是什么阻碍了"活着的遗嘱"的制作? 基于利益相关者的观点进行的定性研究
Meijing Cheng1, Longwen Fu2, Xiang Qiu1
1Health and Social Care Research Center, School of Nursing, Jinan University, Guangzhou, China.
Patient education and counseling
|June 18, 2025
概括
活着的遗嘱 (LWs) 面临实施挑战,原因是有限的认识和利益相关者的参与. 提高公众的理解和开发预先护理计划 (ACP) 模型对于患者的自主性至关重要.
科学领域:
- 医学伦理 医学伦理
- 卫生法 法律 卫生法
- 卫生社会学 卫生社会学
背景情况:
- 生活遗嘱 (LWs) 是法律文件,概述了终身治疗偏好.
- 当前的医疗法规在LW实施方面存在复杂性.
- 多样化的利益相关者观点对于理解LW挑战至关重要.
研究的目的:
- 根据当前的医疗法规,分析生活遗嘱 (LWs) 的挑战和复杂性.
- 检查利益相关者对亚洲和全球环境中的LW实施的观点.
- 提供以证据为基础的策略,以改善LW的实施.
主要方法:
- 使用半结构面试进行现象学研究.
- 在中国深召开,与36个不同的利益相关者 (2023年7月至2024年7月).
- 采用混合雪球-有目的的采样策略,并使用快速定性分析和Colaizzi的方法分析数据.
主要成果:
- 确定了各种利益相关者在LW制造过程中的关键紧张关系.
- 三个新兴的主题是:"在哪里做LWs" (医院外/内),"什么时候做LWs" (太早/太晚),以及"谁参与" (家庭/医务人员角色).
- 揭示了患者自主权的立法目标与实际LW实施之间的差异.
结论:
- 有限的公众意识需要死亡教育计划.
- 标准化的多学科沟通模式,如提前护理计划 (ACP),是必不可少的.
- 优先提高公众对LW和ACP的理解,保护患者的自主权,并完善法规以与文化背景保持一致.
相关概念视频
Ethical Issues
1.2K
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:
1.2K
Standards of Care II
732
Nurses bear specific legal responsibilities under several federal statutes, including:
732
Ethical Dilemmas II
1.4K
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:
1.4K
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Ethics and Bioethics
1.6K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.6K
Nursing Ethical Principles II
1.4K
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...
1.4K


