关键词: ethical dilemmas ethics physical restraints

来  源:   DOI:10.2147/JMDH.S455910   PDF(Pubmed)

Abstract:
In intensive care units, patients are often restrained to ensure their safety, with physical restraints being the most commonly used method. However, physical restraints compromises the patient\'s freedom, health and comfort, and nurses often face moral dilemmas when deciding whether to use physical restraints. This article examines physical restraints through the four universal principles of autonomy, beneficence, non-maleficence and justice. Through these principles, the authors will critically explore whether the physical restraints of patients by nurses is ethical in practice and what moral issues exist. This paper also explores conflicts and moral dilemmas for nurses in this context. Finally, suggestions are made on changes to education and clinical practice.
摘要:
在重症监护室,患者经常受到约束以确保他们的安全,物理约束是最常用的方法。然而,身体限制损害了病人的自由,健康和舒适,护士在决定是否使用身体约束时经常面临道德困境。本文通过自治的四个普遍原则来研究身体约束,仁慈,非恶意和正义。通过这些原则,作者将批判性地探讨护士对患者的身体约束在实践中是否符合道德,以及存在哪些道德问题。本文还探讨了在这种情况下护士的冲突和道德困境。最后,对教育和临床实践的变化提出了建议。
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