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烧伤患者护理中的伦理挑战:一项定性研究。

Ethical challenges of caring for burn patients: a qualitative study.

作者信息

Bijani Mostafa, Mohammadi Fateme

机构信息

Department of Medical Surgical Nursing, Fasa University of Medical Sciences, Fasa, Iran.

Chronic Diseases (Home Care) Research Center, Autism Spectrum Disorders Research Center, Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

BMC Med Ethics. 2021 Feb 10;22(1):13. doi: 10.1186/s12910-021-00582-x.

Abstract

BACKGROUND

Burn patients are among the most vulnerable groups of patients requiring principled ethical care. Caring for these patients often brings various ethical challenges for the members of the health care teams, especially nurses, which affect the clinical decisions made for these patients. A limited number of studies have addressed the ethical challenges of caring for burn patients for the responsible caregivers, so the present study attempted to identify these challenges. The present study aimed to explore the health professionals' experiences of the ethical challenges during caring for burn patients.

METHODS

This was a qualitative study with a descriptive, phenomenological design. 22 health professional practiced in public burn centers in Iran who met the inclusion criteria of the study were selected via purposeful sampling to participate in the study from June to August 2019. Data were collected using semi-structured, in-depth interviews with the individuals as well as field notes. Sampling was continued up to the data saturation. Thereafter, the collected data were analyzed using Colaizzi's method.

RESULTS

The findings of the study yielded 3 themes, including respect for the patient's privacy, respect for the patient's personal identity, and care challenges, as well as 9 categories.

CONCLUSION

The findings of this study showed that the burn patients' caregivers face some challenges in the domains of maintaining the patient's privacy, respecting the patient's personal identity, and making the best clinical decision. Thus, providing the cultural, professional, and organizational requirements of meeting the challenges of caring for burn patients can consequently result in the caregivers' inner peace and the improved performance.

摘要

背景

烧伤患者是最需要遵循道德原则进行护理的弱势群体之一。照顾这些患者常常给医疗团队成员,尤其是护士带来各种伦理挑战,这会影响针对这些患者所做出的临床决策。针对负责照顾烧伤患者的人员所面临的伦理挑战,仅有少数研究进行过探讨,因此本研究试图确定这些挑战。本研究旨在探究医疗专业人员在照顾烧伤患者过程中面临伦理挑战的经历。

方法

这是一项采用描述性现象学设计的定性研究。通过目的抽样法,从2019年6月至8月期间,选取了22名在伊朗公共烧伤中心执业且符合研究纳入标准的医疗专业人员参与研究。通过对个体进行半结构化深度访谈以及现场记录来收集数据。抽样持续进行直至数据饱和。此后,使用科莱齐法对收集到的数据进行分析。

结果

该研究结果产生了3个主题,包括尊重患者隐私、尊重患者个人身份和护理挑战,以及9个类别。

结论

本研究结果表明,烧伤患者的护理人员在维护患者隐私、尊重患者个人身份以及做出最佳临床决策等方面面临一些挑战。因此,提供应对烧伤患者护理挑战所需的文化、专业和组织条件,能够进而使护理人员内心安宁并提高工作绩效。

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