违背医疗建议离开:护士应该怎么做?
Joan Marie Walker1, Inmaculada de Melo-Martín
1Joan Marie Walker is administrative director and senior clinical ethicist, Weill Cornell Medicine, Department of Medicine, in New York City, where Inmaculada de Melo-Martín is a professor of medical ethics in the Division of Medical Ethics and the Graduate School of Medical Sciences. Contact author: Joan Marie Walker, jow9033@med.cornell.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|February 20, 2025
概括
护士在医疗建议 (AMA) 退院期间在患者安全方面发挥着至关重要的作用. 这篇论文强调护士.
科学领域:
- 医学伦理 医学伦理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 大约有1-2%的医院出院违背了医疗建议 (AMA).
- 医疗医学院的出院与患者发病率,再入院率和死亡率的增加有关.
- 关于AMA出院的现有讨论主要集中在医生身上,忽视了护理角色.
研究的目的:
- 提高护士对有关AMA出院的道德责任的认识.
- 强调护士在出院规划和患者安全方面的领导作用.
- 倡导护士在确保安全出院时的道德义务.
主要方法:
- 文献综述和伦理分析.
- 检查护理道德准则和专业标准.
- 讨论护士在管理AMA出院的独特地位和专业知识.
主要成果:
- 护士有首要的道德责任,促进患者的福祉,与道德准则保持一致.
- 护士的培训和实践范围使他们能够应对AMA免费挑战.
- 护士处于理想的位置,以减轻与AMA出院相关的风险.
结论:
- 护士有着重要的道德责任,在AMA出院期间确保患者的安全.
- 促进安全出院是符合护理道德的道德义务.
- 提供有针对性的建议可以使护士能够有效地履行这些责任.
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