多专业临床医生对ICU协助死亡的知识,态度和实践:一个范围审查
Luke Costello1, Brigitta Fazzini2
1Intensive Care Medicine, St Bartholomew Hospital, Barts Health NHS Trust, London, United Kingdom; William Harvey Research Institute, Barts and The London School of Medicine & Dentistry, Queen Mary University of London, United Kingdom.
Intensive & critical care nursing
|April 4, 2025
概括
重症监护室 (ICU) 的临床医生对辅助死亡的知识和态度各不相同,整体熟悉度较低. 在实践中,实践就是实践.
科学领域:
- 临界护理医学 临界护理医学
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
背景情况:
- 重症监护病房 (ICU) 面临着关于终身护理干预措施的持续辩论.
- 尽管国际法律扩展,重症监护机构的辅助死亡实践仍然不清楚.
研究的目的:
- 评估ICU临床医生关于辅助死亡的知识,态度和国际实践.
- 了解临床医生在临床护理背景下对辅助死亡的看法.
主要方法:
- 在PubMed,Embase和CINAHL进行了系统的文献搜索.
- 包括从2002年起的研究,重点关注ICU中协助死亡的知识,态度或做法.
- 使用了定性数据合成,遵守PRISMA-Scoping指南.
主要成果:
- 临床医生对辅助死亡的了解通常很低,对其模式的理解不一致.
- 临床医生对辅助死亡的态度差异很大,报告的支持率从23.6%到76.5%.
- 在ICU中协助死亡的实际做法很少被测量,尽管注意到了合法和秘密干预的证据.
结论:
- 临床医生表现出对辅助死亡的异质知识和态度,对整体熟悉程度有限.
- 在ICU中协助死亡的作用和发生率仍然存在争议,需要进一步调查.
- 了解临床医生的经验对于制定支持性策略和确保安全,尊重生命终端护理至关重要.
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