手术室的伦理:一个系统的审查
Kari Milch Agledahl1,2, Reidar Pedersen3
1Department of Surgery and Orthopaedics, Finnmark Hospital Trust, Hammerfest, Norway. kari.agledahl@uit.no.
BMC medical ethics
|November 10, 2024
概括
大多数外科伦理研究都忽略了手术室的做法. 本次审查强调了需要更多关于OR内伦理困境的研究,例如患者自主权和外科医生的责任.
科学领域:
- 医学伦理 医学伦理
- 在外科手术实践中.
- 系统审查是系统的审查.
背景情况:
- 由于患者的脆弱性,手术涉及固有的伦理考虑.
- 手术伦理学领域在医学伦理学中相对较新.
- 很少有研究集中在手术室内发生的伦理问题上.
研究的目的:
- 系统地审查有关外科伦理的科学出版物.
- 确定这些出版物中涉及手术室活动的比例.
- 探索在以手术室为重点的文学中讨论的具体伦理问题.
主要方法:
- 在Medline和Embase数据库中进行系统搜索.
- 使用一个PICO模型的关键词:"手术"",道德"和"手术室".
- 对108项纳入研究的数据提取和分析进行主题综合.
主要成果:
- 只有不到2%的外科伦理学出版物专注于在手术室的活动.
- 八个主要主题出现了:DNR命令,重叠手术,器官捐赠,手术直播,录像,通信,新技术和耶和华见证人的拒绝血液.
- 这八个主题占分析论文的三分之二.
结论:
- 关于手术室实践的伦理,在文献中存在很大的差距.
- 进一步的研究对于解决手术室内伦理挑战至关重要.
- 经常出现的伦理主题包括患者自主权,技术影响,权益平衡,非人性化和外科医生的责任.
相关概念视频
Ethical Issues
856
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:
856
Ethical Dilemmas I
846
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...
846
Ethical Dilemmas II
937
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:
937
Psychosurgery
46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46
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
Nursing Ethical Principles II
922
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...
922


