伊朗精神科护士应对道德困境的策略。

IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Indian Journal of Occupational and Environmental Medicine Pub Date : 2023-01-01 Epub Date: 2023-03-31 DOI:10.4103/ijoem.ijoem_172_22
Nahid Tavakol, Zahra Molazem, Mahnaz Rakhshan, Omid Asemani
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引用次数: 0

摘要

背景:道德困境是护士中常见的现象,会导致愤怒、疲劳、患者护理质量下降以及离开护理行业。为了减少这种现象的负面影响,有必要研究应对这种现象的策略和机制。目的:精神科护士对这种现象的研究较少,因此本研究旨在探讨精神科护士应对道德困境的机制和策略。设置和设计:这项定性研究是基于对2020年冬天在伊朗设拉子通过有目的的抽样方法选择的12名精神科护士的常规内容分析进行的,考虑到最大的多样性。数据是通过对参与者的半结构化访谈收集的,每次访谈平均40-60分钟,直到数据饱和。结果:我们获得了四类精神科护士处理道德困扰的策略。这些类别包括“应对策略”、“建立治疗和专业沟通”、“对护士的管理支持”和“对宗教信仰的承诺”。结论:精神科护士使用个人、团队和管理策略来减少自己和同事的道德痛苦,并减少其对患者的不利影响。管理支助和组织合作对于更好地执行这些战略是必要的。
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Strategies of Iranian Psychiatric Nurses to Deal with Moral Distress.

Context: Moral distress is a common phenomenon in nurses that causes feelings of anger, fatigue, reduced quality of patient care, and leaving the nursing profession. To reduce the negative effects of this phenomenon, it is necessary to study the strategies and mechanisms to deal with it.

Aims: It has been less studied in psychiatric nurses, so this study was conducted to investigate the mechanisms and strategies of psychiatric nurses in dealing with situations of moral distress.

Settings and design: This qualitative study was conducted based on a conventional content analysis of 12 psychiatric nurses selected by a purposive sampling method in the 2020 winter in Shiraz, Iran, considering the maximum diversity. Data were collected through semi-structured interviews with participants for an average of 40-60 minutes per interview until data saturation.

Results: We obtained strategies for dealing with moral distress in psychiatric nurses in four categories. The categories included "Coping strategies," "Establish therapeutic and professional communication," "Managerial support for nurses," and "Commitment to religious beliefs."

Conclusions: Psychiatric nurses use personal, team, and management strategies to reduce moral distress in themselves and their colleagues and reduce its adverse effects on patients. Management support and organizational cooperation are necessary for the better implementation of these strategies.

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来源期刊
Indian Journal of Occupational and Environmental Medicine
Indian Journal of Occupational and Environmental Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.60
自引率
0.00%
发文量
25
期刊介绍: The website of Indian Journal of Occupational and Environmental Medicine aims to make the printed version of the journal available to the scientific community on the web. The site is purely for educational purpose of the medical community. The site does not cater to the needs of individual patients and is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
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