Meta-synthesis of qualitative studies on the authentic experience of moral dilemmas of ICU nurses
10.3761/j.issn.0254-1769.2024.10.016
- VernacularTitle:ICU护士道德困境心理体验质性研究的Meta整合
- Author:
Baosheng ZHAO
1
;
Juan WANG
;
Manli WANG
;
Junjie SHI
;
Jun DU
;
Fengxia LI
Author Information
1. 250021 济南市 山东第一医科大学附属省立医院急救中心
- Keywords:
Intensive Care Units;
Nurses;
Moral Dilemma;
Qualitative Research;
Meta-Synthesis;
Evidence-Based Nursing;
Nursing Administration Research
- From:
Chinese Journal of Nursing
2024;59(10):1263-1269
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the psychological feelings and real experience of ICU nurses'moral dilemma,and the aim is to provide references for the formulation of targeted psychological intervention programs.Methods Pubmed,CINAHL,Embase,Web of Science,Cochrane Library,PsycNET,CNKI,Wanfang database,VIP database,and China Biomedical Literature Database were searched by computer to retrieve qualitative studies on psychological perceptions and real experiences of moral dilemmas of ICU nurses,and the search time was from the establishment of databases to March 2023.The quality of literature was evaluated using the 2016 version of the Australian JBI Centre for Evidence-Based Health Care Quality Evaluation Criteria for qualitative studies,and the results were integrated and analyzed by the Meta integration method.Results A total of 10 pieces of literature were included,including 3 phenomenological studies and 7 descriptive studies.The results of 27 studies were summarized into 8 new categories,and 3 integrated results were obtained:①The internal and external causes of moral dilemmas,including conflicting concepts of life and death,differences of the idea of the superior death,conflict of clinical decision-making,and insufficient organizational support;②The progressive effects of moral dilemmas,including aggravating negative emotional burden and breeding professional identity bias;③ Coping strategies for moral dilemmas,including active self-debugging and seeking support from colleagues.Conclusion It is urgent to popularize the scientific concept of life and death of patients and families,deepen the concept of superior death of ICU nurses,and alleviate the conflict of nursing and patient decision-making.It is important to pay attention to the negative emotional state of ICU nurses,improve their professional identity,improve the self-adjustment ways of ICU nurses,and to provide multi-organization support for ICU nurses.
