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本文引用的文献

1
Impact of the Nursing and Midwifery Council (2018) future nurse: Standards of proficiency for registered nurses on children's nursing curriculum - A cross-sectional study.护理及助产士管理局(2018年)《未来护士:注册护士专业能力标准》对儿童护理课程的影响——一项横断面研究
Nurse Educ Today. 2024 Sep;140:106284. doi: 10.1016/j.nedt.2024.106284. Epub 2024 Jun 7.
2
To What Extent Does Clinically Assisted Nutrition and Hydration Have a Role in the Care of Dying People?在临终关怀中,临床辅助营养和水合作用的作用有多大?
J Palliat Care. 2020 Oct;35(4):209-216. doi: 10.1177/0825859720907426. Epub 2020 Mar 4.
3
The Liverpool Care Pathway for the Dying Patient: a critical analysis of its rise, demise and legacy in England.《利物浦临终关怀路径:对其在英格兰的兴起、衰落及遗留影响的批判性分析》
Wellcome Open Res. 2018 Apr 24;3:15. doi: 10.12688/wellcomeopenres.13940.2. eCollection 2018.
4
Social preferences for prioritising the treatment of disabled and chronically ill patients: beyond the order effect.优先治疗残疾和慢性病患者的社会偏好:超越顺序效应。
Health Econ Policy Law. 2019 Oct;14(4):443-467. doi: 10.1017/S1744133118000154. Epub 2018 May 8.
5
Patient preferences for participation in patient care and safety activities in hospitals.患者对参与医院患者护理及安全活动的偏好。
BMC Nurs. 2017 Nov 21;16:69. doi: 10.1186/s12912-017-0266-7. eCollection 2017.
6
Providing high-quality care at the end of life: the role of education and guidance.在生命末期提供高质量护理:教育与指导的作用。
Br J Nurs. 2017 Nov 9;26(20):1116-1120. doi: 10.12968/bjon.2017.26.20.1116.
7
The Difference Between Palliative Care and End of Life Care: More than Semantics.姑息治疗与临终关怀的区别:不止于语义学。
Nurs Clin North Am. 2016 Sep;51(3):ix-x. doi: 10.1016/j.cnur.2016.07.002.
8
The Importance of Patient Dignity in Care at the End of Life.患者尊严在临终关怀中的重要性。
Ulster Med J. 2016 Jan;85(1):45-8.
9
Many people in Scotland now benefit from anticipatory care before they die: an after death analysis and interviews with general practitioners.现在,苏格兰有很多人在去世前就受益于临终关怀:对全科医生进行死后分析和访谈。
BMJ Support Palliat Care. 2019 Dec;9(4):e28. doi: 10.1136/bmjspcare-2015-001014. Epub 2016 Apr 13.
10
Patient advocacy: the role of the nurse.患者权益倡导:护士的角色
Nurs Stand. 2015 Jun 10;29(41):52-8. doi: 10.7748/ns.29.41.52.e9772.

终末期患者的治疗退出:姑息治疗中的价值观、伦理和指南分析。

Treatment withdrawal of the patient on end of life: An analysis of values, ethics and guidelines in palliative care.

机构信息

Nursing and Community Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.

出版信息

Nurs Open. 2021 May;8(3):1023-1029. doi: 10.1002/nop2.777. Epub 2021 Feb 11.

DOI:10.1002/nop2.777
PMID:33569923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8046138/
Abstract

AIM

Family surrogate decision-making during the later stage of a patient's life may sometimes result in conflict and emotional distress among the parties involved. The present article aims to promote ethical end-of-life decision-making among healthcare professionals in a view to eliminating any misunderstanding that may arise while meeting the care needs of the patient.

DESIGN

A case study involving a request for treatment withdrawal by the family of a patient on end of life.

METHODS

This paper draws upon a scenario encountered during practice to analyse the moral commitments in delivering high-quality end-of-life care with much emphasis on pre-existing palliative care guidelines for adults.

RESULTS

Healthcare professionals are bound by the principle of beneficence, non-maleficence, autonomy and justice. Although the use of guidelines may be tenable, decisions often take into consideration the patient's choice and then weighed against the moral values of healthcare specialists and those required in the profession.

摘要

目的

在患者生命的后期,家属作为代理人做出决策,可能会导致相关各方之间产生冲突和情绪困扰。本文旨在促进医疗保健专业人员在进行合乎伦理的临终决策方面的工作,以消除在满足患者护理需求时可能出现的任何误解。

设计

一项涉及生命末期患者家属要求停止治疗的案例研究。

方法

本文利用实践中遇到的一个场景,分析了在提供高质量临终关怀方面的道德承诺,重点强调了成人姑息治疗指南的预先存在。

结果

医疗保健专业人员受惠人、不伤害人、自主和公正原则的约束。虽然使用指南可能是可行的,但决策往往会考虑患者的选择,然后权衡医疗保健专家的道德价值观以及该专业所需的价值观。