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台湾的临终决策:医疗保健实践根植于当地文化和法律,这些文化和法律应该根据患者的最大利益进行调整。

End-of-life decision making in Taiwan: healthcare practice is rooted in local culture and laws that should be adjusted to patients' best interests.

机构信息

School of Nursing, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan.

出版信息

J Med Ethics. 2013 Jun;39(6):387-8. doi: 10.1136/medethics-2012-100760. Epub 2012 Jun 7.

DOI:10.1136/medethics-2012-100760
PMID:22679104
Abstract

The observed Taiwanese neonatal professionals' more conservative attitudes than their worldwide colleagues towards end-of-life (EOL) decision making may stem from cultural attitudes toward death in children and concerns about medicolegal liability. Healthcare practice is rooted in local culture and laws; however that should be adjusted to patients' best interests. Improving Taiwanese neonatal professionals' knowledge and competence in EOL care may minimize ethical dilemmas, allow appropriate EOL care decision making, avoid infants' suffering, and ease parents' bereavement grief.

摘要

观察到台湾新生儿科专业人员在临终(EOL)决策方面比全球同行更为保守,这可能源于文化对儿童死亡的态度以及对医疗法律责任的担忧。医疗保健实践根植于当地文化和法律;然而,这应该以患者的最大利益为调整。提高台湾新生儿科专业人员在 EOL 护理方面的知识和能力,可以最大限度地减少伦理困境,做出适当的 EOL 护理决策,避免婴儿遭受痛苦,并减轻父母的丧亲之痛。

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