在急诊室分类期间护士的道德判断 - - 一项前性混合多中心研究
Benjamin Pilleron1, Delphine Douillet2, Yoakim Furon3
1Emergency Department, Angers University Hospital, Angers, France.
International emergency nursing
|June 27, 2024
概括
在急诊室 (ED) 的分组护士经常使用道德判断,影响患者的护理. 超过三分之二的患者根据这些标准进行了分组,这导致了治疗差异,并影响了患者管理.
科学领域:
- 医学社会学 医学社会学
- 医疗保健管理的管理
- 护理伦理学 护理伦理学
背景情况:
- 紧急部门 (ED) 使用分拣来优先考虑危急患者并管理过度拥挤.
- 以前的研究表明,护理人员的道德判断会影响EDS的患者护理.
- 在临床实践中确保公平的患者治疗仍然是一个重大挑战.
研究的目的:
- 描述分拣护士在急诊室录取面试期间做出的道德判断.
- 评估这些道德判断对ED环境中的患者管理的影响.
主要方法:
- 在法国三家医院的ED中进行了一项探索性顺序混合方法研究.
- 数据收集涉及503名患者和79名分类护士的音频录音,观察和护士交接报告.
- 分析的重点是确定分拣访谈中的道德判断及其对患者管理的影响.
主要成果:
- 在70%的选情况 (n=351/503) 中表达了道德判断,并分为七种类型.
- 75岁以上,明显残疾或表现出酒精中毒迹象的患者更有可能被评判.
- 经历道德判断与差异性待遇相关,包括改变的分辨分数.
结论:
- 超过三分之二的ED招生涉及由道德标准影响的分类决策.
- 在入院面试期间接受道德判断的患者有更高的接受不同治疗的风险.
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