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从道德困境看高校护理教授的道德思考过程。

The moral deliberation process of college nursing professors in view of moral distress.

机构信息

Health Science Center, - Federal University of Santa Catarina, Florianópolis, SC, Brazil.

Health Science Center, - Federal University of Santa Catarina, Florianópolis, SC, Brazil.

出版信息

Nurse Educ Today. 2019 Feb;73:71-76. doi: 10.1016/j.nedt.2018.11.014. Epub 2018 Nov 30.

DOI:10.1016/j.nedt.2018.11.014
PMID:30530138
Abstract

STUDY AIM

To discover college nursing professors' deliberation and coping strategies in view of moral distress.

DESIGN

Qualitative study with a descriptive and exploratory design.

SETTING AND PARTICIPANTS

The participants were 12 college nursing professors who taught at three public universities in Brazil.

METHODS

The adapted Delphi method was applied. The data were collected in three phases with concomitant data collection and analysis.

FINDINGS

Moral distress in teaching can lead to the development of strategies that promote moral deliberation through individual and collective actions, including the defense of principles and dialogue. At the same time, it can produce compensatory mechanisms of preservation and no personal involvement, as well as perceptions of impotence and discouragement, which do not lead to the construction of alternatives of resistance and deliberation. There is no polarization between professor who deliberate or not, as these can be mobile positions taken at certain times and in certain situations, influenced by bonds and support conquered in the group, and not just by leadership and personal characteristics.

CONCLUSION

Dialogue is a fundamental tool for the practice of moral deliberation in the conflicts and challenges of teaching work.

DESCRIPTORS

Faculty, Nursing; Moral Development; Choice Behavior; Interpersonal Relations.

摘要

研究目的

发现高校护理教授在面对道德困境时的思考和应对策略。

设计

定性研究,具有描述性和探索性设计。

地点和参与者

参与者为巴西三所公立大学的 12 名高校护理教授。

方法

采用改良版 Delphi 法。数据收集分为三个阶段,同时进行数据收集和分析。

结果

教学中的道德困境可能导致通过个人和集体行动促进道德思考的策略的发展,包括捍卫原则和对话。同时,它也可能产生保护和不涉及个人的补偿机制,以及无能为力和沮丧的感觉,而这些都不会导致形成抵抗和思考的替代方案。教授是否进行道德思考并不是一个两极分化的问题,因为这些可能是在某些时候和某些情况下采取的移动立场,受到在群体中获得的联系和支持的影响,而不仅仅是领导力和个人特质的影响。

结论

对话是在教学工作中的冲突和挑战中进行道德思考的基本工具。

描述符

教师,护理;道德发展;选择行为;人际关系。

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