组进行半结构式访谈开展研究,这两个焦点小组共有28名在儿科病房工作的护士。非结构式观察和实地记录是其他数据收集方法。目的抽样持续进行,直至确保数据饱和。所有访谈均进行录音并逐字转录。

结果

本研究得出了三个主要类别和12个子类别。促进因素包括:(1)个人能力(知识、经验、情商和爱孩子);(2)道德烙印(责任、反思、同理心和道德信念);(3)培育道德价值观的环境(组织、精神、家庭和文化环境)作为促进因素。

结论

提升护士的能力、道德品质和烙印,以及提高护理质量必须是医疗团队的首要任务。毫无疑问,如果不能确保儿科护士学习道德实践,医疗保健系统就不可能取得成功。

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本文引用的文献

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Hospitalized children's views of the good nurse.住院儿童眼中的好护士。
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Ethical sensitivity in professional practice: concept analysis.专业实践中的伦理敏感性:概念分析
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