Duke Cancer Center.
Duke University Health System.
Clin J Oncol Nurs. 2020 Feb 1;24(1):16-18. doi: 10.1188/20.CJON.16-18.
Moral distress experienced by staff has been well documented in the intensive care work areas, but less described in oncology nursing. Factors that contribute to moral distress include ethical dilemmas, mismatched goals of care among patients and their families and providers, and perceptions of futility of care. This article describes recognizing the risk of moral distress in a newly formed medical-surgical oncology unit and steps taken to mitigate developing moral distress, illustrating that moral distress is present in oncology nursing and warrants further study.
在重症监护工作领域,工作人员所经历的道德困境已经得到了充分的记录,但在肿瘤护理领域却描述得较少。导致道德困境的因素包括伦理困境、患者及其家属和提供者之间的护理目标不匹配,以及对护理无效的看法。本文描述了在新成立的肿瘤内科病房中识别道德困境的风险,以及为减轻道德困境而采取的措施,说明道德困境存在于肿瘤护理中,值得进一步研究。