新冠疫情背景下一线护士道德困境及其应对方式研究  

Moral Dilemma and Research on Coping Style of Frontline Nurses During the Outbreak of COVID-19

作　　者：吴晨曦[1] 柏丁兮[1] 张浩 梁芸 高静[1] WU Chenxi;BO Dingxi;ZHANG Hao;LIANG Yun;GAO Jing(School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China)

机构地区：[1]成都中医药大学护理学院,四川成都611137

出　　处：《中国医学伦理学》2022年第7期783-789,共7页Chinese Medical Ethics

基　　金：四川省卫生健康委员会医学科技项目(普及应用项目)“基于Cooper伦理决策模式构建护理伦理决策能力评价量表的研究”(21PJ109)。

摘　　要：目的了解新冠疫情防控期间一线护士道德困境、应对方式及其相关关系。方法2021年3-4月,采用便利抽样选取651名在新冠肺炎定点医院工作的护士,采用中文版道德困境量表、应对方式问卷进行调查。结果一线护士的道德困境总分中位数为91.0,“价值冲突”是发生频率和强度均最高的道德困境,半数以上(51.0%)的受访者曾考虑过因道德困境而离职。“解决问题”和“寻求帮助”是护士采取的主要应对策略。直接为新冠肺炎患者提供医疗服务的护士、对医院相关培训不满意者以及采取消极应对策略的护士其道德困境高于其他护士。结论疫情防控常态化时期一线护士的道德困境处于较高水平,护理管理者应注意疏导并帮助护士建立积极的应对方式,提高应对重大突发公共卫生事件的能力。Objective:To understand the moral dilemma,coping style of frontline nurses and their correlation during the COVID-19.Methods:From March to April,2021,651 nurses working in designated hospitals for COVID-19 were selected by convenient sampling,and the Chinese version of Moral Distress Scale-Revised(MDS-R)and Chinese version of Coping Style Questionnaire(CSQ)were used for investigation.Results:Frontline nurses'MDS-R score was 91.0,"value conflicts"was the moral dilemma with the highest frequency and intensity,more than half(51.0%)of the respondents had considered leaving their position because of moral dilemma."Problem solving"and"seeking for help"were the major coping strategies adopted by the nurses.Nurses who directly provide medical services for COVID-19 patients,dissatisfied with hospital-related training and adopted negative coping strategies had higher moral dilemmas than other nurses.Conclusion:The moral dilemma of frontline nurses is at a high level during the period of epidemic prevention and control.Nursing managers should pay attention to guiding and helping nurses to establish positive coping styles and improve their ability to respond to major public health emergencies.

关 键 词：新冠肺炎 临床护士 道德困境 重大突发公共卫生事件 

分 类 号：R-052[医药卫生]