在挪威救护车服务中探索使用胁迫 - - 一项定性研究
Nina Oeye Thorvaldsen1,2, Tonje Lossius Husum3,4, Stephen J M Sollid5,6
1Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway. nithor@oslomet.no.
Scandinavian journal of trauma, resuscitation and emergency medicine
|September 4, 2023
概括
挪威的救护人员使用各种形式的胁迫,包括物理和务实方法,当患者拒绝必要的医疗保健时. 组织因素和法律复杂性显著影响了医院前紧急护理中的这些决定.
科学领域:
- 医院前的紧急医疗医疗.
- 医疗保健法律和道德
- 患者的同意和强迫.
背景情况:
- 医疗保健法允许对不合格的患者或构成危险的患者给予同意的例外.
- 救护人员经常遇到拒绝必要医疗保健或合作的患者.
- 强迫是一种在特定紧急情况下的自愿医疗保健的替代方案.
研究的目的:
- 探索救护车人员在挪威救护车服务中遇到胁迫的经历.
- 确定影响在医院前护理环境中使用胁迫的因素.
主要方法:
- 对挪威救护车服务的8名救护人员进行了两次焦点小组采访.
- 利用系统的文本缩写来进行字面转录的采访数据分析.
主要成果:
- 确定了强迫的方法:身体,务实,药物,以及为确保患者的安全.
- 强迫的主要原因:防止自我伤害/伤害他人,并确保对未经同意的患者提供护理.
- 影响因素包括法律执行的困难,对不当行为的恐惧,管理层缺乏支持和培训不足.
结论:
- 临床谨慎至关重要,因为在医院前实践中存在伦理上的灰色地带.
- 将同意法规转化为现实生活中的医院前环境带来了挑战.
- 组织的道德观,指导方针和人员决策对强制干预有很大影响.
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