首页|护士在造血干细胞移植患者照护中道德困扰的质性研究

护士在造血干细胞移植患者照护中道德困扰的质性研究

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目的 了解护士在造血干细胞移植患者照护过程中遇到的道德困扰,为认识护理伦理问题并制定干预策略提供理论依据.方法 采用目的抽样法,2022年5月至2023年12月选取6家三级甲等医院移植病房/血液科病房的18名护士为研究对象,采用描述性质性研究,用面对面访谈和在线访谈的方式收集资料,通过传统内容分析法进行资料分析、归纳及提炼主题.结果 护士在造血干细胞移植患者照护中道德困扰可归纳为3个主题:治疗决策带来的困惑、无法提供最佳护理实践的困扰、维护患者权益相关的困扰.结论 护士在照护造血干细胞移植患者过程中面临复杂的道德困扰,可以从建设支持性的工作环境等方面减少道德困扰带来的负面影响,调动护士工作积极性,增加职业价值感.
Moral distress of nurses caring for hematopoietic stem cell transplantation patients:a qualitative stud-y
Objective To elucidate the moral distress nurses encounter while caring for patients undergoing hematopoietic stem cell transplantation(HSCT),thereby establishing a theoretical framework for identifying nursing ethics issues and de-vising intervention strategies.Methods Employing purposive sampling,this study involved 18 nurses from the transplant u-nits of six tertiary hospitals from May 2022 to December 2023.Data were collected through both in-person and online inter-views,employing a descriptive qualitative research approach.The data were meticulously analyzed,synthesized,and the-matic patterns were identified using a conventional content analysis technique.Results The moral distress experienced by nurses in the care of HSCT patients were distilled into three themes:perplexity stemming from treatment decision-making,the disquietude of being unable to deliver the best possible nursing practices,and the dilemmas associated with upholding pa-tient rights and interests.Conclusion Nurses are confronted with intricate moral dilemmas in the care of HSCT patients.Constructing a supportive work environment can mitigate the adverse effects of these moral distress,thereby enhancing nurse's motivation and bolstering their professional worth.

hematopoietic stem cell transplantationnursingmalignant tumormoral distressqualitative research

钱颖、杨丽黎、姚林燕、阮佳音、杜江波

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浙江大学医学院附属邵逸夫医院,浙江杭州 310016

香港理工大学护理学院,中国香港

造血干细胞移植 护士 恶性肿瘤 道德困扰 质性研究

浙江省教育厅一般科研项目(自然科学类)

Y202043231

2024

护理与康复
浙江省护理学会

护理与康复

影响因子:1.174
ISSN:1671-9875
年,卷(期):2024.23(8)