Lovisenberg diakonale høgskole (Lovisenberg Diaconal University College), Norway.
MF Norwegian School of Theology, Religion and Society, Norway.
Nurs Ethics. 2022 Feb;29(1):171-180. doi: 10.1177/09697330211010246. Epub 2021 Sep 6.
Nurses working within acute psychiatric settings often face multifaceted moral dilemmas and incompatible demands.
Qualitative individual and focus group interviews were conducted.
Approval was received from the Norwegian Social Science Data Services. Ethical Research Guidelines were followed.
Thirty nurses working within acute psychiatric wards in two mental health hospitals.
Various coping strategies were used: mentally sorting through their ethical dilemmas or bringing them to the leadership, not 'bringing problems home' after work or loyally doing as told and trying to make oneself immune. Colleagues and work climate were important for choice of coping strategies.
Nurses' coping strategies may influence both their clinical practice and their private life. Not facing their moral distress seemed to come at a high price.
It seems essential for nurses working in acute psychiatric settings to come to terms with distressing events and identify and address the moral issues they face. As moral distress to a great extent is an organisational problem experienced at a personal level, it is important that a work climate is developed that is open for ethical discussions and nourishes adaptive coping strategies and moral resilience.
在急性精神病院工作的护士经常面临多方面的道德困境和相互冲突的要求。
进行了定性的个人和焦点小组访谈。
已从挪威社会科学数据服务处获得批准。遵循了伦理研究准则。
在两家心理健康医院的急性精神病病房工作的 30 名护士。
使用了各种应对策略：在精神上梳理自己的道德困境或将其带到领导层，不在下班后“将问题带回家”，或忠诚地按吩咐办事并尽力使自己免受影响。同事和工作氛围对应对策略的选择很重要。
护士的应对策略可能会影响他们的临床实践和私人生活。不面对自己的道德困境似乎要付出高昂的代价。
对于在急性精神病院工作的护士来说，与困扰他们的事件达成和解并确定和解决他们所面临的道德问题似乎至关重要。由于道德困境在很大程度上是个人层面上的组织问题，因此开发一种对伦理讨论持开放态度并培养适应性应对策略和道德韧性的工作氛围非常重要。
