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护士应考虑“重症护理伦理问题”。

"The nurse should consider.' Critical care ethical issues.

作者信息

Lawrence J A, Farr E H

出版信息

J Adv Nurs. 1982 May;7(3):223-9. doi: 10.1111/j.1365-2648.1982.tb00234.x.

DOI:10.1111/j.1365-2648.1982.tb00234.x
PMID:6922136
Abstract

A hypothetical dilemma on resuscitation of an intensive care patient was presented to nurses at a workshop on ethics of critical care nursing. Nurses responded to separate questionnaires about what a charge nurse should do, and what they themselves would do in relation to ten considerations arising from the dilemma. Nurses were agreed that legal consequences, patient wishes and rights, and physician authority should and would be considered, and that peer influence should not. Nurses were divided in their attitudes to following procedure and personal moral beliefs, and to job risk. The most contentious issues were related to the nurse's role as a decision-making member of the health care team. Implications for regarding nurses as independent decision-makers are discussed.

摘要

在一次重症护理伦理研讨会上,向护士们提出了一个关于重症监护患者复苏的假设性两难问题。护士们针对一份单独的问卷做出回应,内容涉及护士长应该怎么做,以及她们自己在面对该两难问题引发的十个考量因素时会怎么做。护士们一致认为,应该且会考虑法律后果、患者意愿和权利以及医生的权威,而不应考虑同行的影响。护士们在遵循程序与个人道德信念以及工作风险的态度上存在分歧。最具争议的问题与护士作为医疗团队决策成员的角色有关。文中讨论了将护士视为独立决策者的影响。

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