概括
大多数患者更喜欢让医生和护理人员参与医疗决策,重视护理而不是患者的独立权. 这种方法承认人类的依赖性和护理人员的关键劳动.
科学领域:
- 生物伦理学生物伦理学
- 医疗决策 - - 医疗决策
- 关于残疾人的研究.
背景情况:
- 当前的医疗决策模式往往优先考虑患者的自主权.
- 这可能会忽视护理人员的重要作用和人类依赖的现实.
- 有能力的倾向可以使护理人员在医疗保健讨论中看不见.
研究的目的:
- 为了争辩医疗决策模型围绕护理的概念重新定位.
- 分析支持患者,医生和护理人员共同决策的经验证据.
- 在生物伦理学中探索以护理为中心的模型的规范性影响.
主要方法:
- 评论回应有关关系医学决策的现有文献.
- 对患者在治疗选择中的偏好进行经验研究的分析.
- 将残疾人生物伦理原则应用于医疗决策.
主要成果:
- 经验研究表明,大多数患者更喜欢由医生指导或协作决策.
- 患者经常让护理人员参与,并在治疗决策中考虑家庭的负担.
- 一个以护理为中心的模型更好地反映了实际的决策实践,并验证了依赖.
结论:
- 医疗决策应该以护理为重点,而不仅仅是患者的自主权.
- 承认人类的依赖和照顾者的道德意义是必不可少的.
- 一个以护理为中心的模式验证了护理人员的工作,并促进了更具包容性的医疗保健实践.
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