儿科肿瘤护理中涉及儿童声音的道德困境和伦理氛围的横断面调查。
A cross-sectional survey of moral distress and ethical climate - Situations in paediatric oncology care that involve children's voices.
机构信息
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Paediatric Haematology and Oncology, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
出版信息
Nurs Open. 2022 Jul;9(4):2108-2116. doi: 10.1002/nop2.1221. Epub 2022 Apr 20.
AIM
To assess experiences of morally distressing situations and perceptions of ethical climate in paediatric oncology care, with a focus on situations that involve children's voices.
DESIGN
Cross-sectional survey.
METHODS
Registered Nurses at all four paediatric oncology centres in Denmark were asked to complete a web-based questionnaire with Danish translations of the Swedish Moral Distress Scale-Revised (MDS-R) and the Swedish Hospital Ethical Climate Survey-Shortened (HECS-S). Data analysis included descriptive statistics and non-parametric correlation tests.
RESULTS
Nurses (n = 65) perceived morally distressing situations as rather uncommon, except for those that involved shortage of time, poor continuity of care and unsafe staffing levels. Most nurses (83%) found it disturbing to perform procedures on school-aged children against their will, and 20% reported that they do this often. Perceptions of ethical climate were positive and healthcare professionals were perceived to be attentive to children's wishes.
目的
评估儿科肿瘤护理中道德困境的体验和对伦理氛围的看法，重点关注涉及儿童声音的情况。
设计
横断面调查。
方法
丹麦所有四家儿科肿瘤中心的注册护士被要求完成一项基于网络的问卷，问卷内容包括瑞典道德困境量表修订版（MDS-R）和瑞典医院伦理气候调查简化版（HECS-S）的丹麦语翻译。数据分析包括描述性统计和非参数相关检验。
结果
护士（n=65）认为道德困境情况相当罕见，除了那些涉及时间短缺、护理连续性差和人员配备不安全的情况。大多数护士（83%）认为对学龄儿童违背其意愿进行治疗程序感到困扰，20%的护士表示他们经常这样做。对伦理氛围的看法是积极的，医护人员被认为关注儿童的意愿。
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