Skupno etično odločanje zdravstvenih delavcev
pregled literature
DOI:
https://doi.org/10.14528/snr.2023.57.2.3153Ključne besede:
etika, delavci v zdravstvu, skupne odločitvePovzetek
Introduction: Making shared ethical decisions about patients' further healthcare involves coordinating the opinions of healthcare professionals, and patients and their relatives. The purpose of the research was to examine the joint ethical decision-making of healthcare professionals.
Methods: A review of the scientific literature performed in the COBISS, Springer Link and PubMed databases was used. To search for literature in the Slovenian language, the following words were used: "etika", "zdravstveni delavci", "skupne odločitve" and in the English language: "ethics", "health professionals", "shared decision making". The literature review was carried out using the PRISMA diagram. Results were synthesized using thematic analysis.
Results: 19 articles were included in the final analysis. We created three thematic categories: (1) ethical competence of healthcare workers, (2) problems in the area of joint ethical decision-making and (3) new approaches to joint ethical decision-making to improve outcomes in clinical practice. In the field of joint ethical decision-making of healthcare professionals, the importance of ethical competence, issues in the field of joint ethical decision-making and new approaches to joint ethical decision-making for improving results in clinical practice is demonstrated.
Discussion and conclusion: The findings of the research contribute to illuminating the importance of joint ethical decision-making and giving an insight into the factors of joint ethical decision-making. The end result of certain ethical decisions that affect the interaction of healthcare professionals and all levels in healthcare are important.
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Literatura
Aksu, T., & Akyol, A. (2011). İzmir'deki hemşirelerin etik duyarlılıklarının incelenmesi [Investigation of the moral sensibility of nurses in İzmir]. Turkiye Klinikleri Journal of Medical Ethics-Law and History, 19(1), 16–24.
Arslan, S., Türer Öztik, S., & Kuzu Kurban, N. (2020). Do moral development levels of the nurses affect their ethical decision making: A descriptive correlational study. Clinical Ethics, 16(1), 9–16. https://doi.org/10.1177%2F1477750920930375
Austin, C. A., Mohottige, D., Sudore, R. L., Smith, A. K., & Hanson, L. C. (2015). Tools to promote shared decision making in serious illness: A systematic review. JAMA Internal Medicine, 175(7), 1213–1221. https://doi.org/10.1001/jamainternmed.2015.1679 PMid:25985438; PMCid:PMC4794743
Barlow, N. A., Hargreaves, J., & Gillibrand, W. (2018). Nurses' contributions to the resolution of ethical dilemmas in practice. Nursing Ethics, 25(2), 230–242. https://doi.org/10.1177/0969733017703700
Boland, L., Graham, I. D., Légaré, F., Lewis, K., Jull, J., Shephard, A. … Stacey, D. (2019). Barriers and facilitators of pediatric shared decision-making: A systematic review. Implement Science, 14, Article 7, 1–25. https://doi.org/10.1186/s13012-018-0851-5 PMid:30658670; PMCid:PMC6339273
Bucher, H. U., Klein, S. D., & Hendriks, M. J. (2018). Decisionmaking at the limit of viability: Differing perceptions and opinions between neonatal physicians and nurses. BMC Pediatrics, 18, Article 81. https://doi.org/10.1186/s12887-018-1204-x PMid:29471821; PMCid:PMC5822553
Bunn, F., Goodman, C., Russell, B., Wilson, P., Manthorpe, J., Rait, G. … Durand, M. A. (2018). Supporting shared decision making for older people with multiple health and social care needs: A realist synthesis. BMC Geriatric, 18, Article 165, 1–2. https://doi.org/10.1186/s12877-018-0853-9 PMid:30021527; PMCid:PMC6052575
Elwyn, G., Frosch, D. L., & Kobrin, S. (2016). Implementing shared decision-making: Consider all the consequences. Implementation Science, 11, Article 114, 1–10. https://doi.org/10.1186/s13012-016-0480-9 PMid:27502770; PMCid:PMC4977650
Fallahi, M., Mahdavikian, S., & Abdi, A., 2018. Nurses and physicians' viewpoints about decision making of do not attempt resuscitation (DNAR). Multidisciplinary Respiratory Medicine, 13, Article 20, 1–7. https://doi.org/10.4081/mrm.2018.161 PMid:30013772; PMCid:PMC6046093
Fošnarič, L. (2010). Etični in kazenski vidik strokovnih napak v zdravstveni negi (magistrsko delo). Univerza v Mariboru, Fakulteta za zdravstvene vede, Maribor.
