Ethical dilemmas for palliative care nurses: systematic review
发布日期：2024-04-29
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摘要：Background Nurses play a unique and critical role in palliative care, and it is noteworthy that nurses often encounter ethical dilemmas in this field.Objective This review aims to conduct a summarised synthesis of the latest research on the ethical considerations nurses faced in palliative care.Methods We conducted a rigorous systematic review of relevant existing studies published in high-quality English peer-reviewed journals from January 2017 to July 2023. We identified a total of 4492 articles (1029 in Web of Science, 1570 in PubMed and 1893 in Science Direct). Out of these, only 13 studies met the inclusion criteria.Results Following the thematic analysis, the ethical considerations reported in these 13 studies were grouped into three main themes and four subthemes: ethical issues in communication (ethical issues in communication with patients, ethical issues in communication with families), ethical issues in decision-making (autonomy, dignity) and moral distress in palliative care.Conclusion This study elaborated on the ethical challenges faced by nurses in their communication with patients and families as well as decision-making and analysed the causes and effects of ethical distress, hoping to give a hand to ethical issues for nurses' work in palliative care.
摘要中译：护士在安宁疗护中扮演着独特而重要的角色，值得注意的是，护士在这一领域经常会遇到伦理困境。本文旨在对护士在安宁疗护中面临的伦理考量的最新研究进行系统性综述。本文纳入了自2017年1月至2023年7月发表在英文同行评审期刊上的高质量研究。我们共检索到4492篇文章（Web of Science 1029篇，PubMed 1570篇，Science Direct 1893篇）。其中，只有13项研究符合纳入标准。主题分析产生了三个主题和四个子主题：沟通中的伦理问题（与患者沟通中的伦理问题，与家人沟通中的伦理问题），决策中的伦理问题（自主权，尊严）以及安宁疗护中的道德困扰。本研究深入探讨了护士在与患者和家人沟通以及决策中面临的伦理挑战，并分析了伦理困扰的原因和影响，希望为从事安宁疗护的护士解决伦理问题提供帮助。
作者：耿淑婉、张磊、张泉、武宜金
文章来源：BMJ SUPPORTIVE & PALLIATIVE CARE
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