Department of Nursing, University of Alabama in Huntsville College of Nursing, 1410 Ben Graves Drive Northwest, Nursing Building 207B, Huntsville, AL 35805, USA.
Crit Care Nurs Clin North Am. 2024 Dec;36(4):567-574. doi: 10.1016/j.cnc.2024.04.011. Epub 2024 May 30.
Nurses have an ethical responsibility to manage pain and the suffering derived from it. Given the complexity of patients in the critical care setting and the high incidence of pain experienced by critically ill patients, critical care nurses may experience moral distress when pain is inadequately managed. To address moral distress associated with pain management, critical care nurses should be provided with education on evidence-based pain management practices and encouraged to evaluate their personal biases and beliefs regarding pain management. Furthermore, organizations should consider the implementation of programs to address moral distress stemming from pain management and other precipitating factors.
护士有管理疼痛和减轻疼痛带来的痛苦的伦理责任。鉴于重症监护环境中患者的复杂性和重症患者经历疼痛的高发生率，当疼痛管理不充分时，重症监护护士可能会感到道德困境。为了解决与疼痛管理相关的道德困境，应向重症监护护士提供有关循证疼痛管理实践的教育，并鼓励他们评估自己对疼痛管理的个人偏见和信念。此外，组织应考虑实施计划，以解决源于疼痛管理和其他诱发因素的道德困境。
