The association between ethical dilemma and psychological stress among visiting nurses

访问护士在与医疗保健服务接受者的关系中遇到了伦理困境。为了评估护士面临的困境与其心理负担之间的关联机制，不仅需要揭示这种困境，而且需要评估接受医疗保健服务的社区居民的健康前景。这项研究的目的是揭示居住在社区的老年人(包括需要护理/援助的人和残疾人士)的医疗保健服务提供者的健康前景和需求。面对面的访谈是使用问卷进行的，其中包括关于社会人口特征、顾问在遇到麻烦/问题和/或紧急情况时的可及性以及自我评估健康的问题。研究参与者报告说，他们的孩子、亲戚和邻居是顾问，而不是包括来访护士在内的医疗保健提供者。

Visiting nurses encounter ethical dilemma in their relationship with recipient of medical healthcare services. In order to evaluate the mechanism of association between dilemma which nurses face and its psychological burdens, it is therefore necessary not only to reveal the dilemma but also to assess the health perspectives of community dwellers who receive medical healthcare services. The objectives of this study were to reveal the health perspectives and demands for medical healthcare service providers of elderly living in the community, including people requiring care/assistance and people with disabilities. Face-to-face interviews were conducted using questionnaire which include questions on socio-demographic characteristics, accessibility to advisers when they have troubles/problems and/or urgent situation, and self-rated health. The study participants reported their children, relatives and neighbors as advisers rather than medical healthcare providers including visiting nurses.