一个合作的利益相关方的方法,以减少在住院患者的监禁限制的使用
C Holland McDowell1, Newton E Kendig2
1Georgetown University School of Medicine, Washington, District of Columbia, USA.
概括
大多数被监禁的患者在医院被束,造成伤害. 需要个性化计划来平衡安全和护理,需要医疗保健,纠正和社区利益相关者之间的合作.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 医院经常对从惩戒机构入院的患者使用监护限制.
- 目前的全套安全套协议不论临床需要或特定的公共安全风险,都会适用.
- 不分青红白地使用束带来身体伤害,精神困扰,并使被监禁患者之间的偏见延续.
研究的目的:
- 倡导从全面的监禁限制政策转向个性化患者护理计划.
- 突出非个性化控制使用对患者福祉和安全的有害影响.
- 提出一个合作的利益关方方法,以制定改善的监禁限制的公共政策.
主要方法:
- 这篇观点论文分析了当前医院监护限制的做法.
- 它回顾了不分青红白地使用控制装置对患者健康和尊严的负面影响.
- 它推一个合作的政策制定过程,涉及各种利益相关者.
主要成果:
- 医院的全面限制政策对被监禁的患者造成身体和精神上的伤害.
- 目前的做法未能充分平衡公共安全与患者护理需求.
- 一个个案例分析对于制定有效的,个性化的限制计划至关重要.
结论:
- 医院和惩戒机构必须合作,制定个性化的监禁限制计划.
- 多利益相关方的方法,包括有实践经验的患者,对于政策的发展至关重要.
- 新的政策应该优先考虑患者的治愈,减少伤害和偏见,并确保所有人的安全.
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