Etične dileme pri izvajanju zdravstvene nege v enoti intenzivne terapije

pregled literature

  • Sedina Kalender Smajlović Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija
Ključne besede: kritično bolni pacienti, medicinske sestre, intenzivna terapija

Povzetek

Uvod: Medicinske sestre v enotah intenzivnih terapij se soočajo z zahtevnostjo zdravstvene oskrbe kritično bolnih pacientov. Namen raziskave je bil ugotoviti etične dileme, ki se pojavljajo pri izvajanju zdravstvene nege v enotah intenzivne terapije.
Metode: Uporabljen je bil sistematični pregled znanstvene literature. Vključena je bila literatura iz obdobja od 2007 do 2017. Pregled zajema naslednje baze: COBIB.SI, CINAHL in PubMed. Iskanje je potekalo z uporabo ključnih besed: »etične dileme«, »medicinske sestre«, »etična načela«, »kritično bolni pacienti«, »zdravstvena nega v intenzivni terapiji« v slovenskem in angleškem jeziku. Iz iskalnega nabora 78 zadetkov je bilo v končno analizo vključenih 14 člankov. Izvedena je bila vsebinska analiza spoznanj raziskav.
Rezultati: Medicinske sestre med najbolj pogostimi etičnimi dilemami navajajo dileme v povezavi z zdravljenjem in aktivnostmi zdravstvene nege, organizacijo zdravstvene oskrbe in paliativno oskrbo. Med najbolj pogostimi etičnimi načeli navajajo neškodljivost, dobronamernost in avtonomijo kritično bolnih pacientov.
Diskusija in zaključek: Ugotovitve raziskave prispevajo k prepoznavanju najbolj pogostih etičnih dilem pri izvajanju zdravstvene nege v enoti intenzivne terapije. Pomembno bi bilo podrobneje raziskati posamezne etične dileme medicinskih sester, ki se pojavijo v času izvajanja zdravstvene nege pri kritično bolnih pacientih.

Prenosi

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Biografija avtorja

Sedina Kalender Smajlović, Fakulteta za zdravstvo Angele Boškin, Spodnji Plavž 3, 4270 Jesenice, Slovenija

viš. pred., dipl. m. s., mag. zdr. neg

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Objavljeno
2019-06-21
Kako citirati
Kalender Smajlović, S. (2019) Etične dileme pri izvajanju zdravstvene nege v enoti intenzivne terapije, Obzornik zdravstvene nege, 53(2), str. 157-168. doi: 10.14528/snr.2019.53.2.222.
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