护理管理者道德困境的研究进展  

Research Advances on Moral Distress of Nurse Managers

作　　者：吴晗 李玉培 乔建红 黄梅英 王红 操晓红 WU Han;LI Yupei;QIAO Jianhong;HUANG Meiying;WANG Hong;CAO Xiaohong(Nursing Department,The First Affiliated Hospital of Shandong First Medical University/Qianfoshan Hospital,Jinan 250014,China;Outpatient Department,The First Affiliated Hospital of Shandong First Medical University/Qianfoshan Hospital,Jinan 250014,China)

机构地区：[1]山东第一医科大学第一附属医院/千佛山医院护理部,山东济南250014 [2]山东第一医科大学第一附属医院/千佛山医院门诊部,山东济南250014

出　　处：《医学与哲学》2025年第1期45-48,54,共5页Medicine and Philosophy

摘　　要：通过对道德困境的相关概念、理论模型、护理管理者道德困境的现状水平、影响因素(个人内部限制因素、外部组织条件因素)及应对策略(主要包括个人层面及组织层面)等进行综述,提出了对护理管理者道德困境未来研究的建议,包括逐步探索不同执业环境中护理管理者的道德困境水平及主观经历体验,分析护理管理者的道德困境及与相关变量之间的关系等,以期提高研究者对护理管理者道德困境的关注,从而为降低护理管理者道德困境水平提供理论参考。This article provides a review of the relevant concepts,theoretical models,current status,and influencing factors(internal personal limitations,external organizational conditions)of moral distress among nurse managers,as well as coping strategies,mainly including individual and organizational levels.It also examines coping strategies at both the individual and organizational levels.Furthermore,suggestions were put forward for future research on the ethical dilemmas of nurse managers,including gradually exploring the levels of ethical dilemmas and subjective experiences of nurse managers in different professional settings,analyzing the relationship between moral distress among nurse managers and related variables,in order to raise researchers'attention to moral distress among nurse managers,and provide theoretical references for reducing these dilemmas.

关 键 词：护理管理者 道德困境 影响因素 

分 类 号：R-05[医药卫生]