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医疗助理的道德困境:讨论与建议。

Moral distress in healthcare assistants: A discussion with recommendations.

机构信息

London South Bank University, UK.

University of Birmingham, UK.

出版信息

Nurs Ethics. 2019 Nov-Dec;26(7-8):2306-2313. doi: 10.1177/0969733018791339. Epub 2018 Aug 22.

Abstract

BACKGROUND

Moral distress can be broadly described as the psychological distress that can develop in response to a morally challenging event. In the context of healthcare, its effects are well documented in the nursing profession, but there is a paucity of research exploring its relevance to healthcare assistants.

OBJECTIVE

This article aims to examine the existing research on moral distress in healthcare assistants, identity the important factors that are likely to contribute to moral distress, and propose preventative measures.

RESEARCH DESIGN

This is a survey of the existing literature on moral distress in healthcare assistants. It uses insights from moral distress in nursing to argue that healthcare assistants are also likely to experience moral distress in certain contexts.

PARTICIPANTS AND RESEARCH CONTEXT

No research participants were part of this analysis.

ETHICAL CONSIDERATIONS

This article offers a conceptual analysis and recommendations only.

FINDINGS

The analysis identifies certain factors that may be particularly applicable to healthcare assistants such as powerlessness and a lack of ethical knowledge. We demonstrate that these factors contribute to moral distress.

DISCUSSION

Recommendations include various preventative measures such as regular reflective debriefing sessions involving healthcare assistants, nurses and other clinicians, joint workplace ethical training, and modifications to the Care Certificate. Implementation of these measures should be monitored carefully and the results published to augment our existing knowledge of moral distress in healthcare assistants.

CONCLUSION

This analysis establishes the need for more research and discussion on this topic. Future research should focus on evaluating the effectiveness of the proposed recommendations.

摘要

背景

道德困境可以被广泛描述为对道德挑战事件的心理困扰。在医疗保健背景下,其在护理行业中的影响已得到充分记录,但对于探索其与医疗保健助理相关性的研究却很少。

目的

本文旨在探讨医疗保健助理中存在的道德困境研究,确定可能导致道德困境的重要因素,并提出预防措施。

研究设计

这是一项对医疗保健助理道德困境现有文献的调查。它利用护理道德困境中的见解,认为在某些情况下,医疗保健助理也可能会经历道德困境。

参与者和研究背景

本分析中没有研究参与者。

伦理考虑

本文仅提供概念分析和建议。

发现

分析确定了某些因素可能特别适用于医疗保健助理,例如无力感和缺乏伦理知识。我们证明这些因素导致了道德困境。

讨论

建议包括各种预防措施,例如涉及医疗保健助理、护士和其他临床医生的定期反思性汇报会议、联合工作场所伦理培训以及对护理证书的修改。应仔细监测这些措施的实施情况,并公布结果,以增加我们对医疗保健助理中道德困境的现有认识。

结论

该分析确立了需要对这一主题进行更多的研究和讨论。未来的研究应侧重于评估拟议建议的有效性。

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