Faculty of Nursing, Psychiatric Nursing Department, Hacettepe University, Ankara, Turkey.
J Nurs Manag. 2022 Oct;30(7):2383-2393. doi: 10.1111/jonm.13780. Epub 2022 Sep 16.
The aim of this study is to explore the moral distress experiences of nurse officers during the COVID-19 pandemic.
Moral distress has emerged as a challenge for nurses ad nurse leaders, revealing the need for health professionals and health care managers to examine, understand and deal with moral distress un Nurse leaders.
It is a descriptive phenomenological study that used content analysis.
Thirteen chief/assistant nurse officers were interviewed, and four themes were identified: being a manager in the pandemic, situations that cause moral distress, effects of moral distress and factors that reduce moral distress.
Faced with various expectations, such as the management of unusual and uncertain processes, and the management of the psychological responses of both employees and themselves, chief nurse officers struggled significantly to maintain their moral integrity and experienced moral distress during the COVID-19 pandemic.
Extraordinary situations such as pandemics have factors that led to moral distress for a Chief Nursing Officer (CNO). Health care systems in which nurse managers are excluded from decision-making processes have a traditional hierarchical structure that ignores CNOs professional autonomy, contributing to the development of moral distress. Therefore, CNOs should engage in self-reflection to recognize their own moral distress experiences, examine the existing health system to identify the factors that cause moral distress and take actions to implement changes to eliminate these factors. To cope with moral distress, CNOs should also improve their communication skills, team collaboration skills and the use of scientific knowledge and take responsibility in their managerial role.
本研究旨在探讨新冠疫情期间护士长的道德困境体验。
道德困境已成为护士和护理领导者面临的挑战，这表明卫生专业人员和医疗机构管理者需要审视、理解和处理道德困境。
这是一项描述性现象学研究，采用内容分析法。
对 13 名护士长进行了访谈，确定了 4 个主题：大流行期间的管理者角色、引发道德困境的情境、道德困境的影响以及减轻道德困境的因素。
护士长在新冠疫情期间面临着各种期望，如管理非常规和不确定的流程，以及管理员工和自身的心理反应，他们在努力维护自己的道德操守的同时，也经历了道德困境。
像大流行这样的特殊情况会导致护士长产生道德困境。在不允许护士长参与决策过程的医疗体系中，传统的等级结构忽视了护士长的专业自主权，导致道德困境的产生。因此，护士长应该进行自我反思，认识到自己的道德困境体验，审视现有医疗体系，找出导致道德困境的因素，并采取行动实施变革以消除这些因素。为了应对道德困境，护士长还应提高沟通技巧、团队协作技巧和科学知识的运用，并在管理角色中承担责任。
