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大流行期间护士面临的伦理问题:来自土耳其的一项研究。

Ethical problems among nurses during pandemics: A study from Turkey.

作者信息

Soylar P, Ulucan M, Dogan Yuksekol O, Baltaci N, Ersogutcu F

机构信息

Health Sciences Faculty, Department of Nursing, Firat University, Elazig, Turkey.

Health Sciences Faculty, Department of Midwifery, Firat University, Elazig, Turkey.

出版信息

Ethics Med Public Health. 2022 Jun;22:100796. doi: 10.1016/j.jemep.2022.100796. Epub 2022 Jun 5.

DOI:10.1016/j.jemep.2022.100796
PMID:35692247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9167429/
Abstract

BACKGROUND

Fighting Covid 19 at the forefront, increased the risk of infection and scarcity of resources have caused the ethical problems among nurses. It was planned to examine the ethical problems faced by nurses caring for Covid-19 patients and how they overcame the outcomes of these problems.

METHODOLOGY

This qualitative study was conducted with 20 nurses who caring Covid 19 patients in Turkey. Data were collected between January 24 and February 21, 2021. Purposive sampling was used in the study and a qualitative content analysis was performed.

RESULTS

The research findings were discussed under two main themes as ethical problems and outcomes of ethical problems faced by nurses working in Covid-19 units. Then, 4 sub-categories for the theme of ethical problems (institutional problems, lack of knowledge and experience in nurses' new place of duty, enforcing nurses to do doctors' duties, problems encountered while caring for patients) and 2 sub-categories (emotions felt by nurses, coping strategies) for the theme of outcomes of ethical problems faced by nurses were defined.

CONCLUSION

The findings emphasize that nurses face ethical problems while giving care to Covid 19 problems. The nature of health services requires an ethical perspective to protect and improve human health, especially in uncertain, difficult and risky situations. Nurses should be supported to provide the ethical perspective in the best way.

摘要

背景

奋战在抗击新冠疫情的最前线,感染风险增加以及资源短缺引发了护士群体中的伦理问题。本研究旨在探讨护理新冠患者的护士所面临的伦理问题,以及他们如何应对这些问题的后果。

方法

本定性研究对土耳其20名护理新冠患者的护士进行。数据收集于2021年1月24日至2月21日期间。研究采用目的抽样法,并进行了定性内容分析。

结果

研究结果围绕两个主要主题展开讨论,即新冠病房护士面临的伦理问题以及伦理问题的后果。然后,确定了伦理问题主题下的4个子类别(机构问题、护士新工作岗位缺乏知识和经验、强制护士履行医生职责、护理患者时遇到的问题)以及护士面临的伦理问题后果主题下的2个子类别(护士的情绪、应对策略)。

结论

研究结果强调,护士在护理新冠患者时面临伦理问题。卫生服务的性质要求从伦理角度保护和改善人类健康,尤其是在不确定、困难和危险的情况下。应支持护士以最佳方式提供伦理视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/f7000ef9040e/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/74fcf20bb749/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/1476522d1b3a/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/78239fcd96b5/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/f7000ef9040e/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/74fcf20bb749/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/1476522d1b3a/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/78239fcd96b5/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e38/9167429/f7000ef9040e/gr4_lrg.jpg

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Priority-setting dilemmas, moral distress and support experienced by nurses and physicians in the early phase of the COVID-19 pandemic in Norway.
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Self-care strategies in response to nurses' moral injury during COVID-19 pandemic.应对 COVID-19 大流行期间护士道德伤害的自我护理策略。
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