Daly B J
AACN Clin Issues Crit Care Nurs. 1994 Feb;5(1):77-85. doi: 10.1097/00044067-199402000-00012.
Futility is a complex concept with several possible meanings. It has become an important concept in acute care as situations arise in which patients or their families request interventions that caregivers believe serve no purpose. Resolving these dilemmas requires an understanding of the concept of futility, knowledge of empirical data relevant to the particular situation, and unambiguous communication. The definitions, criteria, and application of the concept of futility are presented, followed by a discussion of the implications of decisions about futile care for nurses and others.
无效性是一个具有多种可能含义的复杂概念。在急性护理中,当患者或其家属要求进行护理人员认为毫无意义的干预措施时,无效性就成为了一个重要概念。解决这些困境需要理解无效性的概念、掌握与特定情况相关的实证数据,以及进行明确无误的沟通。本文介绍了无效性概念的定义、标准和应用,随后讨论了关于无效护理决策对护士及其他人员的影响。