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重症监护护士临床实践中的伦理态度及影响因素

Ethical Attitudes of Intensive Care Nurses during Clinical Practice and Affecting Factors.

作者信息

Işik Meryem Türkan, Özdemir Rana Can, Serinkaya Deniz

机构信息

Faculty of Nursing, Mersin University, Mersin, Turkey.

Department of Medical History and Ethics, Akdeniz Üniversitesi, Antalya, Turkey.

出版信息

Indian J Crit Care Med. 2022 Mar;26(3):288-293. doi: 10.5005/jp-journals-10071-24143.

DOI:10.5005/jp-journals-10071-24143
PMID:35519912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9015944/
Abstract

BACKGROUND

Technological advances in critical care contribute to patient survival, but healthcare professionals working in these units, which require technical expertise, experience highly challenging ethical decision-making processes.

AIM

The aim of this study is to determine the attitudes of intensive care nurses toward ethical problems they face during clinical practice and the affecting factors.

METHOD

The study included a total of 294 nurses working in the intensive care units at a city hospital. Data was collected using the Personal Information Form and Ethical Attitude Scale for Nursing Care.

FINDINGS

About 58.8% of the participants were females and 71.1% had undergraduate degrees. The total scale score was 56.48 ± 15.98. A statistically significant difference was found between participants' gender, weekly working hours, ethical definition status, and scale score averages.

CONCLUSION

More than half experienced frequent ethical problems and tried to solve them on their own. Trainings aimed at developing ethical sensitivity and participation in symposiums/conferences that address ethical issues specific to intensive care are recommended.

HOW TO CITE THIS ARTICLE

Işik MT, Özdemir RC, Serinkaya D. Ethical Attitudes of Intensive Care Nurses during Clinical Practice and Affecting Factors. Indian J Crit Care Med 2022;26(3):288-293.

摘要

背景

重症监护领域的技术进步有助于患者存活,但在这些需要专业技术的科室工作的医护人员,会经历极具挑战性的伦理决策过程。

目的

本研究旨在确定重症监护护士对其在临床实践中面临的伦理问题的态度及影响因素。

方法

该研究共纳入了一家城市医院重症监护病房的294名护士。使用个人信息表和护理伦理态度量表收集数据。

结果

约58.8%的参与者为女性,71.1%拥有本科学历。量表总分为56.48±15.98。在参与者的性别、每周工作时长、伦理定义状况和量表平均分之间发现了具有统计学意义的差异。

结论

超过半数的人经常遇到伦理问题并试图自行解决。建议开展旨在提高伦理敏感性的培训,并让他们参加针对重症监护特定伦理问题的研讨会/会议。

如何引用本文

Işik MT, Özdemir RC, Serinkaya D. 临床实践中重症监护护士的伦理态度及影响因素。《印度重症监护医学杂志》2022;26(3):288 - 293。

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Ethical dilemmas due to the Covid-19 pandemic.由新冠疫情引发的伦理困境。
Ann Intensive Care. 2020 Jun 17;10(1):84. doi: 10.1186/s13613-020-00702-7.
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Moral Distress and Its Associated Factors Among Nurses in Northwest Amhara Regional State Referral Hospitals, Northwest Ethiopia.埃塞俄比亚西北部阿姆哈拉州转诊医院护士的道德困扰及其相关因素
Psychol Res Behav Manag. 2020 Feb 19;13:161-167. doi: 10.2147/PRBM.S234446. eCollection 2020.
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A survey of moral distress in staff working in intensive care in the UK.英国重症监护室工作人员道德困扰情况调查。
J Intensive Care Soc. 2019 Aug;20(3):196-203. doi: 10.1177/1751143718787753. Epub 2018 Jul 17.
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But it's legal, isn't it? Law and ethics in nursing practice related to medical assistance in dying.但这是合法的,不是吗?与协助死亡相关的护理实践中的法律和伦理问题。
Nurs Philos. 2019 Oct;20(4):e12277. doi: 10.1111/nup.12277. Epub 2019 Aug 19.
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