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实践中的尊严:西欧重症监护病房的日常生活

Dignity in Practice: Day-to-Day Life in Intensive Care Units in Western Europe.

作者信息

Koksvik Gitte H

机构信息

a Department of Social Anthropology , Norwegian University of Science and Technology , Trondheim , Norway.

出版信息

Med Anthropol. 2015;34(6):517-32. doi: 10.1080/01459740.2015.1037391. Epub 2015 Jun 24.

DOI:10.1080/01459740.2015.1037391
PMID:26106928
Abstract

Dignity is a key concept in contemporary health care ethics, but the practical meaning of dignity in care remains unclear. In this article, I show that in practice, different and possibly conflicting notions of what dignity means are engaged simultaneously in the care of critical patients. The empirical data is based on ethnographic fieldwork conducted in three separate intensive care units in three European countries, Spain, Norway, and France, in the spring of 2014. Four weeks were spent at each site. Using participant observations and semi-structured interviews with 24 intensive care unit staff, I illustrate how the ideal of patient dignity is carried out in practice in the daily life of these units.

摘要

尊严是当代医疗伦理中的一个关键概念,但尊严在护理中的实际意义仍不明确。在本文中,我指出,在实践中,对于尊严意味着什么,不同的、甚至可能相互冲突的观念在危重症患者的护理中同时存在。实证数据基于2014年春季在欧洲三个国家(西班牙、挪威和法国)的三个独立重症监护病房进行的人种志田野调查。在每个地点都花费了四周时间。通过参与观察以及对24名重症监护病房工作人员进行半结构化访谈,我阐述了患者尊严的理想在这些病房的日常生活中是如何在实践中得以实现的。

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