评估 COVID-19 大流行期间巴勒斯坦医护人员的道德困境。
An evaluation of moral distress among healthcare workers during COVID-19 pandemic in Palestine.
机构信息
Medical Imaging Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine.
Department of Psychology, Faculty of Education, Al-Quds University, Jerusalem, Palestine.
出版信息
Nurs Forum. 2022 Nov;57(6):1220-1226. doi: 10.1111/nuf.12829. Epub 2022 Nov 9.
BACKGROUND
Moral distress among healthcare workers (HCWs) is considered a serious issue in all aspects of healthcare divisions, which needs an urgent intervention.
AIMS
The study aims at evaluating moral distress among HCWs which will help the healthcare management and decision-makers in hospitals and health centers to act in a comprehensiveness and effective way by reinforcing moral thinking and behavior in selected coronavirus (COVID-19) quarantine centers across Palestine.
METHODS
Ninety-four HCWs were selected by convenience sampling method. Data were collected using revised Corley's Standard Moral Distress (MD) Scale and analyzed using SPSS software version 23.
RESULTS
The mean score of MD for HCWs was low (1.24 ± 0.71). The mean score of MD severity was moderate (1.4 ± 0.93). The severity and frequency of MD in HCWs had a significant reverse relationship with years of experience, number of children of worker, and duration of work with COVID-19 patients.
CONCLUSION
It is important to create a professional psychological support system for HCWs to decrease MD when facing moral issues.
背景
医护人员（HCWs）的道德困境被认为是医疗各部门的一个严重问题，需要紧急干预。
目的
本研究旨在评估 HCWs 的道德困境，这将有助于医院和医疗中心的医疗管理和决策者通过加强选定的冠状病毒（COVID-19）检疫中心的道德思维和行为来全面有效地采取行动巴勒斯坦各地。
方法
采用便利抽样法选择了 94 名 HCWs。使用修订后的科利标准道德困境（MD）量表收集数据，并使用 SPSS 软件版本 23 进行分析。
结果
HCWs 的 MD 平均得分为低（1.24±0.71）。MD 严重程度的平均得分为中度（1.4±0.93）。HCWs 的 MD 严重程度和频率与工作经验年限、工人子女数量以及与 COVID-19 患者一起工作的时间呈显著负相关。
结论
当面临道德问题时，为 HCWs 建立专业的心理支持系统以减少 MD 非常重要。
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