在COVID-19期间,有两起护理老年养老院居民的病例
Pier Jaarsma1, Petra Gelhaus2, My Eklund Saksberg1
1Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.
Nursing ethics
|August 19, 2023
概括
瑞典的养老院护士在COVID-19大流行期间面临着道德挑战,有时优先考虑实用性决策而不是以人为中心的护理. 本研究探讨了复杂案件中的道德责任.
科学领域:
- 护理伦理学 护理伦理学
- 生物伦理学生物伦理学
- 公共卫生危机 公共卫生危机
背景情况:
- 护理身份的核心在于优先考虑生病的人,这是瑞典养老院中以人为中心的老年人护理的核心原则.
- 在长期护理环境中,COVID-19大流行引发了前所未有的伦理困境.
研究的目的:
- 分析瑞典养老院护士的道德责任.
- 在COVID-19大流行期间检查两起涉及老年居民的具体病例.
- 在与流行病相关的挑战背景下评估道德决策框架.
主要方法:
- 使用玛格丽特·阿尔班·沃克 (Margaret Urban Walker) 的道德责任框架进行规范性分析.
- 使用了国际护士协会 (ICN) 护士道德准则 (2021).
- 遵循伦理审查和同意程序,并获得瑞典伦理审查机构的咨询批准.
主要成果:
- 病例1涉及一个接受息治疗的住户,他接受了强制性COVID-19测试.
- 病例2涉及一名患有痴呆症的COVID-19感染居民,他被镇静并隔离.
- 在这两种情况下,决策都通过后果主义/效用主义和非后果主义/道德学角度进行分析.
结论:
- 流行病有时会导致从以人为中心的护理偏离问题,有利于功利主义的伦理方法.
- 赋予护士作为道德代理人的权力,需要资源和机会,在教育和实践中进行道德反思.
- 在危机期间平衡护理关系,专业美德和竞争价值观对于伦理护理实践至关重要.
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