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护理人员经历的伦理问题及其影响因素分析
引用本文:楼建华,朱海英,徐红,陆臻琦,叶文琴,刘忆青,江萍,奚慧敏,罗琳,陈方. 护理人员经历的伦理问题及其影响因素分析[J]. 中国护理管理, 2009, 9(12): 17-20
作者姓名:楼建华  朱海英  徐红  陆臻琦  叶文琴  刘忆青  江萍  奚慧敏  罗琳  陈方
作者单位:1. 上海交通大学医学院附属上海儿童医学中心护理部,200127
2. 上海复旦大学附属肿瘤医院
3. 上海第二军医大学附属长海医院
4. 上海市第七人民医院
5. 上海浦东新区人民医院
6. 上海东方医院
7. 上海浦东新区上钢地段医院
基金项目:上海市浦东新区社会发展局卫生科技项目 
摘    要:目的:描述护理人员经历的伦理问题,分析影响护理人员经历伦理问题的因素。方法:采用改良的Fry和Duffy的伦理问题量表(Ethical Issue Scale)对上海市7家不同等级医院的903名护士进行调查。结果:护理人员最常经历的伦理问题依次为人员配备不足对病人造成影响、对治疗的知情同意、保护病人的权利和尊严等。护理人员的教育程度、职位和所在医院等级是影响他们经历伦理问题的因素。结论:护理管理者应增加与护士的对话,发展支持系统,制定、修改护理人员配备政策,为临床护理人员营造有利的伦理氛围。

关 键 词:护理  伦理问题  道义性苦恼

Analysis of nurses' experiences on ethical issues and related factors
Affiliation:LOU Jian- hua, ZHU Hai-ying, XU Hong, et al.(Department of Nursing, Shanghai Children' s Medical Center Affiliated to College of Medicine, Shanghai Jiao Tong University, 200127 China)
Abstract:Objective: To analyze nurses' experiences on ethical issues and explore the related factors. Methods Totally 903 nurses from 7 hospitals of different levels were investigated by modified Ethical Issue Scale which was developed by Fry and Duffy. Results: The most frequent ethical issues reported by the nurses included influence of understaffing on patients' care, informed consent, and how to protect patients' rights and human dignity. Nurses' education level, position and level of hospitals they from were related factors. Conclusion: Nurse Managers should create an ethical environment for nurses by improving communication, developing a support system, and optimizing nurse staffing policies and procedures.
Keywords:nursing  ethical issue  moral distress
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