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造血干细胞移植中的父系错认:医疗服务提供者的作用。

Misattributed paternity in hematopoietic stem cell transplantation: the role of the healthcare provider.

作者信息

Jacobson Stephanie, Eggert Julie, Deluca Jane, Speckhart Dawn

机构信息

Blood and Marrow Transplant Group of Georgia at Northside Hospital Cancer Institute, Atlanta, GA.

School of Nursing, Clemson University, Clemson, SC.

出版信息

Clin J Oncol Nurs. 2015 Apr;19(2):218-21. doi: 10.1188/15.CJON.218-221.

DOI:10.1188/15.CJON.218-221
PMID:25840388
Abstract

BACKGROUND

With emerging technologies and genetic advancements in the field of oncology, ethical controversies and questions on how to approach them will continue to grow. Advancements in the field of hematopoietic stem cell transplantation have led to increased testing of transplantation recipients' children and parents as potential donors related to an increase in the use of haploidentical transplantations. This testing opens the door for an increased incidence of misattributed paternity findings.

OBJECTIVES

This article attempts to address the ethical conflicts and provide potential solutions to assist in the transition from individual-focused care to family-focused care.

METHODS

The principlist approach was used.

FINDINGS

Healthcare providers should be educated on methods of incidental finding disclosure and how to provide adequate support for those individuals.

摘要

背景

随着肿瘤学领域新兴技术和基因研究的进展,关于如何应对这些技术的伦理争议和问题将持续增加。造血干细胞移植领域的进展导致对移植受者的子女和父母作为潜在供体的检测增多,这与单倍体相合移植使用的增加有关。这种检测为父子关系认定错误的发生率上升打开了大门。

目的

本文试图解决伦理冲突,并提供潜在的解决方案,以帮助从以个体为中心的护理向以家庭为中心的护理过渡。

方法

采用原则主义方法。

结果

应教育医疗保健提供者有关偶然发现披露的方法,以及如何为这些人提供充分的支持。

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