Ahmed Fatma Refaat, Al-Yateem Nabeel, Hisham Hijji Farha, Al Dweik Ghadeer, Alkawaldeh Mohammad, Subu Muhammad Arsyad, Dias Jacqueline Maria, Aburuz Mohannad Eid, Farghaly Sally Mohammed
Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, UAE.
Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
BMC Nurs. 2024 Mar 27;23(1):209. doi: 10.1186/s12912-024-01861-9.
Given the grave ethical tension and dilemmas posed continuously which are aggravated in the intensive care unit context and its related caregiving provision, combined with their impact on critical care nurses' job satisfaction and work-related risks, exploring and analyzing these tensions and conflicts is crucial. This study was conducted to examine the relationship between perceived ethical work climate and problems among critical care nurses in addition to exploring their perspectives on the ethical work climates while caring for patients with infectious diseases.
A mixed-method research design was used to conduct this study among 635 participants, comprising 170 from Egypt, 144 from Jordan, 161 from Saudi Arabia, and 160 from the United Arab Emirates. Online or paper-based survey forms were distributed to all eligible critical care nurses who agreed to take part in the study. The survey contained both quantitative and qualitative data that were analyzed separately and integrated during the discussion. The study was reported following the STROBE guidelines.
The overall ethical work climate was fairly good and was significantly associated with ICU nurses' personal and professional characteristics. The findings also identified three main themes: (1) an ethical sense of failure, (2) environmental condemnation, and (3) an instant action plan for resolving ethical conflicts.
ICU nurses perceived that ICU ethical climate was fairly good. The results indicated that ICU nurses generally had a relatively fair perception of the ethical work climate, with implications for addressing ethical issues and conflicts in various settings.
Mentorship and/or close supervision concerning ethical resilience, consultation, and decision-making is crucial in the ICU milieu. Metacognitive strategies to reinforce problem-solving and decision-making ICU nurses' skills could help them overcome the different ethical challenges. Adequate resources, teamwork, and organizational support are promising tactics to improve ICU nurses' ethical skills.
Not applicable.
鉴于重症监护病房环境及其相关护理服务中持续存在且不断加剧的严重伦理紧张关系和困境，再加上它们对重症护理护士工作满意度和工作相关风险的影响，探索和分析这些紧张关系与冲突至关重要。本研究旨在考察重症护理护士感知到的伦理工作氛围与问题之间的关系，同时探究她们在护理传染病患者时对伦理工作氛围的看法。
采用混合方法研究设计，对635名参与者进行了研究，其中170名来自埃及，144名来自约旦，161名来自沙特阿拉伯，160名来自阿拉伯联合酋长国。通过在线或纸质调查问卷的形式，分发给所有同意参与研究的符合条件的重症护理护士。该调查问卷包含定量和定性数据，分别进行分析，并在讨论过程中进行整合。本研究按照STROBE指南进行报告。
总体伦理工作氛围相当良好，且与重症监护病房护士的个人及专业特征显著相关。研究结果还确定了三个主要主题：（1）伦理失败感，（2）环境谴责，（3）解决伦理冲突的即时行动计划。
重症监护病房护士认为重症监护病房的伦理氛围相当良好。结果表明，重症监护病房护士总体上对伦理工作氛围的认知较为公正，这对在各种情况下解决伦理问题和冲突具有启示意义。
在重症监护病房环境中，关于伦理适应力、咨询和决策的指导和/或密切监督至关重要。强化重症监护病房护士解决问题和决策技能的元认知策略，有助于她们克服各种伦理挑战。充足的资源、团队合作和组织支持是提高重症监护病房护士伦理技能的有效策略。
不适用。
