目的:我们的目的是探讨护士的伦理行为在临床实践中的状况以及导致护士的不伦理行为的原因。
背景:护士的伦理行为强烈影响护患关系和护理服务质量。因此,我们必须了解临床护士的道德行为状况和护士不道德行为的原因。
方法:对21名护士长和9名护士进行了焦点小组和深入的半结构化访谈,分别。通过内容分析对数据进行分析。
结果:分析揭示了七个主题:缺乏保护患者隐私的意识;侵犯患者的自主权;沟通不当;未能保护患者的最大利益;缺乏道德情感;缺乏对特殊患者的心理护理;以及不道德行为的原因。
结论:伦理护理行为的现状不容乐观,在临床工作中仍然存在许多不道德的护理行为。不道德的行为有很多原因。应努力与护士有关,病人,工作量,道德氛围和规章制度,以改善这种状况。
结论:护理管理者可以通过加强护士伦理研究来改善伦理行为,提高护士的职业认同感和社会地位,优化护理人力资源配置,营造良好的道德氛围,完善相关规章制度。
OBJECTIVE: We aim to explore the status of nurses\' ethical behaviours in clinical practice and what contributes to nurses\' unethical behaviours.
BACKGROUND: Nurses\' ethical behaviours strongly impact the nurse-patient relationship and the quality of nursing services. Therefore, we must understand the status of clinical nurses\' ethical behaviours and the causes of nurses\' unethical behaviours.
METHODS: Focus group and in-depth semistructured interviews were conducted with 21 head nurses and nine nurses, respectively. The data were analysed by content analysis.
RESULTS: The analysis revealed seven themes: lack of awareness of the protection of patients\' privacy; violation of patients\' autonomy; improper communication; failure to protect the patient\'s best interests; lack of
moral emotion; lack of psychological care for special patients; and causes of unethical behaviour.
CONCLUSIONS: The present situation of ethical nursing behaviour is not optimistic, and there are still many unethical nursing behaviours in clinical work. There are many reasons for unethical behaviours. Efforts should be made related to nurses, patients, workload, the ethical climate and rules and regulations to improve the situation.
CONCLUSIONS: Nursing managers can improve ethical behaviour by strengthening nurses\' ethics studies, enhancing nurses\' professional identity and social status, optimizing the allocation of nursing human resources, creating a good ethical climate and improving relevant rules and regulations.