临界空间:对18-26岁患者的伦理咨询进行回顾性内容分析
Samantha Lyons1, George E Freigeh2, Kelly A Matula3
1Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon.
概括
医疗保健中年轻成年人 (18-26岁) 的伦理问题在成人和儿科环境之间有所不同. 了解发展需求可以改善这个年龄组的伦理咨询.
科学领域:
- 医学伦理 医学伦理
- 医疗保健决策 - - 医疗保健决策
- 青少年和年轻人的医学
背景情况:
- 18-26岁的患者代表了一个独特的人口统计学导航医疗保健过渡.
- 伦理咨询对于解决患者护理中的复杂伦理困境至关重要.
- 了解特定环境的伦理挑战对于这个年龄组至关重要.
研究的目的:
- 描述18-26岁患者的伦理咨询的主要伦理问题和上下文特征.
- 为了比较这些成人和儿科护理环境之间的伦理考虑.
主要方法:
- 追溯审查965个伦理咨询笔记 (2016-2020年).
- 在成人 (30) 和儿科 (16) 设置中,确定了46个18-26岁患者的咨询.
- 概念内容分析和描述性统计数据被用来识别伦理问题和上下文特征.
主要成果:
- 在成人环境中,主要的伦理问题是拒绝推治疗 (20%).
- 工作人员与患者之间的争议/冲突在成人环境中占主导地位 (23%).
- 护理目标 (31%) 是儿科环境中主要的伦理问题,而生活质量问题 (31%) 是主导的上下文特征.
结论:
- 对于年轻成年人 (18-26岁) 来说,主要的伦理问题和上下文特征根据护理环境有很大差异.
- 需要更好地了解青少年和年轻人的发展,以应对这些挑战.
- 推模式表明,对于这一群体,需要增加对伦理服务的教育.
相关概念视频
Ethical Dilemmas I
871
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...
871
Ethical Issues
898
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:
898
Ethical Dilemmas II
985
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
985
Ethics and Bioethics
1.3K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.3K
Ethics in Research
23.0K
Today, scientists agree that good research is ethical in nature and is guided by a basic respect for human dignity and safety. However, this has not always been the case. Modern researchers must demonstrate that the research they perform is ethically sound.
23.0K
Nursing Ethical Principles II
948
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...
948


