关键词: 移植；护士；伦理实践；体验；质性研究

Abstract: Objective: To explore the experience of nurses' ethical practice in transplant ward, and to provide reference for improving the nursing ethics level of nurses in transplant ward. Methods: Objective sampling method was used to select 11 ward nurses from the liver transplant center and kidney transplant center of a tertiary grade A hospital in Hangzhou from August to December 2022, and semi-structured in-depth interviews were conducted by phenomenological research method. The data were collated and analyzed by Colaizzi 7-step analysis method. Results: The experience of ethical practice of nurses in transplantation wards can be grouped into three themes, including: subjective factors that cause ethical dilemmas, objective factors that cause ethical dilemmas and self-response to ethical dilemmas of nurses in transplantation wards. Conclusion: The ethical cognition level of nurses in transplant ward is uneven, and the systematic ethical knowledge training is lacking. Ethical knowledge can not meet the needs of nursing ethics practice in transplant ward. In the face of ethical dilemmas, they will adjust their self-cognition, seek support, ignore or avoid them. It is suggested to use the guided ethical knowledge system training for the nurses in the transplant ward to improve their ethical cognition and ethical level, so as to show ethical behavior to ensure the quality of nursing.

Key words: transplantation; nurse; ethical practice; experience; qualitative research