Moral distress experienced by proficient nurses and available ethical support systems in the clinical setting

熟练的护士和临床环境中可用的道德支持系统所经历的道德困扰

• 批准号: 22592415
• 负责人: MIYAWAKI MIHOKO
• 金额: $ 2.58万
• 依托单位: Keio University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22592415/
• 关键词: 倫理的悩み; 倫理的判断; 中堅看護師; サポートシステム; 看護; Ethical distress; 病院

The present study was conducted to illustrate clearly the distinctive moral distress experienced by proficient nurses. Qualitative research was conducted using study design and semi-structured interviews. The study revealed that nurses experienced moral distress as they made ethical decisions.Six categories were extracted from the data of the experience that causes moral distress by proficient nurses. These were: an impaired dignity of patients, acting for nurse's self-interests, an administrative control and constraints, an omission of care for patients, not fair or equitable, and acting in bad faith.These experiences are given to nurse the psychological damage such as "guilty" "give up" "helplessness" and "flattening of emotions"; it had the decline in nurse's work motivation.The study results suggest that these experienced nurses suffered moral distress as they made ethical decisions. It is important to available ethical support systems for the nurses.

本研究的目的是清楚地说明熟练的护士所经历的独特的道德困扰。定性研究采用研究设计和半结构化访谈。研究发现，护士在做出伦理决策时会经历道德困扰，并从熟练护士的道德困扰经历中提取出六类。这些问题是：患者尊严受损、护士为自身利益服务、行政控制与约束、照顾缺失、不公平公正、不诚信等，这些经历给护理人员造成了“内疚”、“放弃”、“无助”、“情绪平淡”等心理伤害;研究结果显示，有经验的护士在做伦理决策时，会遭受道德困扰。为护士提供伦理支持系统是非常重要的。

项目成果

Moral distress experienced by proficient nurses in Japan

日本熟练护士经历的道德困境

• 发表时间: 2013
• 作者: Miyawaki M;Miyabayashi ikuko
• 通讯作者: Miyabayashi ikuko

Moral distress experienced by proficient nususes in Japan.

日本熟练的护士所经历的道德困境。

• 发表时间: 2013
• 作者: Miyawaki M;Miyabayashi ikuko;村松由紀;Mihoko Miyawaki Ikuko Miyabayashi
• 通讯作者: Mihoko Miyawaki Ikuko Miyabayashi

The influence of the faculty-student relationship on the nursing student's view of ethics before his or her graduation

师生关系对护生毕业前伦理观的影响

• 发表时间: 2012
• 作者: Mihoko Miyawaki;Ikuko Miyabayashi
• 通讯作者: Ikuko Miyabayashi

The current status in clinical pharmacology education for nurses from the viewpoint of medication errors in Japan

从用药错误角度看日本护士临床药理学教育现状

• 发表时间: 2010
• 作者: Matsuda A;Hasegawa J;Miyawaki M;Miura N
• 通讯作者: Miura N

看護実践のための倫理と責任

护理实践的道德和责任

• 发表时间: 2014
• 作者: Matsuda;A;Hasegawa J;Miyawaki M;Miura N;樋本まゆみ;宮脇美保子
• 通讯作者: 宮脇美保子