目的:本文的目的是阐明护理中伦理冲突的概念,并强调解决这一问题的重要性。
背景:在护理背景下,伦理冲突呈上升趋势。它与护士健康和病人护理的妥协有关。然而,对这个概念没有彻底的概念理解。
方法:概念分析。
方法:数据库(PubMed,PsycINFO,CINAHL,Scopus,Embase,WebofScience和SocINDEX)在1984年至2021年之间进行了研究。包括与护理伦理冲突有关的定量和定性研究。使用Walker和Avant的概念分析方法来识别定义属性,护理伦理冲突概念的前因后果。我们按照PRISMA-ScR检查表报告了这项研究。
结果:包括30项研究进行概念化。定义属性分为四类:(1)情绪反应,(2)不相容的价值观,(3)利益相竞和(4)义务模糊。其前身是(1)伦理敏感性,(2)消极的道德氛围,(3)权限不足,(4)不切实际的期望,(5)协作不良;(6)资源不足。后果被确定为(1)道德残留,(2)身份丧失,(3)职业倦怠和(4)患者护理不良。
结论:护理中伦理冲突的统一概念模型揭示了护士在实践中可能遇到的伦理问题。尽管道德冲突本质上是消极的,我们将这个概念概念化为中性事实和护理行动的机会。结构识别为实践的发展以及员工支持和教育的发展提供了基础。
结论:更清楚地了解护理实践的这一重要方面有助于护士提高对道德冲突的认识,并实施有效的应对策略,以改善他们的幸福感和患者护理。
UNASSIGNED:这是研究人员进行的评论文章,所以没有耐心或公共贡献。
OBJECTIVE: The purpose of this paper was to clarify the concept of ethical conflict in nursing and highlight the importance of tackling this issue.
BACKGROUND: Ethical conflict is on the rise in the nursing context. It is associated with the compromise of nurses\' well-being and patient care. However, there is no thorough conceptual understanding of this concept.
METHODS: Concept analysis.
METHODS: Databases (PubMed, PsycINFO, CINAHL, Scopus, Embase, Web of Science and SocINDEX) were searched for studies between 1984 and 2021. Both quantitative and qualitative studies related to ethical conflict in nursing were included. Walker and Avant\'s method of concept analysis was used to identify the defining attributes, antecedents and consequences of the concept of ethical conflict in nursing. We followed the PRISMA-ScR checklist to report the study.
RESULTS: Thirty studies were included for conceptualization. Defining attributes were divided into four categories: (1) emotional responses, (2) incompatible values, (3) competing interests and (4) ambiguous obligations. The antecedents were (1) ethical sensitivity, (2) negative ethical climate, (3) insufficient authority, (4) unrealistic expectations, (5) poor collaboration and (6) inadequate resources. The consequences were identified as (1) moral residue, (2) loss of identity, (3) professional burnout and (4) poor patient care.
CONCLUSIONS: A unified conceptual model of ethical conflict in nursing shed light on the ethical issues nurses might come across in practice. Despite the fact that ethical conflict is inherently negative, we conceptualised this concept as a neutral fact and an opportunity for nursing action. The construct identification provides basis for both the development of practice and the development of staff support and education.
CONCLUSIONS: A clearer understanding of such an important facet of nursing practice helps nurses raise awareness of ethical conflict and implement effective coping strategies to improve their well-being and patient care.
UNASSIGNED: This is a review article conducted by the researchers, so there is no patient or public contribution.