Turkiye Klinikleri Journal of Medical Ethics-Law and History

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Pediatri Hemşirelerinin Yaşadığı Ahlaki Sıkıntı ve Etkileyen Faktörler
Moral Distress and Affecting Factors Experienced by Pediatric Nurses
Hilal KURT SEZERa, Merve AŞKIN CERANa
aKTO Karatay Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Konya, TÜRKİYE
Turkiye Klinikleri J Med Ethics. 2021;29(2):245-9
doi: 10.5336/mdethic.2020-75577
Article Language: TR
Full Text
ÖZET
 Ahlaki sıkıntı, ahlaki bir sorunu temsil eden bir stres faktörüyle başlayan, bilişsel ve duygusal süreçlerle çalışan, stres reaksiyonu ile biten sonucunda da fizyolojik, duygusal, bilişsel ve davranışsal tepkilerin ortaya çıkmasına sebep olan bir süreçtir. Ahlaki sıkıntı sonucu duygusal açıdan öfke, suçluluk, hayal kırıklığı ve umutsuzluk; fizyolojik açıdan da kas ağrısı, ishal, uyku bozuklukları ve yorgunluk gibi fiziksel reaksiyonlar ortaya çıkabilmektedir. Hasta bakımı hemşirelerin profesyonel bir sorumluluğudur. Primer sorumluluklarını ebeveynlerinin yürüttüğü pediatri hastalarının bakım ve tedavisinde, hemşirelerin iyi bir ahlaki tutum içinde olması gerekmektedir. Pediatri hemşireleri, bakım verdiği çocuğun fiziksel, psikolojik, duygusal ve ruhsal ihtiyaçlarını dikkate alarak kendi arzularını kısıtlayıp, kişisel çıkarlarını ertelemesi gerekmektedir. Ahlaki sıkıntı, son 30 yılda sağlık bakım sistemi içerisinde bakım sağlayıcılar arasında önemli bir endişe kaynağıdır. Bu durumdan yola çıkarak derlemede, pediatri hemşirelerinin yaşadığı ahlaki sıkıntılar ve etkileyen faktörler, güncel çalışmalar doğrultusunda tartışılmıştır.

Anahtar Kelimeler: Çocuk; ahlaki sıkıntı; çocuk hemşireliği
ABSTRACT
 Moral distress is a process that starts with a stress factor regarding a moral problem, runs through cognitive and emotional processes, and ends with a stress reaction, resulting in physiological, emotional, cognitive and behavioral responses. Emotional reactions such as anger, guilt, frustration and despair, and physiological reactions such as muscle pain, diarrhea, sleep disorders and fatigue may occur as a result of moral distress. Patient care is a professional responsibility of nurses. Nurses should have a good moral attitude in the care and treatment of pediatric patients whose primary responsibilities are carried out by their parents. Pediatric nurses should take into account the physical, psychological, emotional and spiritual needs of the child they care for and postpone their personal interests and desires. Moral distress is a major concern among care providers in the health care system over the past 30 years, therefore, in this article, the moral difficulties experienced by pediatric nurses and the influencing factors were discussed in line with current studies.

Keywords: Child; moral distress; pediatric nursing
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