急诊科护士道德困境的现状调查  

Investigation of emergency nurses' moral distress status

作　　者：沈琰[1] 卞斌芳 史建萍[1] 沈凤美[1] 

机构地区：[1]浙江省湖州市第一人民医院感染科,313000 [2]浙江省湖州市第一人民医院急诊科,313000

出　　处：《护理管理杂志》2016年第10期720-722,共3页Journal of Nursing Administration

摘　　要：目的探讨急诊科护士道德困境水平,为管理者改善护士道德困境提供参考。方法采用中文版护士道德困境量表,对湖州市3所三级医院182名急诊科护士进行问卷调查。结果急诊科护士道德困境总均分为(2.03±1.15)分,不同急诊护龄、急诊岗位、学历与用工性质的急诊科护士道德困境水平差异均具有统计学意义(P<0.01或P<0.05)。结论护理管理者应重视急诊科护士道德困境问题,通过提高急诊科护士的自我预防与应对能力,以降低其道德困境的发生。Objective To investigate the emergency nurses＇moral distress level,so as to provide reference for managers to relieve nurses＇moral distress. Methods Totally, 182 emergency nurses from 3 hospitals in Huzhou City were surveyed with Moral Distress Scale - Revised （ MDS - R）. Results The total score of moral distress was （2.03 ± 1.15 ）. Emergency nurses with different emergency nursing years, emergency positions, education backgrounds and job cate- gories had different ethical dilemma levels （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Nursing managers should pay attention to emergency nurses＇moral distress lev- el, through improving emergency nurses＂ self - prevention and coping abilities to lower the occurrence rate of ethical dilemma.

关 键 词：道德困境 护士 急诊科 护理管理 

分 类 号：R471[医药卫生—护理学]