qualitative study on the changes in ability to cope with ethical conflicts in palliative care in neonatal intensive care units before and after ethical sensitivity theory training
10.3969/j.issn.1671-8283.2025.10.010
- VernacularTitle:伦理敏感性理论培训前后NICU安宁疗护护士伦理冲突应对能力变化的质性研究
- Author:
Qiaoqing XIE
1
;
Chunmei HE
;
Mei LUO
;
Rongdan LI
;
Meiqun HE
;
Wei YANG
;
Zhiying LI
Author Information
1. 中山大学附属第一医院护理部新生儿科,广东 广州,510080
- Publication Type:Journal Article
- Keywords:
ethical sensitivity theory;
ability to cope with ethical conflicts;
palliative care;
neonatal intensive care units;
qualitative study
- From:
Modern Clinical Nursing
2025;24(10):68-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the changes in ability to cope with ethical conflicts in palliative care in neonatal intensive care units(NI CU)before and after ethical sensitivity theory training.Methods A descriptive phenomenological research method was employed.Using purposive sampling,we recruited 16 NICU nurses from a tertiary general comprehensive hospital in the city.After ethical sensitivity theory training between January and March 2025,the nurses participated in a semi-structured interview.Data were analyzed using Colaizzi's seven-step analysis method.Results All participants completed the interview.The data were abstracted to three main themes encompassing eight sub-themes:experiences of ethical conflict dilemmas before ethical sensitivity theory training(conflicts between treatment decision-making and family expectations,trust crises triggered by family cognitive biases),the changes of strategy to cope with ethical conflicts after ethical sensitivity theory training(individualized coping strategies,teamwork and communication,introduction and support of external resources),and the role of ethical sensitivity theory training in enhancing coping ability(improving the ability to identify ethical issues,optimizing the decision-making process,and promoting effective communication).Conclusion Palliative care nurses in the NICU face various ethical conflicts,and ethical sensitivity training can enhance their ability to manage these conflicts.
