Welborn Amber
The University of North Carolina at Greensboro, Greensboro, North Carolina.
Nurs Forum. 2019 Oct;54(4):499-504. doi: 10.1111/nuf.12362. Epub 2019 Jun 27.
Neonatal nurses who care for infants with symptoms of neonatal abstinence syndrome (NAS) may experience moral distress through conflicting professional ethics. The nurse may find it difficult to simultaneously exemplify beneficence and nonmaleficence.
The purpose of this paper is to explore the moral distress of nurses in the context of infants experiencing symptoms of NAS and apply a new conceptual model to this phenomenon. Understanding how nurses navigate moral dilemmas may provide insight into strategies to better support them to address moral conflict.
Moral distress was explored in the context of nurses who care for infants with symptoms of NAS. A literature review was completed, followed by the application of the model onto the derived themes.
The theoretical application resulted in a framework that exemplifies the experience of caring for infants with symptoms of NAS and their families described by many nurses within the literature. If moral distress is not resolved, negative outcomes may be experienced by the nurse, with additional negative outcomes experienced by the family.
This theoretical model provided insight into the experience of moral distress surrounding nursing care for infants with symptoms of NAS. Additional research is needed to investigate moral residue and moral resilience in this particular caregiving dynamic.
照顾患有新生儿戒断综合征（NAS）症状婴儿的新生儿护士可能会因职业道德冲突而经历道德困扰。护士可能会发现难以同时体现善行和不伤害原则。
本文旨在探讨在婴儿出现NAS症状的背景下护士的道德困扰，并将一种新的概念模型应用于这一现象。了解护士如何应对道德困境可能有助于深入了解更好地支持他们解决道德冲突的策略。
在照顾患有NAS症状婴儿的护士背景下探讨道德困扰。完成了文献综述，随后将该模型应用于所推导的主题。
理论应用产生了一个框架，该框架体现了文献中许多护士所描述的照顾患有NAS症状婴儿及其家庭的经历。如果道德困扰得不到解决，护士可能会经历负面结果，家庭也会经历额外的负面结果。
该理论模型为围绕照顾患有NAS症状婴儿的道德困扰经历提供了见解。需要进一步研究来调查这种特殊护理动态中的道德残留和道德恢复力。
