Department of Neurobiology, Care Science and Society, 27106Karolinska Institutet, Huddinge, Stockholm, Sweden.
Department of Anaesthesia and Intensive Care, Södersjukhuset, Stockholm, Sweden.
Nurs Ethics. 2022 Aug;29(5):1293-1303. doi: 10.1177/09697330221085768. Epub 2022 May 13.
In modern healthcare, the role of solidarity, altruism and the natural response to moral challenges in life-threatening situations is still rather unexplored. The COVID-19 pandemic provided an opportunity to obtain a deeper understanding of nurses' willingness to care for patients during crisis. To elucidate clinical expressions of ontological situational ethics through nurses' willingness to work during a pandemic. A qualitative study with an interpretive design was applied. Twenty nurses who worked in intensive care unit at two Swedish hospitals during the first, second, and third waves of the COVID-19 pandemic were interviewed. The analysis was interpretative and applied a theoretical ethics perspective. The study was approved by the Swedish Ethical Review Authority and informed consent was obtained from all participants. From a philosophical perspective, the nurses expressed sovereign life expressions of mercy and compassion, which arose spontaneously in response to seeing vulnerable fellow humans. They referenced ''the nurse inside me'' and their choice of profession as motives to provide care. Ontological situational ethics in culture and norms were noted in the constructs of competence, responsibility, solidarity with colleagues and organization; and interest and learning were driving forces. Ethical demand was evident when nurses expressed ideas of meaningfulness in helping their fellow humans; but themes of ambiguity, exhaustion and unwillingness were also present. The nurses showed a high willingness to care for patients during a crisis. Responding to the ethical demand and to care for vulnerable human beings while risking their own health and lives could be interpreted as an inter-human vocation. These spontaneous altruistic actions saved the lives of many patients during the pandemic and need to be understood and supported.
在现代医疗保健中，团结、利他主义以及在危及生命的情况下对道德挑战的自然反应的作用仍未得到充分探索。COVID-19 大流行提供了一个机会，可以更深入地了解护士在危机期间照顾患者的意愿。通过护士在大流行期间工作的意愿来阐明存在主义情境伦理学的临床表现。一项定性研究采用解释性设计。在 COVID-19 大流行的第一、二、三波期间，对两家瑞典医院的重症监护病房的 20 名护士进行了访谈。分析是解释性的，并应用了理论伦理视角。该研究得到了瑞典伦理审查局的批准，并获得了所有参与者的知情同意。从哲学的角度来看，护士们表达了仁慈和同情的主权生命表现，这是在看到脆弱的人类同胞时自发产生的。他们提到了“我内心的护士”和他们选择职业作为提供护理的动机。文化和规范中的存在主义情境伦理学在能力、责任、与同事和组织的团结以及兴趣和学习等结构中得到了注意。当护士们表达帮助人类同胞的意义感的想法时，伦理需求就显现出来了；但也存在模糊性、疲惫和不愿意的主题。护士们在危机期间表现出很高的照顾患者的意愿。回应伦理需求，在冒着自己的健康和生命风险照顾脆弱的人类，可以被解释为一种人际职业。这些自发的利他主义行动在大流行期间拯救了许多患者的生命，需要得到理解和支持。
