儿科医疗保健中的关系自主性:一个范围审查
Amarens Matthiesen1,2, Nicole Drumm3, Alison J Gerlach2
1School of Early Childhood Studies, Faculty of Community Services, Toronto Metrpolitan University, Toronto, Ontario, Canada.
Nursing ethics
|September 12, 2025
概括
儿科的关系自主性需要更清晰的定义和操作化. 当前文献往往排除了儿童和护士的观点,特别是来自全球南方的观点,阻碍了整体护理.
科学领域:
- 儿科卫生保健伦理学 儿科卫生保健伦理学
- 在医学的自主权.
- 儿童健康研究 儿童健康研究
背景情况:
- 关系自主性强调决策的社会背景.
- 它为儿科医疗保健过程提供了一个框架,例如共享决策.
- 现有的文献缺乏关于在儿科界定和应用关系自主性的清晰度.
研究的目的:
- 进行关于儿童医疗保健中自主性的关系式方法的文献范围审查.
- 确定关系自主性是如何在这个背景下被概念化和运作化的.
- 通过突出当前文献中的差距来指导未来的研究.
主要方法:
- 范围审查方法 (阿克西和奥马利,乔安娜·布里格斯研究所).
- 在七个数据库中搜索了2004年至2024年间出版的文学作品.
- 包括2895个最初识别的出版物中的28篇文章.
主要成果:
- 不同的术语描述了关系自主,旨在全面的儿童决策.
- 大多数研究都侧重于成年人 (护理人员,提供者) 的观点,低估了儿童和护士的比例.
- 全球南方的背景显示,这些声音的代表特别不足.
结论:
- 进一步的研究对于捕捉各种自主体验至关重要.
- 包括儿童和护士的观点对于道德健全的儿科护理至关重要.
- 需要制定一个更清晰的操作定义的关系自主在儿科是必要的.
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