儿童重症监护中的技术解决主义:临床医生对生物伦理考虑的观点
Denise Alexander1, Mary Quirke1, Carmel Doyle2
1School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin, Ireland.
BMC medical ethics
|July 28, 2023
概括
临床医生在决定儿童长期侵入性通风时面临复杂的伦理挑战. 了解这些经验对于改善护理和支持临床医生导航维持生命技术至关重要.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 生物伦理学生物伦理学
- 医学技术 医学技术 医学技术
背景情况:
- 生命维持技术提高了儿科重症监护室 (PICU) 的生存率,但可以增加长期的发病率.
- 需要入侵性长期通风的儿童给临床医生带来了复杂的道德挑战.
- 这项研究探讨了临床医生对围绕先进医疗技术的生物伦理考虑的观点.
研究的目的:
- 探索临床医生参与关于在儿童中启动侵入性长期通风的决定的实践经验.
- 了解临床医生对与儿科重症监护中的维持生命技术相关的生物伦理问题所赋予的意义.
主要方法:
- 释学的现象学探索. 释学的现象学探索.
- 在四个国家的PICU和相关领域的临床医生进行非结构化采访.
- 数据分析的重点是深入了解临床医生的实践经验.
主要成果:
- 主题1:管理与父母和同事有关生命维持技术的关系.
- 主题2:在使用先进技术时维护道德和职业诚信.
- 主题3:跟上技术进步及其伦理影响.
结论:
- 虽然长期维持生命的技术提供了好处,但它给临床医生带来了复杂的道德困境.
- 生物伦理规范正在发展,以支持临床医生,但挑战仍然存在.
- 需要进一步的研究,以了解临床医生和生物伦理服务对侵袭性长期通风决策的支持.
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