bioethics;
end of life;
ethical dilemma;
intensive care unit;
palliative care;
D O I:
10.1097/NCI.0000000000000085
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
Critical care nurses and advanced practice registered nurses frequently face bioethical dilemmas in clinical practice that are related to palliative and end-of-life care. Many of these dilemmas are associated with decisions made concerning continuing, limiting, or withdrawing life-sustaining treatments. The purpose of this article is to describe common ethical challenges through case study presentations and discuss approaches that critical care nurses and advanced practice registered nurses in collaboration with the interdisciplinary team can use to address these challenges. Resources that may be helpful in managing ethical dilemmas are identified.
机构:
Oslo Metropolitan Univ, Fac Hlth Sci, Oslo, NorwayVejle Hosp, Dept Anaesthesiol & Intens Care, Beriderbakken 4, DK-7100 Vejle, Denmark
Halvorsen, Kristin
Jerpseth, Heidi
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机构:
Oslo Metropolitan Univ, Fac Hlth Sci, Oslo, NorwayVejle Hosp, Dept Anaesthesiol & Intens Care, Beriderbakken 4, DK-7100 Vejle, Denmark
Jerpseth, Heidi
Fridh, Isabell
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机构:
Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, SwedenVejle Hosp, Dept Anaesthesiol & Intens Care, Beriderbakken 4, DK-7100 Vejle, Denmark
Fridh, Isabell
Lind, Ranveig
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机构:
UiT Arctic Univ Norway, Tromso, Norway
Univ Hosp North Norway, Intens Care Unit, Tromso, NorwayVejle Hosp, Dept Anaesthesiol & Intens Care, Beriderbakken 4, DK-7100 Vejle, Denmark
机构:
Univ Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, Seattle, WA 98104 USAUniv Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, Seattle, WA 98104 USA
Rubenfeld, GD
Curtis, JR
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机构:
Univ Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, Seattle, WA 98104 USAUniv Washington, Harborview Med Ctr, Dept Med, Div Pulm & Crit Care Med, Seattle, WA 98104 USA
机构:
Univ Witwatersrand, Dept Nursing Educ, Fac Hlth Sci, 7 York Rd, ZA-2193 Johannesburg, South AfricaUniv Witwatersrand, Dept Nursing Educ, Fac Hlth Sci, 7 York Rd, ZA-2193 Johannesburg, South Africa
Kisorio, Leah C.
Langley, Gayle C.
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机构:
Univ Witwatersrand, Dept Nursing Educ, Fac Hlth Sci, 7 York Rd, ZA-2193 Johannesburg, South AfricaUniv Witwatersrand, Dept Nursing Educ, Fac Hlth Sci, 7 York Rd, ZA-2193 Johannesburg, South Africa
机构:
Queens Univ Belfast, Sch Nursing & Midwifery, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Infect & Immun, Sch Med Dent & Biomed Sci, Belfast, Antrim, North Ireland
Reid, Joanne
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机构:
Prior, Lindsay
McAuley, Danny
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机构:
Royal Hosp, Belfast Hlth & Social Care Trust, Reg Intens Care Unit, Belfast, Antrim, North Ireland
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Infect & Immun, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Infect & Immun, Sch Med Dent & Biomed Sci, Belfast, Antrim, North Ireland
McAuley, Danny
Blackwood, Bronagh
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机构:
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Infect & Immun, Belfast, Antrim, North IrelandQueens Univ Belfast, Ctr Infect & Immun, Sch Med Dent & Biomed Sci, Belfast, Antrim, North Ireland
机构:
San Francisco Gen Hosp, Div Pulm & Crit Care Med, San Francisco, CA 94110 USA
Univ Calif San Francisco, San Francisco, CA 94143 USASan Francisco Gen Hosp, Div Pulm & Crit Care Med, San Francisco, CA 94110 USA