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关于为重度痴呆患者提供食物的伦理推理:国际视角

Ethical reasoning concerning the feeding of severely demented patients: an international perspective.

作者信息

Norberg A, Hirschfeld M, Davidson B, Davis A, Lauri S, Lin J Y, Phillips L, Pittman E, Vander Laan R, Ziv L

出版信息

Nurs Ethics. 1994 Mar;1(1):3-13. doi: 10.1177/096973309400100102.

DOI:10.1177/096973309400100102
PMID:7530158
Abstract

Structured interviews were held with 149 registered nurses in seven countries in America, Asia, Australia and Europe concerning the feeding of severely demented patients who do not accept food. The most common reasons for nurses being willing to change their decision to feed or not to feed were an order from the medical head, a request from the patient's husband and/or the staff meeting. There was a connection between the willingness to feed and the ranking of ethical principles. Nurses who were most prone to feed the patient most often gave a high rank to the ethical principle of sanctity of life, while those who primarily chose not to feed the patient gave a high rank to the ethical principle of autonomy. All nurses stressed the ethical principle of beneficence.

摘要

针对美国、亚洲、澳大利亚和欧洲七个国家的149名注册护士,就如何喂养不接受食物的重度痴呆患者进行了结构化访谈。护士愿意改变是否喂食的决定,最常见的原因是来自医疗主管的命令、患者丈夫的请求和/或员工会议。喂食意愿与伦理原则的排序之间存在关联。最倾向于给患者喂食的护士,往往将生命神圣这一伦理原则排在很高的位置,而那些主要选择不喂食的护士,则将自主这一伦理原则排在很高的位置。所有护士都强调了行善这一伦理原则。

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