Abstract:

Objective The scope of related research on ethical conflicts in the interprofessional collaboration in nursing was reviewed，so as to summarize the obstacles and coping strategies that lead to ethical conflicts in interprofessional collaboration and provide references for promoting nurse engagement in interprofessional collaboration. Methods Based on the methodological framework of the scope review，we systematically searched domestic and foreign databases including the Cochrane Library，CINAHL，Embase，PubMed，Web of Science，CNKI，VIP，Wanfang and SinoMed. The time limit for database retrieval was from the establishment of each database to March 2023. The selected studies were summarized and analyzed. Results Totally 13 articles published between 1991 and 2022 were included. The obstacle factors that lead to ethical conflicts in nurse engagement of interprofessional collaboration can be divided into 3 categories，including personal factors（insufficient professional knowledge，differences in professional values），interprofessional factors（imbalanced power between professions，lack of respect and collaboration between cooperators） and environmental factors（insufficient resources and staffing，high-intensity workload，and high-pressure work environment）. At the same time, in view of these 3 aspects, it puts forward some countermeasures, such as enhancing professional knowledge，strengthening interprofessional education，improving understanding and cooperation among medical workers in different wards，providing medical practitioners with a team-based，ethical work environment that facilitates interprofessional collaborations and open dialogues. Conclusion It is of great significance for nurses to get involved in interprofessional collaborations，in order to ensure high-quality nursing services. Further studies are needed for the development of education and the core competency framework construction for interprofessional collaborations in nursing. More attention should be paid to develop the organizational atmosphere at the same time，so as to continuously improve nurse’ capabilities in interprofessional collaborations.

Key words: Interprofessional Collaboration, Ethical Conflicts, Scoping Review, Nursing Administration Research

摘要：

目的 对护士在跨专业合作中伦理冲突的相关研究进行范围审查，归纳和总结跨专业合作中导致伦理冲突的障碍因素及应对策略，为提高护士的跨专业合作水平提供参考。方法 依据范围综述的研究框架展开研究，系统检索Cochrane Library、CINAHL、Embase、PubMed、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献服务系统中的相关研究，检索时限为建库至2023年3月。对纳入文献进行汇总和分析。结果 共纳入13篇文献，发表时间为1991年—2022年。护士在跨专业合作中导致伦理冲突的障碍因素分为个人因素（专业知识储备不足、专业价值观的差异等）、专业间因素（专业间权力不平衡、合作者间缺乏尊重及协作能力等）和环境因素（资源和人员配备不足、高强度的工作内容和高压的工作环境等）3个方面，同时针对该3个方面提出提升专业知识储备、加强跨专业教育、改善各病室医疗工作者间的理解与合作、为医疗工作者提供符合道德的及有利于跨专业合作和公开对话的工作环境等应对策略。结论 跨专业合作对提供高质量的医疗护理服务至关重要，未来需要更多研究聚焦护士的跨专业合作培训教育及跨专业合作核心能力框架构建，同时关注外部组织环境，不断提高护士的跨专业合作能力。

关键词: 跨专业合作, 伦理冲突, 范围综述, 护理管理研究