道德创伤视域下的护理伦理  

Nursing Ethics from the Perspective of Moral Injury

作　　者：肖楚兰 李琳 卢思萍 常运立 XIAO Chulan;LI Lin;LU Siping;CHANG Yunli(The 920th Hospital of the PLA Joint Service Support Force,Kunming 650000,China;Department of Gynecology of Traditional Chinese Medicine,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;School of Basic Medical Sciences,Naval Medical University,Shanghai 200433,China)

机构地区：[1]解放军联勤保障部队第九二〇医院,云南昆明650000 [2]海军军医大学第一附属医院中医妇科,上海200433 [3]海军军医大学基础医学院,上海200433

出　　处：《中国医学伦理学》2023年第8期890-896,共7页Chinese Medical Ethics

基　　金：国家社科基金军事学项目“道德创伤:军事创伤的实践转向”(2019-SKJJ-C-022);上海市哲学社会科学规划青年课题“医学生群体道德创伤防治与道德韧性建构研究”(2019EKS005);上海市教育科学一般项目“虚拟现实在医学生道德创伤教育防治中的应用研究”(C20038)。

摘　　要：因为职业的特殊性,护理人员往往会面临更多的自我道德认知与现实情况相悖的创伤事件,并在此基础上逐渐转向道德创伤。而护理人员护理伦理素养的高低在很大程度上会影响其道德认知的差异以及道德韧性的强弱,从而决定着道德创伤的发展与转归。《重大传染病疫情防控护理伦理专家共识》对护理人员的权益内容进行了完善,积极实践该准则能够帮助护理人员有效应对疫情所带来的内源性以及外源性的创伤源,消解不良道德认识,提升护理人员道德韧性,对护理人员道德创伤的防范有一定积极作用。Due to the specialty of the profession,nursing staff often face more traumatic events in which their self-moral cognition is contrary to the reality,and gradually turn to moral injury on this basis.The level of nursing ethical literacy of nursing staff greatly affects their differences in moral cognition and the strength of moral resilience,thus determining the development and recovery of moral injury.The latest ethical code for nurses,the Expert Consensus on Nursing Ethics for the Prevention and Control of Major Infectious Diseases,has improved the rights and interests of nursing staff.The active practice of this code can help nursing staff effectively respond to the endogenous and exogenous injury sources brought about by the epidemic,eliminate negative moral cognition,improve the moral resilience of nursing staff,as well as has positive effects on the prevention of moral injury for nursing staff.

关 键 词：护理伦理 道德认知 道德创伤 道德韧性 

分 类 号：R-052[医药卫生]