道德困扰、健康与离职意向：新冠疫情期间重症监护护士的认知
Moral Distress, Health and Intention to Leave: Critical Care Nurses' Perceptions During COVID-19 Pandemic.
作者信息
Andersson Maria, Fredholm Angelica, Nordin Anna, Engström Åsa
机构信息
Swedish Red Cross University College, Huddinge, Sweden.
Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden.
出版信息
SAGE Open Nurs. 2023 Apr 17;9:23779608231169218. doi: 10.1177/23779608231169218. eCollection 2023 Jan-Dec.
INTRODUCTION
Moral distress increases the risk that critical care nurses will lose the ability to provide quality nursing care.
AIMS
To describe person-related conditions and perceptions of moral distress, health and intention to leave among critical care nurses in intensive care units, and to examine the relationship between person-related conditions, moral distress, health and intention to leave.
METHOD
Cross-sectional, with 220 critical care nurses in 15 Swedish ICUs, and data gathered via a self-reported questionnaire.
RESULTS
Highest moral distress scores were reported in and and 21% reported entertaining an intention to leave. Self-reported health was lower than before the COVID-19 pandemic and 4.1% reported pronounced exhaustion disorder. Self-reported health, reduced capacity to tolerate demands under time pressure, emotional instability or irritability, physical weakness, or being more easily fatigued and with decreased well-being were factors that had a relationship with Sleeping problems and intention to leave had a relationship with
CONCLUSIONS
Different strategies are needed to reduce moral distress and the leadership is crucial for managing crises such as the COVID-19 pandemic.
引言
道德困扰增加了重症监护护士失去提供优质护理能力的风险。
目的
描述重症监护病房中重症护理护士与个人相关的状况、对道德困扰、健康状况及离职意愿的看法，并研究与个人相关的状况、道德困扰、健康状况及离职意愿之间的关系。
方法
采用横断面研究，对瑞典15个重症监护病房的220名重症护理护士进行调查，并通过自我报告问卷收集数据。
结果
[此处缺失具体病房信息]报告的道德困扰得分最高，21%的人表示有离职意愿。自我报告的健康状况低于新冠疫情前，4.1%的人报告有明显的疲惫障碍。自我报告的健康状况、在时间压力下承受需求的能力下降、情绪不稳定或易怒、身体虚弱、更容易疲劳以及幸福感降低等因素与[此处缺失具体内容]有关。睡眠问题和离职意愿与[此处缺失具体内容]有关。
结论
需要采取不同策略来减少道德困扰，领导对于应对新冠疫情等危机至关重要。
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