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护士的职业价值观与对疼痛的伦理态度之间的关系。

The relationship between nurses' professional values and ethical attitudes to pain.

作者信息

Korkut Sevda, Saatçi Gamze

机构信息

Erciyes University.

出版信息

Nurs Ethics. 2025 Mar;32(2):460-471. doi: 10.1177/09697330241263993. Epub 2024 Jul 20.

Abstract

BACKGROUND

Pain management is a fundamental human right for everyone who experiences it. The management of pain is an ethical obligation for all health professionals. Professional values have an important place in appropriate clinical decision-making.

RESEARCH AIM

This study was conducted to determine the relationship between nurses' ethical attitudes in pain management and their compliance with professional values.

RESEARCH DESIGN

The study was conducted as a descriptive and correlational research. The study data were collected by online survey method using the Introductory Characteristics Form, Ethical Attitude Scale for Pain Management in Nursing, and Nurses Professional Values Scale - Revised.

PARTICIPANTS AND RESEARCH CONTEXT

The population of the study consisted of nurses working in tertiary treatment centers in a country. A total of 388 nurses participated in the study.

ETHICAL CONSIDERATIONS

Ethical approval was obtained from the University Ethics Committee. Consent was obtained from the nurses.

RESULTS

The mean total score of the Ethical Attitude Scale for Pain Management in Nursing was 98.96 ± 9.37, and the mean total score of the Nurses Professional Values Scale was 101.51 ± 15.20. The scores of the Ethical Attitude Scale for Pain Management in Nursing were positively and moderately correlated with the total scores of the Professional Values Scale. Compliance with professional values explained 41% of the total variance of ethical attitude for pain management.

CONCLUSIONS

In this study, it was found that nurses' ethical attitudes for pain management and compliance with professional values were at a high level, compliance with professional values was associated with ethical attitudes for pain management, and ethical attitudes for pain management decreased with increasing working years. A nurse with high ethical sensitivity and compliance with professional values can easily recognize ethical problems, effectively manage the ethical decision-making process, and provide appropriate patient care.

摘要

背景

疼痛管理是每个经历疼痛者的一项基本人权。疼痛管理是所有医护人员的道德义务。专业价值观在恰当的临床决策中占有重要地位。

研究目的

本研究旨在确定护士在疼痛管理中的道德态度与其对专业价值观的遵守之间的关系。

研究设计

本研究采用描述性和相关性研究方法。研究数据通过在线调查法收集,使用了基本特征表、护理疼痛管理道德态度量表和修订后的护士专业价值观量表。

参与者和研究背景

本研究的总体包括在该国三级治疗中心工作的护士。共有388名护士参与了本研究。

伦理考量

获得了大学伦理委员会的伦理批准。获得了护士们的同意。

结果

护理疼痛管理道德态度量表的平均总分是98.96±9.37,护士专业价值观量表的平均总分是101.51±15.20。护理疼痛管理道德态度量表的得分与专业价值观量表的总分呈正相关且为中等程度相关。对专业价值观的遵守解释了疼痛管理道德态度总方差的41%。

结论

在本研究中,发现护士在疼痛管理方面的道德态度和对专业价值观的遵守处于较高水平,对专业价值观的遵守与疼痛管理的道德态度相关,且疼痛管理的道德态度随着工作年限的增加而下降。具有高道德敏感性和遵守专业价值观的护士能够轻松识别道德问题,有效管理道德决策过程,并提供恰当的患者护理。

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