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从痛苦到冷漠:新手护士在临床实习第一年对伦理挑战的反应

From Suffering to Indifference: Reaction of Novice Nurses to Ethical Challenges in First Year of Clinical Practice.

作者信息

Naseri-Salahshour Vahid, Sajadi Mahbobeh

机构信息

Department of Medical-Surgical Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.

Department of Pediatric Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.

出版信息

Iran J Nurs Midwifery Res. 2019 Jul-Aug;24(4):251-255. doi: 10.4103/ijnmr.IJNMR_145_18.

Abstract

BACKGROUND

The first year of clinical practice is one of the most important steps in nursing career life. Although, studies have been conducted on ethical issues in nurses, however, few studies have been conducted on the responses of novice nurses to ethical issues. The purpose of this study was to explore the responses of novice nurses to ethical challenges in the first year of clinical practice.

MATERIALS AND METHODS

This study is a qualitative study with content analysis approach was conducted with financial support of Arak University of Medical Sciences. In this study, about 11 novice nurses selected using purposive sampling from educational hospitals affiliated to Arak University of Medical Sciences. Data were collected by semi-structured interviews. The duration of the interviews was 30-110 minutes. In order to analyze the data, inductive content analysis was used.

RESULTS

Data analysis revealed two important, and different responses over time in novice nurses. So that at the beginning of practice, the reaction to ethical challenges was "suffering" and after a few months it became "indifference".

CONCLUSIONS

This study showed that the response of novice nurses to ethical challenges in the first year of clinical practice was a transition from suffering to indifference. These findings can be used in nursing education, research and practice. Further research is recommended in this regard.

摘要

背景

临床实习的第一年是护理职业生涯中最重要的阶段之一。尽管已经对护士的伦理问题进行了研究,然而,针对新手护士对伦理问题的反应所开展的研究却很少。本研究的目的是探讨新手护士在临床实习第一年对伦理挑战的反应。

材料与方法

本研究是一项采用内容分析法的定性研究,由阿拉克医科大学提供资金支持。在本研究中,通过目的抽样从阿拉克医科大学附属教学医院选取了约11名新手护士。数据通过半结构化访谈收集。访谈时长为30至110分钟。为了分析数据,采用了归纳性内容分析法。

结果

数据分析揭示了新手护士随着时间推移出现的两种重要且不同的反应。即在实习开始时,对伦理挑战的反应是“痛苦”,几个月后则变为“冷漠”。

结论

本研究表明,新手护士在临床实习第一年对伦理挑战的反应是从痛苦转变为冷漠。这些发现可用于护理教育、研究和实践。建议在这方面进一步开展研究。

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