"患者正在承受压力!" 强迫对比关系自主权
Marie-France McIntee1, Laura Madigan McCown2, Frank Chessa2,3
1Divisions of Palliative Medicine, Maine Medical Center, Portland, Maine, USA.
Journal of palliative medicine
|February 2, 2024
概括
关系自主,专注于相互依赖的决策,不同于传统的自主. 了解这一概念可能有助于临床医生导航复杂的患者选择,并减少道德上的痛苦.
科学领域:
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
- 医学哲学 医学哲学
背景情况:
- 传统的自治强调个人决策,不受外部影响.
- 关系自主性承认个人在决策过程中的相互依赖.
- 患者的选择有时似乎与个人愿望相矛盾,引发了伦理问题.
研究的目的:
- 在临床案例中探索关系自主性的概念.
- 检查适当和强制性家庭影响患者决策之间的区别.
- 了解当患者的决定与表达的愿望相冲突时,临床医生所经历的道德痛苦.
主要方法:
- 案例研究分析.
- 应用道德框架 (关系自主).
- 在临床实践中探索道德痛苦.
主要成果:
- 一个病人的决定似乎与他们声明的愿望相矛盾.
- 该案突出了支持性和强制性家庭影响之间的模两可.
- 调和表达的愿望与实际的决定造成道德痛苦.
结论:
- 应用关系自主镜头可以增强对患者决策的理解.
- 认识到决策中的相互依赖可能有助于临床医生减轻道德痛苦.
- 这项研究表明,需要超越传统自治的细微道德方法.
更多相关视频
05:21Characterization of the Sense of Agency over the Actions of Neural-machine Interface-operated Prostheses
Published on: January 7, 2019
7.9K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
相关概念视频
Ethical Dilemmas I
913
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
913
Ethical Issues
965
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:
965
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Nursing Ethical Principles I
1.4K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
1.4K
Nursing Ethical Principles II
979
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...
979
Nurses' Legal Responsibilities II
712
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
712
