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护理伦理决策关于成人身体限制:一个范围审查
Vanessa Sofia Jorge Cortinhal1, Ana Sofia Castro Correia2, Sérgio Joaquim Deodato Fernandes3,4
1Centro Hospitalar Barreiro Montijo, EPE, Institute of Health Sciences, Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal.
International journal of environmental research and public health
|January 22, 2024
概括
本综述绘制了关于护理伦理决策的知识,用于住院成年人的身体克制. 它强调了影响这些决定的因素,强调了其中的伦理和法律复杂性.
科学领域:
- 护理伦理学 护理伦理学
- 生物伦理学生物伦理学
- 医疗保健法律 医疗保健法律
背景情况:
- 身体克制,一种限制患者运动的方法,在医疗保健环境中提出了重大的伦理挑战.
- 身体克制的患病率和伦理影响因临床环境和患者病理学而有很大差异.
- 现有的护理伦理决策知识在身体限制需要全面的映射和分析.
研究的目的:
- 系统地绘制有关护理伦理决策的现有知识,在住院成年人身体限制的背景下.
- 通过文献审查,分析和讨论成人患者护理中的身体限制的伦理和法律层面.
主要方法:
- 采用了一个系统的三步搜索策略,遵循乔安娜·布里格斯研究所 (JBI) 的指导方针.
- 在主要的数据库中进行了搜索,包括CINAHL,MEDLINE,护理和相关健康收集,Cochrane图书馆,RCAAP和谷歌学者.
- 数据的提取和分析涉及两个独立的审稿人,他们根据预定义的纳入标准评估了18篇选定的文章.
主要成果:
- 18篇文章符合纳入标准,重点关注住院成年人的身体克制和道德决策.
- 影响护理伦理决策的关键因素包括决策后果,上下文因素,决策复杂性,伦理原则和普遍价值观.
- 有关成人身体克制的护理伦理决策存在大量的知识,将其确定为一个复杂的伦理问题.
结论:
- 该审查证实了有关成人体力限制的护理伦理决策的广泛知识.
- 身体克制被认为是一种道德上充满负荷的做法,有许多潜在的假设和考虑.
- 需要进一步研究,以解决法律观点,并应对与身体约束相关的多方面的伦理问题.
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