紧急和灾难时的护理:它可以以人为中心吗?
Amir Khorram-Manesh1, Lesley Gray2, Krzysztof Goniewicz3
1Centre for Person-centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Disaster Medicine Center, Gothenburg University, 405 30 Gothenburg, Sweden; Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, 413 45 Gothenburg, Sweden; Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 405 30 Gothenburg, Sweden.
Patient education and counseling
|November 4, 2023
概括
医务人员为灾难受害者使用各种各样的道德方法,根据具体情况调整护理. 这项研究为在资源有限的紧急情况下以人为中心的护理提供了道德指南.
科学领域:
- 生物伦理学生物伦理学
- 公共卫生紧急情况 公共卫生紧急情况
- 灾难医学 灾难医学
背景情况:
- 以个人/患者为中心的护理 (PCC) 对全球卫生政策至关重要,但在灾难和公共卫生紧急情况方面未得到充分探索.
- 现有的伦理框架可能无法充分解决紧急情况的复杂性.
研究的目的:
- 在灾难和公共卫生紧急情况中探索各种伦理方法.
- 了解这些方法改善患者护理的优势和挑战.
主要方法:
- 通过Delphi方法论开发的一项22项陈述调查.
- 调查对来自9个国家的39名参与者进行了调查.
- 对调查结果和参与者的评论进行分析.
主要成果:
- 执业者在管理灾难和公共卫生紧急情况的受害者时,利用各种伦理方法的组合.
- 选择方法取决于背景和情况.
结论:
- 伦理方法的选择受到底层病因的性质的影响.
- 当资源和灵活的激增能力可用时,不同的方法可以促进个性化护理.
- 研究结果将为伦理讨论提供信息,并指导制定PCC在资源有限的紧急环境中的指导方针.
相关概念视频
Specialized Care Centers and Settings-I
948
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
948
Specialized Care Centers and Settings-II
734
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
734
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Bystander Effect
9.6K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.6K
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Cardiopulmonary Resuscitation I: Adult
17
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
17


