关键护理护士在终身护理中的伦理挑战的经验
Lena Palmryd1,2, Åsa Rejnö3,4,5, Anette Alvariza1,6
1Marie Cederschiöld University.
Nursing ethics
|May 22, 2024
概括
重症监护护士在重症监护中面临着伦理困境,特别是关于维持生命的治疗,疼痛管理和患者/家庭的愿望. 解决这些挑战对于富有同情心的终身护理至关重要.
科学领域:
- 医学伦理 医学伦理
- 关键护理护理 关键护理护理
- 在生命末期的护理.
背景情况:
- 瑞典重症监护室 (ICU) 的9%的患者,尽管得到了先进的治疗,却无法生存.
- 在ICU中终身护理对医疗保健专业人员来说,提出了重要的伦理考虑.
研究的目的:
- 探讨重症护理护士所面临的伦理挑战.
- 专注于在重症监护室 (ICU) 背景下对生命末期护理的关注.
主要方法:
- 使用解释性描述性设计的定性方法.
- 采访了瑞典一个城市地区八个ICU的20名重症监护护士.
主要成果:
- 护士面临的伦理挑战是,对预后不佳的患者进行持续维持生命的治疗.
- 给予可能加速死亡的止痛药物存在道德上的困境.
- 患者/家庭在治疗中断或信息披露方面的矛盾愿望带来了挑战.
- 在平衡器官保存与患者对潜在器官捐献者的尊严时,出现了伦理考虑.
结论:
- 重症护理护士在终身护理中遇到多方面的伦理挑战.
- 关键问题包括管理维持生命的治疗方法,缓解疼痛,患者自主权和器官捐献.
- 解决这些道德挑战对于提供以人为中心,富有同情心的护理和支持家庭至关重要.
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