Stone J
School of Health, University of Greenwich, London, UK.
Complement Ther Nurs Midwifery. 1999 Apr;5(2):46-50. doi: 10.1016/s1353-6117(99)80054-7.
Increasing numbers of health professionals are incorporating complementary and alternative (CAM) therapies into their work. Nurses, in particular, are embracing CAM techniques, which may fit well within their philosophy of care for their patients and which may, instinctively, be more holistic than the approach of their medical counterparts. Patients, who may be distillusioned with conventional approaches to treatment, appear to express high levels of satisfaction in receiving these therapies and nurses clearly enjoy giving them. Beyond patient preference for CAM therapies though, there is still a paucity of clinical evidence to support the wider integration of CAM into the NHS. This article focuses on some of the ethical and legal considerations raised by nurses who employ, or are considering employing, CAM techniques as part of their NHS work, looking, in particular, at the need to ensure patient safety whilst at the same time protecting nurses from criticism or censure.
越来越多的健康专业人员将补充和替代医学(CAM)疗法融入到他们的工作中。特别是护士,正在接受CAM技术,这些技术可能与他们照顾患者的理念非常契合,而且本能地可能比医学同行的方法更具整体性。那些可能对传统治疗方法感到失望的患者,似乎对接受这些疗法表达了高度的满意,而护士们显然也乐于提供这些疗法。然而,除了患者对CAM疗法的偏好之外,仍然缺乏临床证据来支持将CAM更广泛地整合到英国国家医疗服务体系(NHS)中。本文重点关注了在NHS工作中使用或考虑使用CAM技术的护士所引发的一些伦理和法律问题,尤其关注确保患者安全的必要性,同时保护护士免受批评或指责。