Galetta, M., Portoghese, I., Carta, M.G., D'Aloja, E., & Campagna, M. (2016). The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Research in Nursing & Health, 39(5), 375–385. https://doi.org/10.1002/nur.21733 PMid:27233052
Gaudine, A., LeFort, S., Lamb, M., & Thorne, L. (2011). Clinical ethical conflicts of nurses and physicians. Nursing Ethics, 18(1), 9–19. https://doi.org/10.1177%2F0969733010385532 PMid:21285193
Giusti, A., Nkhoma, K., Petrus, R., Petersen, I., Gwyther, L., Farrant, L. … Harding, R. (2020). The empirical evidence underpinning the concept and practice of person-centred care for serious illness: A systematic review. BMJ Global Health, 5(12), Article e003330, 1–14. https://doi.org/10.1136/bmjgh-2020-003330 PMid:33303515; PMCid:PMC7733074
Hartog, C. S., & Benbenishty, J. (2015). Understanding nurse–physician conflicts in the ICU. Intensive Care Medicine, 41, 331–333. https://doi.org/10.1007/s00134-014-3517-z PMid:25326341
Hendren, E., Hladunewich, M. A., & Lefkowitz, A. (2021). Caring for pregnant patients with CKD: An ethical discussion of 5 cases. Clinical Research, 6(5), 1273–1279. https://doi.org/10.1016/j.ekir.2021.02.020 PMid:34013105; PMCid:PMC8116767
Jacquemyn, Y. (2018). Accreditation and resulting clerical duties represent commercial excesses that are ethically and scientifically unacceptable. Facts, Views & Vision InObGyn, 10(2), 59-61. Retrieved October 26, 2021 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516189/ PMid:31110643; PMCid:PMC6516189
Jamshidinavid, B., & Kamari, F. (2012). Ethics in management accounting: Moving toward ethical motivation. Research Journal of Finance and Accounting, 3(6), 2222–2847.
Kahriman, İ., & Çalık, K. Y. (2017). Klinik hemşirelerin etik duyarlılığı [Ethical sensitivity of clinical nurses]. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Gümüşhane University Journal of Health Sciences, 6(3), 111–121.
Kenaszchuk, C., MacMillan, K., Van Soeren, M., & Reeves, S. (2011). Interprofessional simulated learning: Short-term associations between simulation and interprofessional collaboration. BMC Medicine, 9, Article 29, 1–10. https://doi.org/10.1186/1741-7015-9-29 PMid:21443779; PMCid:PMC3224569
Kodeks etike v zdravstveni negi in oskrbi Slovenije in Kodeks etike za babice Slovenije. (2014). Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Koskenvuori, J., Stolt, M., Suhonen, R., & Leino-Kilpi, H. (2019). Healthcare professionals' ethical competence: A scoping review. Nursing Open, 6(1), 5–17. https://doi.org/10.1002/nop2.173 PMid:30534390; PMCid:PMC6279725
Légaré, F., Adekpedjou, R., Stacey, D., Turcotte, S., Kryworuchko, J., Graham, I. D. … Donner-Banzhoff, N. (2018). Interventions for increasing the use of shared decision making by healthcare professionals. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD006732.pub4 PMid:30025154; PMCid:PMC6513543
Leyland, R., Heath, M., Neve, H., & Maynard, V. (2021). Structured reflection on shared decision making. The Clinical Teacher, 18(1), 55–61. https://doi.org/10.1111/tct.13233 PMid:32815256
Matthys, E., Remmen, R., & Van Bogaert, P. (2017). An overview of systematic reviews on the collaboration between physicians and nurses and the impact on patient outcomes: What can we learn in primary care. BMC Family Practice, 18(1), Article 11, 1–22. https://doi.org/10.1186/s12875-017-0698-x PMid:29273023; PMCid:PMC5741858
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and eta-analyses: The PRISMA statement. PLoS Medicine, 6(7), Article e1000097, 1–22. https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072; PMCid:PMC2707599
Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nursepatient relationship on quality of care and patient autonomy in decision-making. International Journal of Environmental Research and Public Health, 17(3), Article 835, 1–24. https://doi.org/10.3390/ijerph17030835 PMid:32013108; PMCid:PMC7036952
