把病人放在第一位:当家庭护理人员优先考虑对患者的忠诚度而不是系统和自己时. 一个民族学研究的研究
Cecilie Knagenhjelm Hertzberg1, Morten Magelssen2, Anne Kari Tolo Heggestad2
1Faculty of Medicine, Institute of Health and Society, Centre for Medical Ethics, University of Oslo, Gaustadalléen 21, Oslo, 0349, Norway. cecilie.hertzberg@medisin.uio.no.
BMC medical ethics
|September 11, 2024
概括
在挪威,家庭护理工作人员优先考虑患者的福祉,而不是系统规则和个人安全. 这种奉献源于提供有意义的,个性化的护理的愿望,尽管它可以模糊专业界限.
科学领域:
- 医疗保健政策 医疗保健政策
- 老年学是一门学科.
- 医疗保健中的伦理学
背景情况:
- 全球人口老龄化增加了对家庭护理的需求.
- 家庭护理专业人员面临着伦理困境,平衡患者需求与系统约束.
- 挪威的家庭护理服务受到高患者负载和时间压力的挑战.
研究的目的:
- 探索家庭护理人员如何在环境和组织约束中应对道德挑战.
- 了解影响工作人员优先考虑患者护理而不是系统需求的因素.
主要方法:
- 在挪威三个市镇进行了涉及参与者观察的民族学实地研究.
- 与关键信息人员进行深入采访,并与家庭护理工作者聚焦小组.
- 对收集的定性数据进行反思性的专题分析.
主要成果:
- 家庭护理工作人员对患者表现出强烈的忠诚,经常超越正式的护理决策,不顾系统规则.
- 工作人员优先考虑患者的利益,接受个人风险以确保充分的护理.
- 提供信息的人表明,他们致力于提供基于关系的,个性化的护理.
结论:
- 员工对患者的忠诚可以取代遵守系统规则和个人安全,由有意义的工作和道德勇气驱动.
- 在家庭环境中强调灵活性和个性化护理,这给界限定义带来了挑战.
- 在家庭护理中的道德决策是复杂的,受到专业理想和实际约束的影响.
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