从护士的角度探讨重症监护临床研究中的道德困境:一项定性研究
Atte Kukkurainen1, Tapani Keränen2, Matti Reinikainen2
1Tampere University of Applied Sciences, Tampere, Finland.
Scandinavian journal of caring sciences
|March 24, 2025
概括
重症监护病房 (ICU) 护士认为重症监护病房的研究是道德上复杂的,平衡潜在的患者利益与风险和自主权的损害. 在弱势群体中偏离知情同意带来了道德挑战.
科学领域:
- 关键护理医学 关键护理医学
- 生物伦理学生物伦理学
- 护理研究研究护理研究
背景情况:
- 重症监护室 (ICU) 的研究涉及无法提供知情同意的重症患者.
- 这与标准的研究实践背道而,并为护士带来道德挑战.
研究的目的:
- 探索重症监护护士对在ICU进行研究的伦理维度的观点.
- 了解参与ICU临床研究的护士所面临的道德困境.
主要方法:
- 定性研究涉及11名经验丰富的ICU护士的半结构面试.
- 使用主题演分析来分析采访数据.
主要成果:
- 护士认为ICU研究对于推动未来的患者护理至关重要.
- 确定的伦理困境包括患者自主权受到损害,平衡有益性和有害性,并根据预期结果证明研究是合理的.
- 认可了诸如失去自主权和代理决策问题等后果.
结论:
- 人们认为ICU研究在伦理上是模两可的,对潜在的好处与危害和丧失自主权进行权衡.
- 这种研究的理由往往依赖于对患者或社会预期的积极结果.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
8.7K
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.1K
相关概念视频
Ethical Issues
833
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:
833
Ethical Dilemmas I
781
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...
781
Ethical Dilemmas II
872
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:
872
Nursing Ethical Principles II
898
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...
898
Ethical Standards I
765
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
765
Nursing Code of Ethics
2.1K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
2.1K
