虚拟手术：直面这一问题及解决方法

Ghost Surgery: A Frank Look at the Issue and How to Address It.

作者信息

Dunn Debra

出版信息

AORN J. 2015 Dec;102(6):603-13; quiz 614-6. doi: 10.1016/j.aorn.2015.10.003.

DOI:10.1016/j.aorn.2015.10.003

Abstract

Ghost surgery occurs when a physician assistant, a surgical assistant, an RN first assistant, a resident, or another surgeon assists on or performs an operative or other invasive procedure without the patient's knowledge, regardless of whether the surgeon who obtained the consent was scrubbed in or not. This practice denies patients important information, eliminates their ability to provide informed consent, and represents an ethical issue that nurses must deal with when working with peers and patients. The American Nurses Association developed the Code of Ethics for Nurses to help guide nursing practice, and the provisions within the code embody the ethical issues that should guide nurses' practice in advocating for patients.

摘要

“幽灵手术”是指医师助理、手术助手、注册护士第一助手、住院医师或其他外科医生在患者不知情的情况下协助进行或实施手术或其他侵入性操作，无论获得患者同意的外科医生是否参与手术。这种做法剥夺了患者的重要信息，使其丧失了提供知情同意的能力，并且代表了护士在与同行和患者合作时必须面对的一个伦理问题。美国护士协会制定了《护士伦理守则》以指导护理实践，该守则中的条款体现了在倡导为患者发声时应指导护士实践的伦理问题。