随着临终病人的旅程 - - 从息治疗医生那里的课程
Lalit Kumar Radha Krishna1,2,3,4,5,6,7,8, Nur Amira Binte Abdul Hamid2, Nicole-Ann Lim1,3
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Asian bioethics review
|July 31, 2025
概括
息护理医生通过在终身护理经历中寻找意义来形成交织的专业身份. 支持系统至关重要,但经常被忽视,强调了早期干预工具的必要性.
科学领域:
- 医学伦理 医学伦理
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 息护理医生因目睹痛苦和死亡而面临道德困扰和情绪疲.
- 专业身份形成 (PIF) 受到医生如何从这些经验中获得意义的重要影响.
- 现有的模型,如人格环理论 (RToP) 和克里希纳-皮苏帕蒂模型 (KPM),可以映射PIF和应对机制.
研究的目的:
- 探索终身病人护理对息护理医生人格的影响.
- 调查医生如何理解和应对息治疗中具有挑战性的经历.
- 评估RToP和KPM在了解医生身份和支持需求方面的作用.
主要方法:
- 在癌症专家中心对13名息护理医生进行了半结构化采访.
- 采用面试成绩单上的内容和主题分析来确定关键经验和领域.
- 利用RToP和KPM框架来分析与身份形成,冲突和支持系统相关的数据.
主要成果:
- 医生的身份是由天生的,个人的,关系的和社会信仰体系塑造的,整合了个人和专业的自我.
- 创造意义和适应文化和专业期望是这些交织在一起的身份所促进的.
- 一个重要的发现是,医生在不断变化的个人,存在和临床因素中,对自己支持需求的认知不足.
结论:
- 息护理医生发展出强大的身份,使他们能够在工作中找到意义.
- 迫切需要对这些医生进行持续的监测和及时,适当的支持.
- 基于RToP的工具和投资组合系统可以帮助检测和直接支持需要的医生.
相关概念视频
Continuing Care
1.6K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.6K
Ethical Dilemmas II
1.3K
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:
1.3K
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
Kubler Ross's Stages of Dying
346
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
346
Nursing Ethical Principles II
1.3K
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...
1.3K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
5.5K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
5.5K


