救护医生对老年患者的自决能力的理解:一项图片研究
Anna Bennesved1, Anders Bremer2, Anders Svensson1
1Linnaeus University; Region Kronoberg.
Nursing ethics
|September 15, 2023
概括
救护车临床医生努力维护老年患者.
科学领域:
- 医院前的紧急护理服务
- 老年医学 老年医学
- 医疗保健伦理学 医疗保健伦理
背景情况:
- 老年患者在急性疾病期间容易受到伤害,并且严重依赖医疗保健专业人员.
- 救护车服务的评估优先考虑危及生命的情况,可能忽视了患者的自主权.
- 为救护医生平衡紧急评估与患者自主性提出了挑战.
研究的目的:
- 探索救护医生对老年患者在决策能力受损时的自决能力的理解.
- 调查临床医生如何在紧急医院前环境中导航患者的自主权.
主要方法:
- 使用描述现象学的定性设计.
- 与30名救护车临床医生 (25名医院前急救护士,1名护士,4名急救医疗技术人员) 进行了二次采访.
主要成果:
- 临床医生在明确和隐含的患者愿望之间进行导航,有时使用替代性决策.
- 对患者的最大利益产生矛盾,受到个人和组织价值观的影响.
- 临床医生在相互矛盾的价值观中保护患者的自决权面临着挑战.
结论:
- 决策能力受损的老年患者可能会在救护车服务中失去自决权.
- 救护医生在解决老年患者的独特需求和自主性方面面临重大挑战.
- 整体评估和维护自主性在老年人医院前护理中至关重要.
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