将父母的价值观纳入复杂的儿科和围产阶段决策中
Rosa Geurtzen1, Dominic J C Wilkinson2
1Amalia Children's Hospital, Radboud Institute of Healthcare Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
The Lancet. Child & adolescent health
|January 14, 2024
概括
将父母的价值观纳入儿科医疗决策至关重要. 医疗保健提供者和家长必须合作,以澄清和整合这些价值观,以以儿童为中心,价值一致的选择.
科学领域:
- 儿科伦理学 儿科伦理学
- 医疗决策 - - 医疗决策
- 以家庭为中心的护理
背景情况:
- 将父母的价值观纳入复杂的儿科医疗决策是一项挑战.
- 孩子太小,无法表达偏好,需要基于价值的决策.
- 伦理复杂性和不确定性围绕着这些决定.
研究的目的:
- 探索将父母价值观纳入儿科和围产阶段决策的意义和过程.
- 提供有关文献的叙事概述.
- 为临床实践提供建议.
主要方法:
- 对儿科,伦理学和医疗决策文献的叙述性审查.
- 专注于为幼儿做出基于价值观和道德上的复杂决策.
- 解释关键概念,定义和挑战.
主要成果:
- 受到全球和外部因素影响的父母价值观,指导着以儿童和家庭为中心的选择.
- 决策背景可能导致不稳定或缺失值,需要构造.
- 父母和医疗保健专业人员之间的合作价值澄清是必不可少的.
结论:
- 共享决策和开放的沟通对于价值一致的选择至关重要.
- 沟通和共享决策方面的培训可以改善价值融入.
- 个性化,以价值为基础的决策支持儿童和家庭的福祉.
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