Oelhafen Stephan, Cignacco Eva
Bern University of Applied Sciences, Switzerland.
J Health Psychol. 2020 Nov-Dec;25(13-14):2340-2351. doi: 10.1177/1359105318794842. Epub 2018 Sep 3.
Like other health professionals, midwives need moral competences in order to cope effectively with ethical issues and to prevent moral distress and negative consequences such as fatigue or impaired quality of care. In this study, we developed and conducted a survey with 280 midwives or midwifery students assessing the burden associated with ethical issues, moral competences, and negative consequences of moral distress. Results show that ethical issues associated with asymmetries of power and authority most often lead to the experience of distress. The results are critically discussed in the context of the conceptualization and operationalization of moral distress.
与其他健康专业人员一样，助产士需要具备道德能力，以便有效应对伦理问题，并预防道德困扰以及诸如疲劳或护理质量受损等负面后果。在本研究中，我们对280名助产士或助产专业学生开展了一项调查，评估与伦理问题、道德能力以及道德困扰的负面后果相关的负担。结果显示，与权力和权威不对称相关的伦理问题最常导致困扰体验。我们在道德困扰的概念化和操作化背景下对结果进行了批判性讨论。
