Hart C A
School of Nursing, University of Rochester, New York.
Arch Psychiatr Nurs. 1990 Dec;4(6):370-8. doi: 10.1016/0883-9417(90)90028-j.
This article proposes a deliberative nursing process for ethical decisions about the withdrawal of life-saving treatments from terminally ill patients. It highlights the role of the psychiatric consultation liaison nurse in facilitating this process and the growing need for an expanded nursing role, presents relevant ethical theory and principles, and introduces a paradigm for such ethical decisions. As medical technology and life-saving equipment continue to proliferate, the psychiatric consultation liaison nurse can become increasingly involved in assisting all health care providers in the essential professional role of helping patients and families to make these ethical decisions.
本文提出了一种审慎的护理流程，用于在对晚期患者停止维持生命治疗方面做出伦理决策。文中强调了精神科会诊联络护士在推动这一流程中的作用以及对扩大护理角色的日益增长的需求，介绍了相关伦理理论和原则，并引入了此类伦理决策的范例。随着医疗技术和维持生命设备的不断增加，精神科会诊联络护士在协助所有医疗服务提供者发挥帮助患者及家属做出这些伦理决策的关键专业作用方面，可能会越来越多地参与其中。
