救护车护士与道德冲突:瑞典的一项研究

Working as an ambulance nurse involves facing ethically problematic situations with multi-dimensional suffering, requiring the ability to create a trustful relationship.担任救护护士的工作涉及面临道德问题,多方面的痛苦,需要建立信任关系的能力。 This entails a need to be clinically trained in order to identify ethical conflicts.这就需要对临床进行培训以识别道德冲突。

本研究的目的是描述患者关系中的道德冲突 救护车 临床研究期间的护士。

救护车护士与患者的道德冲突:研究

探索性和解释性设计用于归纳分析临床实习课程考试的文本数据。

69名参与者参加了瑞典大学为救护车护士开设的为期1年的教育计划。 The research was conducted in accordance with the Declaration of Helsinki.该研究是根据赫尔辛基宣言进行的。 Participants gave voluntary informed consent for this study.参加者自愿接受本研究的知情同意。

The students encountered ethical conflicts in patient relationships when they had inadequate access to the patient's narrative.当学生无法充分了解患者的叙述时,他们在患者关系中遇到了道德冲突。 Doubts regarding patient autonomy were due to uncertainty regarding the patient's decision-making ability, which forced students to handle patient autonomy.对患者自主权的怀疑是由于患者决策能力的不确定性,这迫使学生要处理患者自主权。 Conflicting assessments of the patient's best interest added to the conflicts and also meant a disruption inpatient focus.对患者最大利益的评估冲突增加了冲突,也意味着破坏了住院重点。 The absence of trustful relationships reinforced the ethical conflicts, together with inadequacy in meeting different needs, which limited the possibility of providing proper care.缺乏可信赖的关系会加剧道德冲突,以及无法满足不同需求,从而限制了提供适当护理的可能性。

救护车护士与患者的道德冲突:讨论与结论

Contextual circumstances add complexity to ethical conflicts regarding patient autonomy, dependency and the patient's best interest.背景情况会增加与患者自主权,依赖性和患者最大利益有关的道德冲突的复杂性。 Students felt they were fluctuating between paternalism and letting the patient choose, and were challenged by considerations regarding the patient's communication and decision-making ability, the views of third parties, and the need for prioritisation.学生们感到他们在家长主义和让患者选择之间波动,并且受到有关患者的沟通和决策能力,第三方观点以及优先考虑的需求的挑战。

The essence of the patient relationship is a struggle to preserve autonomy while focusing on the patient's best interest.病人关系的实质是在保持自主权的同时努力关注病人的最大利益。 Hence, there is a need for education and training that promotes ethical knowledge and ethical reflection focusing on the core nursing and caring values of trust and autonomy, particularly in situations that affect the patient's decision-making ability.因此,需要进行教育和培训,以促进道德知识和道德反思,重点放在信任和自主权的核心护理和关怀价值上,特别是在影响患者决策能力的情况下。

研究下方PDF

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