Kuuppelomäki M, Lauri S
Seinäjoki Polytechnic, Institute of Health Care, Finland.
Nurs Ethics. 1998 Jul;5(4):283-93. doi: 10.1177/096973309800500402.
This article aims to identify and describe the ethical dilemmas that are involved in the care of patients with incurable cancer. The data were collected in semistructured focused interviews with 32 patients, 13 nurses and 13 doctors from two central hospitals and four community health centres. The interviews were tape-recorded and transcribed verbatim. Interpretation was based on the method of content analysis. Ethical dilemmas occurred at the time of diagnosis, in connection with telling the truth, in providing information, in the treatment of pain, and in decision-making situations concerning active treatment. Dilemmas of active treatment concerned chemotherapy, intravenous infusions, blood transfusions and antibiotics. There were also problems in relationships between nursing staff and next of kin, as well as a lack of co-operation between nurses and doctors.
本文旨在识别和描述晚期癌症患者护理过程中涉及的伦理困境。数据收集于对两家中心医院和四个社区卫生中心的32名患者、13名护士和13名医生进行的半结构化重点访谈。访谈进行了录音并逐字转录。采用内容分析法进行解读。伦理困境出现在诊断时、涉及告知真相、提供信息、疼痛治疗以及积极治疗的决策情境中。积极治疗的困境涉及化疗、静脉输液、输血和抗生素。护理人员与近亲之间的关系也存在问题，护士与医生之间缺乏合作。
