儿科护士如何构建非披露指令的伦理
Mandy Mervat El Ali1,2,3, Jenny O'Neill1,2, Lynn Gillam1,2
1The Royal Children's Hospital.
Nursing ethics
|June 14, 2025
概括
护士们认为,重病儿童应该知道他们健康状况的真相. 然而,当父母指示他们不要披露信息时,他们面临道德挑战,强调需要支持和纳入决策.
科学领域:
- 儿科护理 儿科护理
- 生物伦理学生物伦理学
- 儿童倡导活动
背景情况:
- 成人护理中的保密指令引发了关于患者自主权的伦理问题.
- 拒绝向儿童提供信息带来了独特的伦理挑战,现有的文献较少.
- 护士在倡导儿童权利和最佳利益方面发挥着关键作用.
研究的目的:
- 为了探索护士的经验和态度对真相说话与严重疾病的孩子.
- 了解护士在被指示不向儿科患者披露信息时如何感知和应对道德困境.
- 调查护士在儿科护理中的保密指令所面临的伦理挑战.
主要方法:
- 解释性的现象学方法.
- 通过对澳大利亚26名护士进行半结构面试收集的数据.
- 参与者在过去5年内照顾了患有严重疾病的住院儿童.
主要成果:
- 出现了四个关键主题:"说谎是错误的"",孩子应该知道"",当孩子不知道时,对我们来说很难",以及"我们不应该告诉".
- 护士们表达了对诚实和儿童了解其医疗状况的重要性的信念.
- 参与者描述了保密指令对其患者护理实践的影响.
结论:
- 护士们主张诚实,但当父母指令不同时,他们觉得无法发起说实话.
- 对面对这些具有挑战性的情况的护士来说,建议提供道德支持和纳入决策过程.
- 加强护士在儿科非披露的伦理复杂性上进行导航的能力,对于维护儿童权利至关重要.
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