关于监禁机构中双重忠诚冲突的叙述性审查以及对社区实践的影响
Michelle Suh1, Marc David Robinson2, Holland Kaplan3
1Assistant professor in the Department of Emergency Medicine at Brown University, Providence, United States.
Health and human rights
|January 15, 2026
概括
医疗保健专业人员 (HCP) 在监护环境中治疗患者时面临双重忠诚冲突. 通过教育和意识来理解和解决这些冲突可以改善患者护理并减轻负面影响.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 卫生法 法律 卫生法
背景情况:
- 双重忠诚困境源于患者护理和第三方利益之间的矛盾义务.
- 这些冲突在监狱和拘留中心等监禁环境中尤为明显.
- 在社区环境中,医疗保健专业人员 (HCP) 往往缺乏有关被拘留患者的充分知识和培训.
研究的目的:
- 审查医疗保健人员在监狱环境中面临的双重忠诚冲突.
- 将确定的主题应用于关押患者的社区医院.
- 确定双重忠诚冲突的共同主题和缓解策略.
主要方法:
- 一篇关于监禁患者和双重忠诚的原始论文的叙事评论.
- 进行了数据库搜索,以确定相关文献.
- 关键主题,发现和冲突的特征被抽象.
主要成果:
- 确定了五种竞争中的忠诚类别:机构,法律,道德,社会和个人.
- 主题包括保留护理,提供针对患者拒绝的干预,侵犯隐私,非临床干预和不准确的文件.
- 缓解策略包括人权教育,改善患者沟通,提高临床医生的政策意识.
结论:
- 在全球范围内,双重忠诚冲突在监护机构的患者护理中很普遍.
- 这些冲突可能会对患者护理产生负面影响.
- 实施缓解策略可以减少双重忠诚冲突对患者护理的影响.
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