Gothenburg University, Sweden; Skaraborg Hospital, Sweden.
Nurs Ethics. 2012 Sep;19(5):642-53. doi: 10.1177/0969733011412099. Epub 2011 Dec 2.
When people die suddenly and unexpectedly ethical issues often come to the fore. The aim of the study was to describe experiences of members of stroke teams in stroke units of ethical problems and how the teams manage the situation when caring for patients faced with sudden and unexpected death from stroke. Data were collected through four focus group interviews with 19 team members in stroke-unit teams, and analysed using interpretive content analysis. Three themes emerged from the analysis characterized by information, decisions about care and support for the next-of-kin in the changing and uncertain situation, with mutual trust as the core. Mutual trust, both within the stroke team and with next-of-kin was seen by the stroke-team members as a way of handling ethical problems by administering care with the patient's best interest at heart.
当人们突然而意外地去世时,伦理问题往往会凸显出来。本研究的目的是描述脑卒中团队成员在脑卒中病房中遇到的伦理问题的经验,以及团队在照顾面临因脑卒中突然而意外死亡的患者时如何应对这种情况。通过对脑卒中病房团队中的 19 名团队成员进行的四次焦点小组访谈收集了数据,并使用解释性内容分析进行了分析。分析得出了三个主题,其特点是在不断变化和不确定的情况下,信息、护理决策和对亲属的支持,相互信任是核心。脑卒中团队成员认为,相互信任,无论是在脑卒中团队内部还是与亲属之间,都是通过关心患者的最佳利益来管理护理,从而处理伦理问题的一种方式。