DeWolf Bosek Marcia Sue, Jannette Jessica, Rambur Betty
Author Affiliations: Department of Nursing, The University of Vermont, Burlington.
JONAS Healthc Law Ethics Regul. 2013 Oct-Dec;15(4):135-9. doi: 10.1097/NHL.0000000000000017.
Patient-directed dying (PDD) will be an increasingly common issue faced by healthcare professionals. Nevertheless, few studies have explored nurses' attitudes toward PDD. This pilot project sets out to fill the gap regarding nurses' attitudes and values regarding PDD and perceptions of consistency or inconsistency with the American Nurses Association (2001) Code of Ethics for Nurses With Interpretive Statements (The Code). Thirteen subjects self-selected from a population of registrants attending a national ethics conference by completing an anonymous descriptive survey. The majority of subjects noted that their personal and professional values related to PDD are in agreement (regardless of their specific position). The subjects were divided on whether PDD is ethically consistent with The Code. Despite being unsure if PDD is ethically consistent with The Code, these nurses found relief of suffering to be a more compelling rationale for PDD over patient autonomy. This study offers insight into key social and professional issues in which further research is needed and offers many avenues for further investigation.
患者自主死亡（PDD）将成为医疗保健专业人员日益常见的问题。然而，很少有研究探讨护士对PDD的态度。这个试点项目旨在填补关于护士对PDD的态度和价值观以及与美国护士协会（2001年）《护士伦理守则及解释性声明》（《守则》）一致性或不一致性认知方面的空白。13名受试者通过完成一份匿名描述性调查问卷，从参加全国伦理会议的注册人群中自行选择。大多数受试者指出，他们与PDD相关的个人和职业价值观是一致的（无论其具体立场如何）。受试者在PDD在伦理上是否与《守则》一致的问题上存在分歧。尽管不确定PDD在伦理上是否与《守则》一致，但这些护士认为减轻痛苦是支持PDD比患者自主权更有说服力的理由。这项研究为需要进一步研究的关键社会和专业问题提供了见解，并为进一步调查提供了许多途径。
