在厄瓜多尔提前护理计划
Patricia Bonilla Sierra1, Tamara Rodríguez Quintana1, Noelia Trujillo Aguirre1
1Department of Health Sciences, Private Technical University of Loja (UTPL), Loja, Ecuador.
概括
提前护理规划 (ACP) 确保患者的偏好被记录在案,以用于未来的决策. 厄瓜多尔缺乏立法,但提出了一项"提前生活意志",尽管尚未实施,但突出了非洲和非洲国家申请的文化障碍.
科学领域:
- 生物伦理学生物伦理学
- 卫生法 法律 卫生法
- 抚慰性护理是一种缓解性护理.
背景情况:
- 提前护理计划 (ACP) 对于患者在决策能力丧失时的自主性至关重要.
- 目前,厄瓜多尔还没有针对非洲和非洲国家制定的具体立法.
- 现有的框架,如息护理标准 (2015年),包括ACP的合规标准,但仍未实施.
研究的目的:
- 分析厄瓜多尔提前护理计划的现状.
- 识别立法缺口和在将非洲和非洲国家纳入国家卫生法规方面取得的进展.
- 探讨在厄瓜多尔背景下落实ACP的障碍.
主要方法:
- 审查厄瓜多尔现有的卫生立法和生物伦理准则.
- 分析国家卫生生物伦理委员会对"先进生活意志"的验证.
- 检查了息护理标准的有关ACP的规定.
主要成果:
- 厄瓜多尔没有针对提前护理计划的具体立法.
- 国家卫生生物伦理委员会已经提出了"先进生活意志"的概念,以便将其纳入立法.
- 尽管自2015年以来在息护理标准中确立了标准,但ACP的实施并未得到执行.
结论:
- 在厄瓜多尔,有被认可的提前护理规划的需求,得到生物伦理委员会的支持.
- 拟议的"提前生活意志"正在进行立法进展,但尚未通过.
- 医疗保健专业人员和患者之间的文化和社会因素对厄瓜多尔ACP的实际应用构成重大障碍.
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