DEFACTUM-Public Health & Health Services Research, Aarhus, Denmark.
Department of Psychology and Behavioural Sciences, Aarhus University, Aarhus, Denmark.
Nurs Inq. 2023 Jan;30(1):e12508. doi: 10.1111/nin.12508. Epub 2022 Jun 16.
2020 saw the rapid onset of a global pandemic caused by the SARS-CoV-2 virus. For healthcare systems worldwide, the pandemic called upon quick organization ensuring treatment and containment measures for the new virus disease. Nurses were seen as constituting a vital instrumental professional component in this study. Due to the pandemic's unpredictable and potentially dangerous nature, nurses have faced unprecedented risks and challenges. Based on interviews and free text comment from a survey, this study explores how ethical challenges related to "being a nurse" during the COVID-19 pandemic was experienced and understood by Danish hospital-based nurses. Departing from anthropologist Jarett Zigon's notion of moral breakdown, the study demonstrates how the rapid onset of the pandemic constitutes a moral breakdown raising ethical demands for nurses. Analytically we identify three different ethical demands experienced by the nurses. These ethical demands are Nursing and societal ethical demands, Nursing and personal ethical demands, and Nursing and conflicting ethical demands. These demands represent not only very different understandings of ethical demands but also different understandings of ethical acts that are seen as necessary to respond to these demands.
2020 年，一种由 SARS-CoV-2 病毒引起的全球大流行病迅速爆发。对于世界各地的医疗保健系统而言，这场大流行要求迅速组织起来，为新的病毒性疾病提供治疗和遏制措施。在这项研究中，护士被视为至关重要的工具性专业人员。由于大流行的不可预测性和潜在的危险性，护士面临着前所未有的风险和挑战。基于访谈和调查中的自由文本评论，本研究探讨了丹麦医院护士在 COVID-19 大流行期间经历和理解与“成为护士”相关的伦理挑战的方式。本研究借鉴人类学家 Jarett Zigon 的道德崩溃概念，表明大流行的迅速爆发构成了道德崩溃，对护士提出了伦理要求。从分析的角度来看，我们确定了护士所经历的三种不同的伦理要求。这些伦理要求包括护理和社会伦理要求、护理和个人伦理要求以及护理和冲突的伦理要求。这些要求不仅代表了对伦理要求的不同理解，也代表了对被视为应对这些要求所必需的伦理行为的不同理解。
