在循环死亡后进行捐献时应对道德挑战:护士的观点
Emilie Gripewall1,2, Janet Mattsson3,4,5, Lisbeth Fagerström1
1Faculty of Science and Engineering, Department of Natural and Health Sciences, Åbo Akademi University, Vaasa, Finland.
Nursing ethics
|March 10, 2026
概括
由于程序不清楚,培训有限,重症监护护士在循环死亡后的受控捐赠 (cDCD) 中面临道德挑战. 加强伦理意识,培训和沟通对于伦理可持续的器官捐赠实践至关重要.
科学领域:
- 医学伦理 医学伦理
- 护理实践 护理实践
- 器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐赠器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器官捐献器
背景情况:
- 循环死亡后的受控捐赠 (cDCD) 在器官捐赠方面提出了伦理挑战.
- 现有的研究主要涉及医疗方面,忽视了重症监护护士的伦理反思.
- 在了解护士在cDCD期间遇到道德困境的经历方面存在差距.
研究的目的:
- 在cDCD过程中探索重症监护护士在cDCD过程中面临的伦理挑战.
- 调查生命维持治疗,停药和器官捐献的伦理考虑.
- 了解护士对cDCD的伦理界限的看法.
主要方法:
- 带有诱导方法的定性设计.
- 用于数据收集的关键事件技术.
- 采访了两个瑞典ICU的五名经验丰富的重症监护护士.
主要成果:
- 确定了五个主题:道德界限,自主,情感存在,不确定性管理和专业间沟通.
- 伦理挑战源于不清楚的程序,有限的培训和分散的沟通.
- 结构化的指导方针和协会支持被发现可以增强道德一致性.
结论:
- 循环死亡后的受控捐赠 (cDCD) 需要平衡道德,专业和情感方面.
- 组织必须加强道德意识,结构化培训和专业间沟通,以实现可持续实践.
- 整合生物医学和护理伦理对于患者的自主权,家庭的支持和医疗保健专业人员的信心至关重要.
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