School of Nursing and Midwifery, 37555Urmia University of Medical Sciences, Urmia, Iran.
Nurs Ethics. 2022 Jun;29(4):938-951. doi: 10.1177/09697330221073998. Epub 2022 Feb 28.
Cardiopulmonary Resuscitation (CPR) is one of the areas in which moral issues are of great significance, especially with respect to the nursing profession, because CPR requires quick decision-making and prompt action and is associated with special complications due to the patients' unconsciousness. In such circumstances, nurses' ability in terms of moral sensitivity can be determinative in the success of the procedure. Identifying the components of moral sensitivity in nurses in this context can promote moral awareness and improve moral performance.
This study was conducted to explore and identify the experiences of critical care nurses about moral sensitivity components in CPR.
This study was implemented with a qualitative approach. Data were collected via 22 in-depth semi-structured interviews held with 20 eligible participants with maximum variation. The data were then analyzed using the grounded theory approach.
In total, thirteen clinical nurses, three head nurses, two educational supervisors, and two faculty members from different universities of Iran were interviewed.
This study was conducted with the ethical approval (IR.UMSU.REC.1399.337) of the Ethics Committee of Urmia University of Medical Sciences.
Four themes and 12 sub-themes were extracted from the analysis of the data, including "Consciously and compassionate attention to resuscitate the patient," "Awareness of families' anxiety," "Understanding the teamwork and interactive guidance of the CPR process," and "Compulsory violation of moral principles."
It is anticipated that this discussion will prompt further debate, raise awareness and help clarify the dimensions of moral sensitivity in unconscious patients especially during CPR, so that it can be more clearly named and defended as a moral authority in CPR.
identifying the components of moral sensitivity in nurses, facilitates their encounter with moral issues and can improve their moral performance and encourage right decisions.
心肺复苏术（CPR）是一个道德问题非常重要的领域，尤其是对于护理专业来说，因为 CPR 需要快速决策和迅速行动，并且由于患者无意识，会带来特殊的并发症。在这种情况下，护士的道德敏感性能力可以决定程序的成功与否。在这种情况下，确定护士道德敏感性的组成部分可以提高道德意识并改善道德表现。
本研究旨在探讨和确定重症监护护士在心肺复苏术（CPR）中对道德敏感性组成部分的经验。
本研究采用定性方法进行。通过对 20 名具有最大变化的合格参与者进行 22 次深入的半结构化访谈，收集数据。然后使用扎根理论方法分析数据。
共有 13 名临床护士、3 名护士长、2 名教育主管和 2 名来自伊朗不同大学的教师接受了采访。
本研究是在乌尔米亚大学医学科学伦理委员会（IR.UMSU.REC.1399.337）的伦理批准下进行的。
从数据分析中提取出四个主题和 12 个子主题，包括“有意识和富有同情心的关注复苏患者”、“意识到家属的焦虑”、“理解 CPR 过程中的团队合作和互动指导”和“强制性违反道德原则”。
预计本次讨论将引发进一步的辩论，提高认识，并帮助澄清无意识患者尤其是在 CPR 期间道德敏感性的维度，以便更清楚地命名和捍卫其在 CPR 中的道德权威。
确定护士道德敏感性的组成部分，有助于他们遇到道德问题，并可以提高他们的道德表现，并鼓励做出正确的决定。
