负面同情心的伦理挑战:生命终点护理中的过度同情如何影响决策和患者自主权
Victoria Pérez-Rugosa1, Gina Lladó-Jordan2, Pablo de Lorena-Quintal3
1Victoria Pérez-Rugosa, RN, MSN , is head nurse, Geriatric Nursing Research Group, CR Santa Lucía, Madrid, Spain.
概括
在终身护理中过度的同情心会导致情绪过重,妨碍患者的自主权和护理人员的福祉. 医疗机构需要政策来支持员工的弹性和道德决策.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生物伦理学生物伦理学
- 护理研究 护理研究
背景情况:
- 负面的同情心,或者过度的同情心导致情绪过重,在终身护理中提出了道德挑战.
- 了解它对医疗保健专业人员的影响对于以患者为中心的护理至关重要.
研究的目的:
- 探索负面同情如何影响遵守预先指令.
- 调查其对长期护理医疗保健专业人员道德决策的影响.
主要方法:
- 定性现象学研究. 定性现象学研究.
- 在西班牙和意大利的6个长期护理机构进行.
- 利用了8个重点小组和9个深入采访,对105名医疗保健专业人员进行了深入采访.
主要成果:
- 出现了三个关键主题:决策/情绪过载,个人信仰与职业职责之间的冲突,以及制度上的障碍.
- 过度的情绪参与可能会阻碍预先指示的执行,可能会损害患者的自主权.
- 护理人员的痛苦增加,突出了需要机构支持的需要.
结论:
- 医疗机构需要推行促进情绪弹性,汇报和道德培训的政策.
- 基于正念的干预措施可以帮助护理人员在情绪调节和保持职业诚信方面发挥作用.
- 调查结果为支持工作人员提供指导,并支持生命末期环境中的以患者为中心的护理.
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