美国的临终关怀:美国的临终医疗协助:美国临终医疗协助快速回顾及其对医疗保健专业人员实践的影响》(A Rapid Review of Medical Assistance in Dying in the United States and Its Implications for Practice for Health Care Professionals)。

IF 1.2 4区 医学 Q3 NURSING Journal of Hospice & Palliative Nursing Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI:10.1097/NJH.0000000000001070
Kathy Howard Grubbs, Christiana M Keinath, Sharon E Bigger
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引用次数: 0

摘要

与临终医疗协助(MAiD)相关的法律环境不断变化,可能会给临终关怀和姑息关怀专业人员带来重大挑战。在美国,已有 10 个州和 1 个司法管辖区通过了允许临终医疗协助的立法。安宁疗护与姑息治疗护士协会等全国性组织已制定了立场声明,作为护理指南。考虑到与 MAiD 相关的临床和伦理挑战,我们进行了一次快速综述,为政策制定者、医护专业人员和研究人员提供当前的证据,以便他们在考虑护理管理和政策措施时使用。采用系统方法,提取并综合了 2019 年至 2024 年间与 MAiD 相关的出版物。综述提供了MAiD、安乐死、医生协助自杀、非终末期患者的医学协助死亡和尊严死之间的术语定义。综述共收录了 23 篇文章,并将其分为 4 个主题:(1)法律、法规和政策方面的问题;(2)医护人员对 MAiD 的体验;(3)患者和护理人员对 MAiD 的体验和沟通;以及(4)获得 MAiD 的差异。
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MAiD in America: A Rapid Review of Medical Assistance in Dying in the United States and Its Implications for Practice for Health Care Professionals.

The evolving legal landscape associated with medical assistance in dying (MAiD) may pose significant challenges for hospice and palliative care professionals. In the United States, 10 states and 1 jurisdiction have passed legislation allowing MAiD. National organizations, such as the Hospice and Palliative Nurses Association, have created position statements to serve as guides to care. Given the clinical and ethical challenges associated with MAiD, a rapid review was conducted to provide current evidence for policymakers, health care professionals, and researchers to use when considering care management and policy initiatives. Using a systematic approach, publications related to MAiD between 2019 and 2024 were extracted and synthesized. The review provides definitions of terms that differentiate between MAiD, euthanasia, physician-assisted suicide, medically assisted death of the nonterminal patient, and death with dignity. A total of 23 articles were included in the review and categorized into 4 themes: (1) legal, regulatory, and policy concerns; (2) health care professional experience of MAiD; (3) patient and caregiver experience of and communication about MAiD; and (4) disparate access to MAiD.

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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
期刊最新文献
Association News. Hospice and Palliative Nurses Association Position Statement: Medical Aid in Dying. Improving Patient-Centered Care for End-Stage Renal Disease Patients at a Community Palliative Setting. The Impact of Allyship on Minoritized Patients and Providers in Palliative Practice. True North.
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