Objective:The aim of this study was to examine the relationship between moral distress that may affect patient safety,and the clinical practice model,assessing ethical decision-making skills of certified registered nu...Objective:The aim of this study was to examine the relationship between moral distress that may affect patient safety,and the clinical practice model,assessing ethical decision-making skills of certified registered nurse anesthetists(CRNAs).Methods:A survey using the Ethical Stress Scale(ESS)and the Ethical Assessment Skills Survey(EASS)was conducted with 134 CRNAs.Results:Results indicated no significant effect of practice model on level of moral distress or perceived ethical assessment skill knowledge[Wilks's lambda=0.952,F(6,256)=1.068,P=0.382,n^(2)=0.02].A statistically significant positive correlation existed between importance and skill(r=0.275,P=0.001).CRNAs felt skilled to manage the actions or activities they deemed important.Conclusion:CRNAs who perceived a higher skill level in addressing ethical issues experienced lower levels of moral distress.Findings indicate content-specific curricula for the CRNAs need to be evaluated for ethical decision-making skill assessment content.展开更多
发展和建立高级护理实践是向未来护理发展的重要步骤[1],随着医学科学水平的不断提高,护理照护范围不断扩大及深化[2],高级实践护士(Advanced practice nurse,APN)应运而生。国际护士协会(International council of nurses,ICN)定义高...发展和建立高级护理实践是向未来护理发展的重要步骤[1],随着医学科学水平的不断提高,护理照护范围不断扩大及深化[2],高级实践护士(Advanced practice nurse,APN)应运而生。国际护士协会(International council of nurses,ICN)定义高级实践护士为一名注册护士,她(他)拥有深厚的专科知识、复杂的决策能力及扩展临床实务的能力[2]。APN的角色主要分为护士执业者(Nurse practitioner,NP)、临床护理专家(Clinical nurse specialist,CNS)、高级麻醉护士、高级助产士和高级个案护士。随着专业细化,艾滋病(Acquired immune deficiency syndrome,HIV/AIDS)高级护理实践在国内夕卜也得到了发展,受教育水平和社会经济背景的影响,HIV/AIDS高级实践护士角色在不同国家和地区发展各异。展开更多
文摘Objective:The aim of this study was to examine the relationship between moral distress that may affect patient safety,and the clinical practice model,assessing ethical decision-making skills of certified registered nurse anesthetists(CRNAs).Methods:A survey using the Ethical Stress Scale(ESS)and the Ethical Assessment Skills Survey(EASS)was conducted with 134 CRNAs.Results:Results indicated no significant effect of practice model on level of moral distress or perceived ethical assessment skill knowledge[Wilks's lambda=0.952,F(6,256)=1.068,P=0.382,n^(2)=0.02].A statistically significant positive correlation existed between importance and skill(r=0.275,P=0.001).CRNAs felt skilled to manage the actions or activities they deemed important.Conclusion:CRNAs who perceived a higher skill level in addressing ethical issues experienced lower levels of moral distress.Findings indicate content-specific curricula for the CRNAs need to be evaluated for ethical decision-making skill assessment content.
文摘发展和建立高级护理实践是向未来护理发展的重要步骤[1],随着医学科学水平的不断提高,护理照护范围不断扩大及深化[2],高级实践护士(Advanced practice nurse,APN)应运而生。国际护士协会(International council of nurses,ICN)定义高级实践护士为一名注册护士,她(他)拥有深厚的专科知识、复杂的决策能力及扩展临床实务的能力[2]。APN的角色主要分为护士执业者(Nurse practitioner,NP)、临床护理专家(Clinical nurse specialist,CNS)、高级麻醉护士、高级助产士和高级个案护士。随着专业细化,艾滋病(Acquired immune deficiency syndrome,HIV/AIDS)高级护理实践在国内夕卜也得到了发展,受教育水平和社会经济背景的影响,HIV/AIDS高级实践护士角色在不同国家和地区发展各异。
