Munkeby Hilde, Moe Aud, Bratberg Grete, Devik Siri A
Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway.
Centre of Care Research, Steinkjer, Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
Glob Qual Nurs Res. 2022 Jan 5;8:23333936211060036. doi: 10.1177/23333936211060036. eCollection 2021 Jan-Dec.
In long-term care, ethical challenges are becoming increasingly apparent as the number of older patients with complex care needs increases, in parallel with growing demands for more cost-efficient care. Scarce resources, cross-pressure and value conflicts are associated with missed care, moral stress and nurses wanting to leave the profession. Through five focus group interviews, this study aimed to explore how nurses working in nursing homes and homecare services perceive, experience and manage ethical challenges in everyday work. Content analysis revealed three main themes: striving to do good; failing and being let down and getting rid of frustrations and learning from experiences. The nurses' morality was mainly expressed through emotions that arose in specific situations. Dedicated spaces for ethical reflection and leaders who recognize that organizational conditions affect the individual nurse-patient relationship are required. Facilitating ethical reflection is an important leadership responsibility, which may also require leaders to actually participate.
在长期护理中，随着有复杂护理需求的老年患者数量增加，同时对更具成本效益的护理需求不断增长，伦理挑战日益明显。资源稀缺、交叉压力和价值冲突与护理缺失、道德压力以及护士想要离开该职业相关。通过五次焦点小组访谈，本研究旨在探讨在养老院和家庭护理服务机构工作的护士如何在日常工作中感知、体验和应对伦理挑战。内容分析揭示了三个主要主题：努力做好事；失败与失望；消除挫折并从经验中学习。护士的道德主要通过特定情境中产生的情感来表达。需要有专门的伦理反思空间，以及认识到组织条件会影响个体护患关系的领导者。促进伦理反思是一项重要的领导职责，这可能还需要领导者实际参与其中。
