Entscheidungen und Einstellungen von Krankenschwestern bei der Behandlung schwerkranker alter Menschen: Eine kulturvergleichende Studie

作者: Hannelore Kreibeck , Sture Åström , Martin R. Eisemann , Jörg Richter , Barbara Bauer

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摘要: Summary Decisions and attitudes of nurses caring for critically ill elderly people Results a comparative investigation in Swedish German are presented. Based on case-vignette with three levels available information about patient wishes the subjects were asked their decisions. Generally, showed tendency towards less aggressive treatment-options to perform frequent cardio-pulmonary resuscitation (CPR) against written will compared Germans. The compliance among from both countries was related valuation directive as useful tool decision-making process. Furthermore, «level dementia» emerged significant predictor treatment decision groups. results point necessity continuous education training aiming at issues ethical coping ethically problematic situations order improve autonomy.

参考文章(24)
K. Polsinelli, M. A. Smith, Mark H. Ebell, K. G. Seifert, The do-not-resuscitate order: outpatient experience and decision-making preferences. Journal of Family Practice. ,vol. 31, pp. 630- 634 ,(1990)
C Y Hong, H P Lee, L G Goh, The advance directive--a review. Singapore Medical Journal. ,vol. 37, pp. 411- 418 ,(1996)
M C Scanlon, C M Fleming, The role of the nurse in the patient self-determination act The Journal of the New York State Nurses' Association. ,vol. 25, pp. 19- 23 ,(1994)
Cathy Owen, Christopher Tennant, John Levi, Michael Jones, Resuscitation General Hospital Psychiatry. ,vol. 14, pp. 327- 333 ,(1992) , 10.1016/0163-8343(92)90067-K
I. L. Bourgeault, M. Kelner, P. C. Hebert, E. V. Dunn, Advance directives: the views of health care professionals Canadian Medical Association Journal. ,vol. 148, pp. 1331- 1338 ,(1993)
A Willan, G H Guyatt, W McIlroy, G Penington, M Eisemann, G Abraham, J Basile, M E McMurdo, D W Molloy, E Alemayehu, Factors affecting physicians' decisions on caring for an incompetent elderly patient: an international study Canadian Medical Association Journal. ,vol. 145, pp. 947- 952 ,(1991)
Sarah Coate Johnson, Advance directives: from the perspective of the patient and the physician. Journal of the Royal Society of Medicine. ,vol. 89, pp. 568- 570 ,(1996) , 10.1177/014107689608901008
Lorri N. Turner, Kathy Marquis JD, Mary E. Burman, Rural Nurse Practitioners: Perceptions of Ethical Dilemmas Journal of The American Academy of Nurse Practitioners. ,vol. 8, pp. 269- 274 ,(1996) , 10.1111/J.1745-7599.1996.TB00658.X
Rosemarie B Hakim, Joan M Teno, Frank E Harrell Jr, William A Knaus, Neil Wenger, Russell S Phillips, Peter Layde, Robert Califf, Alfred F Connors Jr, Joanne Lynn, SUPPORT Investigators*, Factors Associated with Do-Not-Resuscitate Orders: Patients' Preferences, Prognoses, and Physicians' Judgments Annals of Internal Medicine. ,vol. 125, pp. 284- 293 ,(1996) , 10.7326/0003-4819-125-4-199608150-00005