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Values That Vanish into Thin Air: Nurses Experience of Ethical Values in Their Daily Work

机译:消失在空中的价值观:护士在日常工作中的道德价值观体验

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摘要

The objective of this study was to examine how nurses experience ethical values as they are expressed in daily practice in a Norwegian hospital. A growing focus in Western healthcare on effectiveness, production, and retrenchment has an influence on professional nursing standards and nursing values. Lack of resources and subsequent ethically difficult prioritizations imply a strain on nurses. This study is qualitative. Data collection was carried out by conducting 4 focus group interviews. The data was analyzed using content analysis. The results are presented in two main themes: (1) values and reflection are important for the nurses; (2) time pressure and nursing frustrations in daily work. The results demonstrate that nurses believe the ethical values to be of crucial importance for the quality of nursing; however, the ethical values are often repressed in daily practice. This results in feeling of frustration, fatigue, and guilty conscience for the nurses. There is a need for changes in the system which could contribute to the development of a caring culture that would take care of both patients and nurses. In an endeavour to reach this goal, one could apply caritative leadership theory, which is grounded on the caritas motive, human love, and mercy.
机译:这项研究的目的是检验护士在挪威医院的日常实践中如何表达道德价值观。西方医疗保健越来越关注效果,生产和裁员,这对专业护理标准和护理价值产生了影响。资源的缺乏以及随后在伦理上难以确定的优先事项,都给护士带来了压力。这项研究是定性的。通过进行4次焦点小组访谈进行了数据收集。使用内容分析来分析数据。结果主要表现在两个主题上:(1)价值观和反思对护士很重要; (2)时间压力和日常工作中的护理挫折感。结果表明,护士认为道德价值观对于护理质量至关重要。但是,道德价值观经常在日常实践中受到压制。这会导致护士感到沮丧,疲劳和内con。需要改变系统,以促进照顾者文化的发展,照顾患者和护士。为了实现这一目标,人们可以运用基于龋齿动机,人类之爱和怜悯的龋齿领导理论。

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