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围手术期护士面临的价值冲突。一项描述性研究。

Perioperative nurses' encounter with value conflicts. A descriptive study.

作者信息

von Post I

机构信息

Värmland University College of Health Sciences, Karlstad, Sweden.

出版信息

Scand J Caring Sci. 1998;12(2):81-8.

PMID:9801628
Abstract

The aim of the study was to gain a better insight into perioperative nurses' experience in a value conflict that has arisen in the perioperative caring environment and how they deal with it. In order to obtain as full and objective a picture as possible the critical incident technique was chosen. Perioperative nurses were asked to write down stories about value conflicts which they have experienced in the perioperative caring environment. When interpreting the textual content of the stories the aim has been to understand the meaning of nurses' experiences and how the nurses act in a value conflict situation. A value conflict is something that nurses have become part of against their own will. They are prevented from giving the good care they want to give, they are in conflict with themselves and have a bad conscience, and they feel guilt and shame for not having prevented the value conflict. The nurse who is involved in a value conflict aims, for the sake of the patient, to be a professional caring nurse. The nurse chooses to be the patient's neighbour, the one who suffers along with the patient and represents the patient's cry for help.

摘要

本研究的目的是更深入地了解围手术期护士在围手术期护理环境中出现的价值冲突中的经历,以及他们如何应对这种冲突。为了尽可能全面、客观地了解情况,选择了关键事件技术。围手术期护士被要求写下他们在围手术期护理环境中经历的价值冲突故事。在解读这些故事的文本内容时,目的是理解护士经历的意义,以及护士在价值冲突情况下的行为方式。价值冲突是护士违背自己意愿而卷入其中的事情。他们无法提供自己想要提供的优质护理,他们内心冲突,良心不安,并且因未能避免价值冲突而感到内疚和羞愧。卷入价值冲突的护士,为了患者着想,力求成为一名专业的护理人员。护士选择成为患者的邻人,与患者一同受苦并代表患者呼救的人。

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