Kocaeli University, 41380 Kocaeli, Turkey.
Nurs Ethics. 2010 Jan;17(1):87-98. doi: 10.1177/0969733009349992.
The aim of this study was to assess the opinions and role of intensive care unit (ICU) nurses regarding the distribution of ICU beds. We conducted this research among 30% of the attendees at two ICU congresses in Turkey. A self-administered questionnaire was used, which included 13 cases and allocation criteria. Of the total (136 nurses), 53.7% participated in admission/discharge decisions. The most important criterion was quality of life as viewed by the physician; the least important was the patient's social status. According to the findings, the nurses thought that medical benefit and avoiding discrimination were important. On the other hand their ignorance of patients' autonomous preferences arouses suspicions about these nurses' role in advocating for patients' rights. For this reason, nurses' role in allocation decisions should be clearly described and should also be the basis on which intensive care nurses' duties in allocation decisions should be determined.
本研究旨在评估重症监护病房（ICU）护士对 ICU 床位分配的意见和作用。我们在土耳其的两次 ICU 大会中抽取了 30%的与会者进行了这项研究。使用了一份自我管理的问卷，其中包括 13 个案例和分配标准。在总共（136 名护士）中，有 53.7%的人参与了入院/出院决策。最重要的标准是医生对生活质量的看法；最不重要的是患者的社会地位。根据研究结果，护士认为医疗效益和避免歧视很重要。另一方面，他们对患者自主意愿的无知引起了对这些护士在倡导患者权利方面的作用的怀疑。因此，应该清楚地描述护士在分配决策中的作用，并且应该以此为基础确定重症监护护士在分配决策中的职责。
