摘要
目的:调查长沙市三级甲等综合医院护士的道德困境现状,并对其影响因素进行分析,旨在为改善护理管理工作,针对性加强道德困境干预,维持护理工作队伍的稳定提供参考。方法:便利选取长沙市3所三级甲等综合医院临床科室的378名护士作为研究对象,采用中文版护士道德困境量表进行调查。结果:护士道德困境总分为(53.42±29.91)分,道德困境频率条目得分(1.44±1.00)分,强度条目得分(1.63±1.16)分,表明护士道德困境处于较低水平。无效护理和为患者提供虚假希望是护士道德困境的主要来源;年龄、职务、所在科室对护士的道德困境水平造成影响(P<0.05)。结论:护理管理者应当重视护士所遭遇的道德困境,加强伦理和法律知识教育,及时与护士进行沟通,改善护理人力资源配置,缓解护士的道德困境水平。
Objective： To explore the current states of moral distress and its related factors in nurses in tertiary grade A hospitals in Changsha, so as to provide reference to improve nursing management, and to strengthen the intervention of moral dilemmas, maintain the stability of nursing team. Method： Totally 378 nurses from clinical departments in 3 tertiary grade A hospital in Changsha were investigated with the Chinese version Moral Distress Scale-Revised（MDS-R）. Result： The total score of moral distress was（53.42±29.91）, and the mean sorces of moral distress frequency and intensity were（1.44±1.00） and（1.63±1.16）, which were at lower level; Futile care and providing patients with false hope were major sources of moral distress in nurses; Moral distress of nurses has a significantly correlation with age, work experience, education, professional title, position, department, staffing of government affiliated institution, daily time contact with patients（P〈0.05）. Conclusion： The nursing managers should pay attention to the experience of moral distress in nurses, strengthening ethical and legal knowledge education, timely communicating with nurses, improving the allocation of the nursing human resources, so as to alleviate the level of moral distress in nurses.
作者
沈志莹
钟竹青
丁四清
刘自娜
张秋香
SHEN Zhiying ZHONG Zhuqing DING Siqing LIU Zina ZHANG Qiuxiang(Nursing Department, The Third Xiangya Hospital of Central South University, Changsha, 410013 China)
出处
《中国护理管理》
CSCD
2017年第1期50-55,共6页
Chinese Nursing Management
基金
国家临床护理重点专科建设项目[国卫办医函(2013)544号]
