重大传染病疫情防控护士伦理困境的研究进展  

Research Progress on the Ethical Dilemmas of Nurses in the Epidemics Prevention and Control of Major Infectious Diseases

作　　者：洪慧芳 卢根娣[1] 王成珏 HONG Huifang;LU Gendi;WANG Chengjue(Department of Nursing,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院护理部,上海201203

出　　处：《中国医学伦理学》2023年第11期1266-1272,共7页Chinese Medical Ethics

基　　金：国家社会科学基金(一般项目)“重大传染病疫情防控护士伦理困惑及支持策略研究”(22BZX024);上海中医药大学预算内科研项目“COVID-19大流行期间护理伦理困境影响因素研究”(2021WK151)。

摘　　要：伦理困境在重大传染病疫情防控期间普遍存在于护士中,会影响护士身心健康和护理质量。从重大传染病疫情防控护士伦理困境相关概念、现状、评估工具、影响因素四个方面进行综述,旨在提高护士、护理管理者、卫生管理机构对重大传染病疫情防控护士伦理困境的关注,为进一步制定策略提供理论参考。在重大传染病疫情防控期间护士伦理困境研究方面,国内外研究多采用量表和质性访谈进行调查。研究发现该时期护士伦理困境包括探视限制的伦理困境、稀缺资源公正分配的伦理困境和护士权利与义务的伦理困境。影响因素主要有人口学因素、心理因素、风险感知和社会支持等。建议今后从伦理学的角度开发适宜的评估工具,及时掌握重大传染病疫情防控时期护士伦理困境现况,深入挖掘影响因素。Ethical dilemmas commonly exist among nurses during the epidemic prevention and control of major infectious diseases,which can affect their physical and mental health and nursing quality.This paper reviewed the ethical dilemmas of nurses in the epidemic prevention and control of major infectious diseases from four aspects,including concepts,current situation,evaluation tools,and influencing factors,with a view to raising the attention of nurses,nursing administrators,and health management organizations to the ethical dilemmas of nurses in the epidemic prevention and control of major infectious diseases,and providing theoretical references for further formulating strategies.In terms of ethical dilemmas research of nurses during the prevention and control of major infectious diseases,domestic and foreign studies mostly used scales and qualitative interviews to investigate.Research has found that the ethical dilemmas of nurses during the period include the ethical dilemma of visiting restrictions,the ethical dilemma of fair allocation of scarce resources,and the ethical dilemma of nurses'rights and obligations.The main influencing factors include demographic factors,psychological factors,risk perception,and social support.It is recommended to develop suitable assessment tools from the perspective of ethical in the future,timely grasp the current situation of ethical dilemmas of nurses during the prevention and control of major infectious diseases,and deeply explore influencing factors.

关 键 词：重大传染病 护士 伦理困境 

分 类 号：R-052[医药卫生]