临床医生和护理人员在照顾管饲儿童时的道德问题。

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2023-06-01 DOI:10.1177/13674935211052842
Ann Dadich, Kaitlyn Hockey, Cathy Kaplun, Catharine Fleming, Nick Hopwood, Khadeejah Moraby, Chris Elliot
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引用次数: 4

摘要

儿童保健可能会受到道德问题的困扰——这延伸到管饲儿童的护理。管饲的儿童经常得到家庭成员和不同学科的临床医生的照顾。每个人都把专业知识、经验、价值观和观点带到一个情境中,优先考虑孩子的需求,同时以可能不同的方式关注他们认为重要的事情。他们对一种情况的理解是由信仰、感觉和感知形成的。那么,对于管饲儿童的护理,如何做出关键的决定呢?这篇文章探讨了临床医生和护理人员在照顾管饲儿童时的道德问题。对临床医生(n = 9)和护理人员(n = 9)的访谈澄清了三个发现:首先,人们对管饲的必要性往往有不同的看法;第二,管饲可以唤起强烈的情绪;第三,管饲可能难以正常进行。这篇文章展示了当临床医生和护理人员之间的关系出现分歧时,挑战是如何出现的。此外,它还确定了护理伦理如何将不同的利益结合在一起,以加强优化喂养护理和促进管饲儿童及其照顾者的健康结果所需的关系。这需要临床医生和护理人员之间加强对话,就什么是、什么应该是以及如何使管饲儿童受益达成共识。
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Clinician and carer moral concerns when caring for children who tube-feed.

Child healthcare can be vexed by moral concerns - this extends to the care of children who tube-feed. Children who tube-feed often receive care from family members and clinicians of various disciplines. Each brings expertise, experiences, values, and views to a situation, prioritising the child's needs while attending to those they deem important in potentially disparate ways. Their understanding of a situation is shaped by beliefs, feelings, and perceptions. How then are key decisions made about the care of a child who tube-feeds? This article explores clinicians' and carers' moral concerns when caring for children who tube-feed. Interviews with clinicians (n = 9) and carers (n = 9) clarified three findings: first, there are often disparate beliefs about the need for tube-feeding; second, tube-feeding can evoke strong emotions; and third, it can be difficult to normalise tube-feeding. This article demonstrates how challenges can emerge when relationships between clinicians and carers diverge. Furthermore, it establishes how an ethic of care can bring different interests together to bolster the relationships required to optimise feeding care and promote health outcomes among children who tube-feed and their carers. This requires improved dialogue between and among clinicians and carers to create shared understandings of what is, what should be, and how to benefit children who tube-feed.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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