신생아집중치료실 간호사의 윤리적 환경과 도덕적 고뇌
Ethical Climate and Moral Distress among Neonatal Intensive Care Unit RNs
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: The purposes of this study were to evaluate the levels of ethical climate and moral distress and to identify factors that affect moral distress among clinical nurses who work in neonatal intensive care unit(NICU). Methods: Correlation study was conducted on 152 NICU nurses of 7 university hospitals. The collected data from October to November 2013 were surveyed using a self-reported questionnaire. The data were analyzed with SPSS/WIN version 20.0. Results: The average of ethical climate score was 86.82, and the average of moral distress score was 5.16. For moral distress, there was a significant difference between marital status and number of years of experience. Ethical climate were negatively correlated with moral distress(r=-.54, p<.001). Factors Influencing on moral distress explained 45.1% of the variance in clinical career of NICU and the ethical climate. Conclusion: The results suggest that the educational programs and strategies for NICU nurse should be developed to decrease their moral distress.
Abstract
Purpose: The purposes of this study were to evaluate the levels of ethical climate and moral distress and to identify factors that affect moral distress among clinical nurses who work in neonatal intensive care unit(NICU). Methods: Correlation study was conducted on 152 NICU nurses of 7 university hospitals. The collected data from October to November 2013 were surveyed using a self-reported questionnaire. The data were analyzed with SPSS/WIN version 20.0. Results: The average of ethical climate score was 86.82, and the average of moral distress score was 5.16. For moral distress, there was a significant difference between marital status and number of years of experience. Ethical climate were negatively correlated with moral distress(r=-.54, p<.001). Factors Influencing on moral distress explained 45.1% of the variance in clinical career of NICU and the ethical climate. Conclusion: The results suggest that the educational programs and strategies for NICU nurse should be developed to decrease their moral distress.
참고문헌 (26)
- J. P. Quenot, "Impact of an intensive communication strategy on end-of-life practices in the intensive care unit", Intensive Care Medicine, 38(1), pp.145~152 (2012), Springer Science and Business Media LLC[DOI]
- Mary C Corley, "Nurse Moral Distress and Ethical Work Environment", Nursing Ethics, 12(4), pp.381~390 (2016), SAGE Publications[DOI]
- Kathleen Oberle, "Doctors' and nurses' perceptions of ethical problems in end-of-life decisions", Journal of Advanced Nursing, 33(6), pp.707~715 (2001), Wiley[DOI]
- Jessica Schluter, "Nurses' Moral Sensitivity and Hospital Ethical Climate: a Literature Review", Nursing Ethics, 15(3), pp.304~321 (2008), SAGE Publications[DOI]
- Rick Deady, "A Study of the Situations, Features, and Coping Mechanisms Experienced by Irish Psychiatric Nurses Experiencing Moral Distress", Perspectives in Psychiatric Care, 46(3), pp.209~220 (2010), Wiley[DOI]
- S D Scott, "The natural history of recovery for the healthcare provider "second victim" after adverse patient events", Quality and Safety in Health Care, 18(5), pp.325~330 (2009), BMJ[DOI]
- Gutierrez KM, "Critical care nurses' perceptions of and responses to moral distress", Dimensions of Critical Care Nursing, 24(5), pp.229~241 (2005)
- Victoria Kain, "Palliative Care Delivery in the NICU: What Barriers Do Neonatal Nurses Face?", Neonatal Network, 25(6), pp.387~392 (2006), Springer Publishing Company[DOI]
- A Janvier, "Moral distress in the neonatal intensive care unit: caregiver's experience", Journal of Perinatology, 27(4), pp.203~208 (2007), Springer Science and Business Media LLC[DOI]
- Terri A. Cavaliere, "Moral Distress in Neonatal Intensive Care Unit RNs", Advances in Neonatal Care, 10(3), pp.145~156 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Victor B, "The organizational bases of ethical work climates", Administrative Science Quarterly, 33(1), pp.101~125 (1988)
- 노다복, "정신과 병동 간호사의 도덕적 고뇌, 도덕적 민감성 및 윤리적 환경", 정신간호학회지, 22(4), pp.307~319 (2013), 한국정신간호학회
- 김해리, "병원 간호사의 도덕적 민감성과 도덕적 고뇌", 한국의료윤리학회지, 13(4), pp.321~336 (2010), 한국의료윤리학회[DOI]
- ELIZABETH M. RICE, "Determinants of moral distress in medical and surgical nurses at an adult acute tertiary care hospital", Journal of Nursing Management, 16(3), pp.360~373 (2008), Wiley[DOI]
- Linda L. Olson, "Hospital Nurses' Perceptions of the Ethical Climate of Their Work Setting", Image: the Journal of Nursing Scholarship, 30(4), pp.345~349 (1998), Wiley[DOI]
- Jee-In Hwang, "Nurses’ perception of ethical climate, medical error experience and intent-to-leave", Nursing Ethics, 21(1), pp.28~42 (2014), SAGE Publications[DOI]
- Mary C. Corley, "Development and evaluation of a moral distress scale", Journal of Advanced Nursing, 33(2), pp.250~256 (2001), Wiley[DOI]
- Ann Baile Hamric, "Development and Testing of an Instrument to Measure Moral Distress in Healthcare Professionals", AJOB Primary Research, 3(2), pp.1~9 (2012), Informa UK Limited[DOI]
- Wendy Austin, "An Overview of Moral Distress and the Paediatric Intensive Care Team", Nursing Ethics, 16(1), pp.57~68 (2009), SAGE Publications[DOI]
- Patti Rager Zuzelo, "Exploring the Moral Distress of Registered Nurses", Nursing Ethics, 14(3), pp.344~359 (2016), SAGE Publications[DOI]
- Yoo MS, "Concept analysis of moral distress in nurses", Korean Academy of Nursing Administration, 10(1), pp.49~62 (2004)
- Meegan Kilcullen, "Palliative care in the neonatal unit: neonatal nursing staff perceptions of facilitators and barriers in a regional tertiary nursery", BMC Palliative Care, 16(1) (2017), Springer Science and Business Media LLC[DOI]
- 한수정, "간호사가 지각하는 도덕적 고뇌와 이직의도", 한국콘텐츠학회 논문지, 12(3), pp.276~284 (2012), 한국콘텐츠학회
- Mary C Corley, "Nurse Moral Distress: a proposed theory and research agenda", Nursing Ethics, 9(6), pp.636~650 (2016), SAGE Publications[DOI]
- Janet Sirilla, "Moral Distress in Nurses Providing Direct Care on Inpatient Oncology Units", Clinical Journal of Oncology Nursing, 18(5), pp.536~541 (2014), Oncology Nursing Society (ONS)[DOI]
- Ann B. Hamric, "Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate*", Critical Care Medicine, 35(2), pp.422~429 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]