摘要
Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.
目的手术室护士作为医疗队伍的重要成员,在手术室中经常面临伦理挑战.通过了解手术室护士关于伦理的真实体验,可以更好地理解手术室的伦理原则,从而在面对这些挑战时做出更好的护理决策.本研究旨在探讨手术室护士关于伦理规范的真实体验.方法采用目的抽样法,2019年2月至2020年11月在伊朗哈马丹市选取10名手术室护士作为研究对象,进行现象学解释学研究.通过半结构化访谈收集资料,并采用Van Manen方法进行资料分析.结果资料分析呈现出3个主要主题和11个子主题.手术室护士伦理原则的3个主要主题为:坚持专业承诺、维护患者尊严和尊重同事.结论研究结果强调了手术室的伦理和伦理价值.由于手术室护士与患者和手术团队成员之间需密切互动,护士对伦理规范的承诺可以改善医疗护理质量和手术团队成员之间的交流.建议将这些伦理原则作为指导方针和框架加以发展,以提高手术室护士的职业道德和专业水平.
基金
The study was funded by Vice-chancellor for Research and Technology,Hamadan University of Medical Sciences(No.9805223881).
