药物使用中的临床危害减少:以伦理为导向的基础和对医院提供者的批评
Nicholas Kontos1,2, Vinod Rao1,2
1Massachusetts General Hospital, Boston, Massachusetts, USA.
Journal of evaluation in clinical practice
|November 29, 2023
概括
在临床环境中减少危害 (HR) 提出了伦理挑战. 解决这些问题需要了解人力资源原则,并应用道德哲学和医学人文学的概念,以改善患者护理.
科学领域:
- 公共卫生 公共卫生
- 临床伦理学 临床伦理学
- 药物使用治疗 药物使用治疗
背景情况:
- 降低物质使用危害 (HR) 已经从公共卫生转移到临床环境,包括医院.
- 医院提供者经常遇到与人力资源干预相关的伦理复杂情况.
- 关于人力资源原则和伦理的现有文献为分析提供了基础.
研究的目的:
- 检查临床减少危害干预产生的伦理挑战.
- 确定这些道德上充满困境的根本原因.
- 提出改善在医疗保健中围绕人力资源的伦理参与和话语的战略.
主要方法:
- 关于减少危害的原则,伦理和临床实施的文献综述.
- 在核心人力资源元素中识别和批评伦理漏洞.
- 探索道德哲学和医学人文学的概念,以告知伦理讨论.
主要成果:
- 人力资源的成功与其公共卫生起源,反耻辱化的使命和灵活性有关.
- 然而,这些因素也可能导致不同意见被视为耻辱驱动,阻碍讨论.
- 伦理哲学和医学人文学科提供了基于患者共同关注的建设性对话的框架.
结论:
- 人力资源的整合到普通医院和临床环境中是有益的,但引入了新的伦理要求.
- 更好地了解人力资源原则及其在医院中的应用至关重要.
- 利用来自人力资源外部的共同基础概念,可以为患有物质使用问题的患者提供富有成效的道德参与.
相关概念视频
Ethical Issues
973
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
973
Healthcare Agencies II
700
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
700
Nursing Ethical Principles II
984
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
984
Specialized Care Centers and Settings-II
729
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...
729
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Ethics and Bioethics
1.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.4K


