Rezaee Nasrin, Mardani-Hamooleh Marjan, Seraji Maryam
Associate Professor, Community Nursing Research Center, Department of Psychiatric Nursing, Zahedan University of Medical Sciences, Zahedan, Iran.
Associate Professor, Nursing Care Research Center, Department of Psychiatric Nursing, Iran University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2020 Dec 19;13:23. doi: 10.18502/jmehm.v13i23.4954. eCollection 2020.
Nurses face several challenges in providing care for patients with coronavirus disease in 2019 (COVID-19). The study aimed to explain the nurses' perception of ethical challenges in this regard. The qualitative study was carried out using a content analysis method. Individual and semi-structured interviews were conducted with 24 nurses. Inductive content analysis was used to categorize the data. Nurses' narratives indicated that ethical challenges in caring for patients with COVID-19 included threats to professional values and the absence of a holistic COVID-19 care approach. The first category was subcategorized into the risk of declining quality of patient care and a stigmatized public image about COVID-19 care. The second category was divided into poor spiritual care, poor compassionate care, and lack of family-centered care. Health care managers must develop protocols for nurses that address these issues to alleviate the ethical challenges of COVID-19 care.
护士在为2019冠状病毒病（COVID-19）患者提供护理时面临多项挑战。该研究旨在阐释护士在这方面对伦理挑战的认知。这项定性研究采用内容分析法开展。对24名护士进行了个人和半结构化访谈。采用归纳性内容分析法对数据进行分类。护士们的叙述表明，护理COVID-19患者时的伦理挑战包括对专业价值观的威胁以及缺乏整体的COVID-19护理方法。第一类又细分为患者护理质量下降的风险以及关于COVID-19护理的污名化公众形象。第二类分为精神护理不足、同情护理不足和缺乏以家庭为中心的护理。医疗保健管理人员必须为护士制定应对这些问题的方案，以缓解COVID-19护理中的伦理挑战。
