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紧急手术的知情同意过程:对利益相关者的观点,挑战,伦理概念和政策进行范围审查
Olivia Kituuka1, Ian Guyton Munabi1, Erisa Sabakaki Mwaka1
1Makerere University College of Health Sciences, Kampala, Uganda.
SAGE open medicine
|June 26, 2023
概括
对紧急手术的知情同意面临着诸如患者能力受损和时间限制等挑战,导致满意度不高. 政策优先考虑拯救生命的护理和患者的福祉,而不是延迟同意.
科学领域:
- 医学伦理 医学伦理
- 手术手术手术手术手术手术手术手术手术手术
- 患者权利 患者权利
背景情况:
- 紧急手术的知情同意过程很复杂,涉及患者,亲属和医疗保健工作人员.
- 现有的文献提供了关于紧急外科同意的挑战和指导政策的各种观点.
研究的目的:
- 综合审查有关紧急手术知情同意的文献.
- 确定挑战,利益相关者的观点和政策指导.
- 为未来的紧急外科同意研究确定知识差距.
主要方法:
- 进行了从1990年到2021年的文献范围审查.
- 搜索包括主要的数据库 (PubMed/MEDLINE,谷歌学者) 和图书馆资源.
- 包括英语,同行评审的文章,有三个独立的审稿人评估相关性.
主要成果:
- 从65个被检索的物品中,包括18个物品.
- 主要主题包括紧急知情同意 (5篇文章),利益相关者的观点 (9篇文章),挑战 (7篇文章) 和政策 (3篇文章).
结论:
- 紧急手术的知情同意过程与患者满意度低相关.
- 能力受损和时间限制是重大挑战.
- 政策强调同意不应阻碍救生护理,优先考虑患者的最佳利益.
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