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首页> 外文期刊>Journal of Nursing Education and Practice >Critical care nurses’ moral distress in end-of-life decision making
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Critical care nurses’ moral distress in end-of-life decision making

机译：重症监护护士在临终决策中的道德困境

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Moral distress is a phenomenon in which a healthcare professional perceives an ethically preferable or morally right course of action to take, but internal or external constraints make it nearly impossible to pursue that course. Although healthcare professionals’ moral distress has been studied for over twenty years, we have not reached a point of full understanding and appreciation of this complex phenomenon. Attempts to define moral distress and refine our understanding of it have been frustrated by tendencies to interchange or mislabel very distinct—yet related—concepts. A comprehensive knowledge base of root causes and the interrelationships between individual and team or system factors is timely and critical. We qualitatively interviewed 29 healthcare professionals of various backgrounds in two intensive care units at a tertiary, academic medical center with the goal of understanding interrelationships between team and individual factors of moral distress. Herein, we report our findings with regard to nurses’ moral distress and suggest a list of practical strategies to mitigate this moral distress.
机译：道德困扰是一种现象，在这种现象中，医疗保健专业人员认为采取的是道德上更可取或道德上正确的行动方案，但是由于内部或外部的限制，几乎不可能采取这种做法。尽管已经研究了医护人员的道德苦恼已有20多年了，但我们仍未完全理解和理解这一复杂现象。试图定义道德困境并加深我们对道德困境的理解，已被互换或错误标记非常独特的，但仍与之相关的概念的趋势所挫败。一个全面的根本原因知识库以及个人与团队或系统因素之间的相互关系是及时且至关重要的。我们定性地访问了三级学术医疗中心两个重症监护室的29名不同背景的医疗保健专业人员，其目的是了解团队与精神困扰个体因素之间的相互关系。本文中，我们报告了有关护士精神困扰的发现，并提出了一系列缓解这种精神困扰的实用策略。

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