当维持生命的干预导致道德痛苦时
1Author Affiliation: The School of Nursing, University of North Carolina Wilmington, Wilmington, NC.
Critical care nursing quarterly
|June 11, 2024
概括
当徒劳的治疗延长痛苦时,医疗保健提供者会经历道德上的痛苦. 医疗保健组织的积极的道德过程可以改善患者的护理,并减少这种痛苦.
科学领域:
- 医学伦理 医学伦理
- 护理伦理学 护理伦理学
- 临床实践 临床实践
背景情况:
- 道德上的困扰对护士和护理团队产生重大影响,特别是当患者接受徒劳的治疗时.
- 延长生命的措施的扩散使得医疗保健的撤回变得复杂,导致提供者冲突和痛苦.
- 美国护理学院协会指出,与无用的护理相关的不适当的生命支持治疗的使用增加了.
研究的目的:
- 探索医疗保健提供者在无效治疗的情况下遇到的伦理挑战和道德困扰.
- 检查道德冲突对患者和护理人员痛苦的影响.
- 在临床实践中倡导积极的道德考虑.
主要方法:
- 案例报告分析了一个被严重殴打的无家可归男子的心脏骤停和复苏.
- 讨论从积极的延长生命的措施与息治疗之间产生的伦理冲突.
- 审查关于组织对道德考虑的方法的研究结果.
主要成果:
- 毫无意义的护理场景中的道德冲突增加了患者和护理人员的痛苦.
- 集成到日常临床实践中的积极的道德过程可以使医疗保健组织受益.
- 早期解决伦理问题可能会改善患者护理结果.
结论:
- 医疗机构应实施早期和例行伦理考虑的流程.
- 对道德冲突采取积极的方法可以减轻医疗保健提供者之间的道德困扰.
- 改善伦理实践可以导致更好的患者护理和减少提供者的痛苦.
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