Department of Social Sciences and Humanities, Poznań University of Medical Sciences, Poznań, Poland.
Faculty of Sociology, Adam Mickiewicz University, Poznań, Poland.
Int J Public Health. 2023 Aug 3;68:1606291. doi: 10.3389/ijph.2023.1606291. eCollection 2023.
The study describes the attitudes of Polish nursing personnel towards Jehovah's Witnesses' (JWs') refusal to receive blood and blood products. We developed an online survey assessing nurses' knowledge and attitudes towards JWs' refusal of blood transfusion in a life-threatening condition. It also examined nurses' attitudes towards ethical and legal issues associated with JWs' refusal of blood transfusions. These questions were explored using a sample of 202 Polish nurses. Nurses' knowledge of JWs' stance towards blood transfusions is inadequate and they tended to be ill-disposed towards JWs' refusal of blood transfusions. Although most nurses respected adult JW patients' autonomy and supported their right to refuse blood, in the case of JW children they are guided by paternalism. Nurses' attitudes were affected by whether they had children, whether they declared themselves religious, their level of education and prior experience with patients who had refused a blood transfusion. Since most nurses felt unprepared to care for JW patients, this study reveals an urgent need to train nurses in transcultural nursing and increase nurses' cultural competencies, and that this should be incorporated into medical
这项研究描述了波兰护理人员对耶和华见证人的（JW）拒绝接受血液和血液制品的态度。我们开发了一个在线调查，评估护士在危及生命的情况下对 JW 拒绝输血的知识和态度。它还研究了护士对与 JW 拒绝输血相关的伦理和法律问题的态度。这些问题使用了 202 名波兰护士的样本进行了探讨。护士对 JW 对输血的立场的了解不足，他们倾向于对 JW 拒绝输血持不利态度。尽管大多数护士尊重成年 JW 患者的自主权并支持他们拒绝输血的权利，但在 JW 儿童的情况下，他们则受家长主义的指导。护士的态度受到他们是否有孩子、是否宣称自己是宗教人士、教育程度以及是否有过拒绝输血的患者的经验的影响。由于大多数护士感到没有准备好照顾 JW 患者，因此这项研究表明迫切需要在跨文化护理方面培训护士并提高护士的文化能力，这应该纳入医学教育中。