Oerlemans, A. J., van Sluisveld, N., van Leeuwen, E. S., Wollersheim, H., Dekkers, W., & Zegers, M. (2015). Ethical problems in intensive care unit admission and discharge decisions: A qualitative study among physicians and nurses in the Netherlands. BMC Medical Ethics, 16, Article 9, 1–10. https://doi.org/10.1186/s12910-015-0001-4 PMid:25880418; PMCid:PMC4344998
Osamor, P. E., & Grady, C. (2018). Autonomy and couples' joint decision-making in healthcare. BMC Medical Ethics, 19, Article 3, 1–8. https://doi.org/10.1186/s12910-017-0241-6 PMid:29325536; PMCid:PMC5765707
Ovijač D. (2012). Medpoklicno sodelovanje in etika v zdravstvu. Obzornik zdravstvene nege. Retrieved October 26, 2021 from https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/article/view/2896
Palmer, B.W., & Harmell, A.L. (2016). Assessment of healthcare decision-making capacity. Archives of Clinical Neuropsychology, 31(6), 530–540. https://doi.org/10.1093/arclin/acw051 PMid:27551024; PMCid:PMC5007079
Pettersson, M., Hedström, M., & Höglund, A. T. (2018). Ethical competence in DNR decisions: A qualitative study of Swedish physicians and nurses working in hematology and oncology care. BMC Medical Ethics, 19, Article 63, 1–12. https://doi.org/10.1186/s12910-018-0300-7 PMid:29914440; PMCid:PMC6007064
Polit, D. F., & Beck, C. T. (2018). Esentials of nursing research: Appraising evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
Prentice, T. M., & Gillam, L. (2018). Can the ethical best practice of shared decision-making lead to moral distress. Bioethical Inquiry, 15, 259–268. https://doi.org/10.1007/s11673-018-9847-8 PMid:29541925
Qian, X., Li, L. J., Zhuang, Y. Y., Hong, Y. C., Zhang, Z. H., Xing, L. F. … Chow, E. (2020). Analysis of daily goal sheets on physician-nurse collaboration attitude. Annals of Palliative Medicine, 9(1), 1–7. http://doi.org/10.21037/apm.2019.12.06 PMid:32005057
Rafiee, Z., Rabiee, M., Rafati, S., Rejeh, N., Borna, H., & Vaismoradi, M. (2020). Physicians' and nurses' decision making to encounter neonates with poor prognosis in the neonatal intensive care unit. Clinical Ethics, 15(4), 187–196. https://doi.org/10.1177%2F1477750920927173
Shaw, S., Hughes, G., Stephens, T., Pearse, R., Prowle, J., Ashcroft, R. E, … Everest, L. (2020). Understanding decision making about major surgery: Protocol for a qualitative study of shared decision making by high-risk patients and their clinical teams. BMJ Open, 10(5), Article e033703, 1–10. https://doi.org/10.1136/bmjopen-2019-033703 PMid:32376751; PMCid:PMC7223149
Siegle, A., Villalobos, M., Bossert, J., Krug, K., Hagelskamp, L., Krisam, J. ... Thomas, M. (2018). The Heidelberg Milestones Communication Approach (MCA) for patients with prognosis <12 months: Protocol for a mixed-methods study including a randomized controlled trial. Trials, 19(1), Article 438, 1–13. https://doi.org/10.1186/s13063-018-2814-1 PMid:30107809; PMCid:PMC6092809
Strauss, M., Goriup, J., Križmarić, M., & Koželj, A., 2018. Sodelovanje med medicinskimi sestrami in zdravniki: Ocene študentov zdravstvene nege in medicine. Obzornik zdravstvene nege, 52(4), 225–232. https://doi.org/10.14528/snr.2018.52.4.170
Šanc, P., & Prosen, M. (2022). Interprofessional collaboration in interdisciplinary healthcare teams: A quantitative descriptive study. Obzornik zdravstvene nege, 56(1), 9–21. https://doi.org/10.14528/snr.2022.56.1.3106
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048 PMid:23480423
Valdez-Martinez, E., Noyes, J., & Bedolla, M. (2014). When to stop: Decision-making when children's cancer treatment is no longer curative: A mixed-method systematic review. BMC Pediatrics, 14, Article 124, 1–25. https://doi.org/10.1186/1471-2431-14-124 PMid:24884514; PMCid:PMC4028290
World Medical Association (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
Zwarenstein, M., Rice, K., Gotlib-Conn, L., Kenaszchuk, C., & Reeves, S. (2013). Disengaged: A qualitative study of communication and collaboration between physicians and other professions on general internal medicine wards. BMC Health Services Research, 13, Article 494, 1–9. https://doi.org/10.1186/1472-6963-13-494 PMid:24274052; PMCid:PMC4222762
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