| Author/Editor | Kalender Smajlović, Sedina | |
| Title | Etične dileme pri izvajanju zdravstvene nege v enoti intenzivne terapije | |
| Translated title | Ethical dilemmas in the implementation of nursing care in intensive care unit | |
| Type | članek | |
| Vol. and No. | Letnik 53, št. 2 | |
| Publication year | 2019 | |
| Volume | str. 157-168 | |
| ISSN | 1318-2951 - Obzornik zdravstvene nege : strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije | |
| Language | slv | |
| Abstract | 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 pacientihIntroduction: Nurses in intensive care units are faced with many challenges in providing health care to critically ill patients. The purpose of the research was to identify the ethical dilemmas that occur in the implementation of nursing care in intensive care units.Methods: A systematic review of scientific literature was used. Literature from 2007 to 2017 was reviewed. The following databases were included in the review: COBIB.SI, CINAHL and PubMed. Data search was conducted by using the following key words in Slovene and English: "ethical dilemmas", "nurses", "ethical principles", "critically ill patients", "nursing care in intensive care". From the search set of 78 results, 14 articles were included in the final analysis. A content analysis of research findings was carried out. Results: The most frequent ethical dilemmas that nurses deal with according to them are: dilemmas related to the treatment and activities of nursing care, dilemmas connected to the organization of health care and ethical dilemmas related to palliative care. Among the most common ethical principles are harmlessness, benevolence and autonomy of critically ill patients.Discussion and conclusion: The findings of the research contribute to the identification of the most frequent ethical dilemmas experienced in nursing care in an intensive care unit. Individual ethical dilemmas of nurses that occur during the implementation of nursing care with critically ill patients should be examined in greater detail. | |
| Keywords | kritično bolni pacienti intenzivna terapija medicinske sestre critically ill patients nurses intensive therapy |