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Title:Etične dileme zdravstvenih delavcev pri pacientih s kronično nenalezljivimi boleznimi v paliativni oskrbi
Authors:ID Najžar, Katja (Author)
ID Lorber, Mateja (Mentor) More about this mentor... New window
ID Kmetec, Sergej (Comentor)
Files:.pdf VS_Najzar_Katja_2024.pdf (641,31 KB)
MD5: 44760AC0333101AFE4ADA1AAD80CE047
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:FZV - Faculty of Health Sciences
Abstract:Uvod: Etične dileme so pomemben del sodobne zdravstvene nege. Zaradi njihove kompleksnosti je njihovo prepoznavanje težje. Na dolgi rok se pri zaposlenih v zdravstveni negi kot posledica etičnih dilem lahko pojavijo utrujenost zaradi sočutja, izgorelost in nezadovoljstvo z delom. Namen zaključnega dela je raziskati etične dileme, s katerimi se srečujejo zdravstveni delavci pri oskrbi pacientov s kronično nenalezljivimi boleznimi. Metode: Izveden je bil sistematičen pregled literature. Uporabljena je bila iskalna strategija z določenimi ključnimi besedami in kriteriji za vključitev in izključitev člankov. Pregledane so bile podatkovne baze PubMed, CINAHL, SAGE in Web of Science; sledili smo smernicam PRISMA ter uporabili narativno sintezo. Rezultati: V analizo in sintezo je bilo vključenih šest raziskav. Najpogostejše dileme vključujejo vprašanja dostojanstva, avtonomije pacientov, komunikacije o diagnozah in prognozah ter odmerjanja zdravil v paliativni sedaciji. Ugotovljeno je bilo, da etične dileme pogosto vodijo v moralno stisko in stres zdravstvenih delavcev, še posebej v okoljih z omejenimi viri in podporo. Razprava in zaključek: Etične dileme so v paliativni oskrbi pogoste in močno vplivajo na zdravstvene delavce. Ključnega pomena je pravočasno vključevanje pacientov v paliativno oskrbo, jasna komunikacija in spoštovanje avtonomije pacientov. Izobraževanje in podpora zdravstvenim delavcem lahko pripomoreta k boljši obravnavi etičnih dilem. Priporočljivo je nadaljnje raziskovanje in razvoj strategij za prepoznavanje in reševanje etičnih dilem za zmanjšanje obremenitev zdravstvenih delavcev.
Keywords:etične dileme, zdravstveni delavci, paliativna oskrba
Place of publishing:Maribor
Publisher:[K. Najžar]
Year of publishing:2024
PID:20.500.12556/DKUM-89192 New window
UDC:616-039.33-056.246:17:616-083(043.2)
COBISS.SI-ID:206357507 New window
Publication date in DKUM:18.11.2024
Views:278
Downloads:187
Metadata:XML DC-XML DC-RDF
Categories:FZV
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Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:24.06.2024

Secondary language

Language:English
Title:Ethical dilemmas among healthcare professionals at patients with chronic non-communicable diseases in palliative care
Abstract:Introduction: Ethical dilemmas are an important part of modern nursing. Their complexity makes them more difficult to recognise. In the long term, nurses can suffer from burnout due to ethical dilemmas. The aim of this thesis is to explore the ethical dilemmas that nurses face when caring for patients with chronic non-communicable diseases. Methods: A systematic literature review was carried out. A search strategy with defined keywords and criteria for inclusion and exclusion of articles was used. PubMed, CINAHL, SAGE and Web of Science databases were searched, PRISMA guidelines were followed and narrative synthesis was used. Results: Six studies were included in the analysis and synthesis. The most common dilemmas include issues of dignity, patient autonomy, communication about diagnosis and prognosis, and medication dosage in palliative sedation. It was found that ethical dilemmas often lead to moral distress and stress among healthcare professionals, particularly in settings with limited resources and support. Discussion and conclusion: Ethical dilemmas are not uncommon in palliative care and have profound implications for healthcare professionals. Timely patient involvement in palliative care, clear communication and respect for patient autonomy are crucial. Training and support for healthcare professionals can help to better manage ethical dilemmas. Further research and the development of strategies to recognise and manage ethical dilemmas are recommended to reduce the burden on healthcare professionals.
Keywords:ethical dilemmas, healthcare professionals, palliative care


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