收稿日期: 2024-06-29
网络出版日期: 2025-06-06
基金资助
青岛市2022年度医药卫生科研指导项目(2022-WJZD198)
Qualitative study on moral emotional experience of ICU nurses
目的 探讨ICU护士的道德情绪来源，分析道德情绪对生活和临床工作的影响情况，为ICU护士道德情绪干预策略的制订提供依据。方法 采用描述性现象学研究，利用目的抽样法，2024年6月选取山东省某三级甲等医院13名ICU护士进行半结构访谈，采用Colaizzi 七步法分析资料。结果 共提炼出4个主题和9个亚主题，包括道德情绪掩藏，积极道德情绪来源（科室氛围和谐、“避风港”式人文关怀应用、职业价值认同、生活满足与期待），消极道德情绪来源（超负荷工作负担、环境适应恐惧、期盼与失望打击），道德情绪对护士的影响（积极道德情绪体验对护士的影响、消极道德情绪体验对护士的影响）。结论 ICU护士经历积极和消极的道德情绪体验，既能促进护士的职业发展，也会使护士产生自我否定、焦虑、恐惧、无助，产生职业倦怠，严重影响护士的身心健康，不利于护理质量的提高。护理管理者应重点关注ICU护士道德情绪对其工作和生活的影响，制订相应的干预措施，改善护士的道德情绪体验，提高护理质量。
徐真真 , 薛蕊欣 , 郭小靖 , 王伟 , 盖玉彪 . ICU护士道德情绪体验的质性研究[J]. 中华急危重症护理杂志, 2025 , 6(6) : 731 -736 . DOI: 10.3761/j.issn.2096-7446.2025.06.018
Objective To explore the source of moral emotion in ICU nurses，analyze the influence of moral emotion on life and clinical work，and provide evidence for the formulation of moral emotion intervention strategies in ICU nurses. Methods A descriptive phenomenological study was used to conduct semi-structured interviews with 13 ICU nurses from a tertiary Grade A hospital in Shandong Province in June 2024 by objective sampling method. The data were analyzed by Colaizzi 7-step method. Results A total of 4 themes and 9 sub-themes were extracted，including the concealing of moral emotions，the sources of positive moral emotions（harmony of department atmosphere，application of the“HAVENS” humanistic care，recognition of professional values，life satisfaction and expectation），and the sources of negative moral emotions （overload of pressure burden，fear of environmental adaptation，expectation and disappointment），the influence of moral emotions on nurses（the influence of positive moral emotion experience on nurses，the influence of negative moral emotion experience on nurses）. Conclusion The positive and negative moral emotional experience of ICU nurses can not only promote the professional development of nurses，but also cause self-denial，anxiety，fear，helplessness and job burnout，which seriously affects the physical and mental health of nurses and is not conducive to the improvement of nursing quality. Nursing managers should focus on the influence of moral emotion on ICU nurses’ work and life，and formulate corresponding intervention measures to improve nurses’ moral emotion experience and improve nursing quality.
Key words： Intensive Care Units; Nurse; Moral Emotion; Qualitative Study
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