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| 題 名 | 病人安全--使用約束的倫理議題=Patient Safety: Ethical Issues in Restraint Use |
|---|---|
| 作 者 | 黃麗萍; 顧乃平; | 書刊名 | 源遠護理 |
| 卷 期 | 1:1 民95.11 |
| 頁 次 | 頁63-68 |
| 分類號 | 410.1619 |
| 關鍵詞 | 病人安全; 約束; 倫理; 法律; 照護; Patient safety; Restraint; Ethics; Law; Care; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 近年來病人安全越來越受到醫療機構的重視,而使用約束為安全措施中重要的一環。國內加護病房的約束使用率,每天為40%以上,比美國更高,在人力不足的情況下會增加約束的使用。為確保病人安全,在不得已使用約束時,護理人員應該了解約束的適當使用及其正面效果,不適當的使用及其負面效果。健康照護提供者必須謹慎判斷約束對病人的利益要大於傷害,同時要遵守健康照護機構評鑑聯合委員會(JCAHO)的約束指引,在約束前做好評估及紀錄,在約束過程中我們的責任是提供適切的照護,以免發生不必要的爭議。本文重點為約束使用的概念,使用約束的倫理與法律考量,以及約束過程中護理人員扮演的角色功能。期盼在顧及病人的安全下,使用約束要以病人最佳利益為考量。 |
| 英文摘要 | In recent years, health care institutions have increased attention on patient safety, with the use of restraints as one of major issues. The rate of restraint use in ICUs in Taiwan is greater than 40%; higher than the rate of use in the United States. The increased rate is related to the unit's understaffed situation. In order to promote patient safety, professional nurses need to know the proper and effective use or restraints and related complications. Health care providers must carefully weigh the benefits against the dangers and must follow the JCAHO standards on the use of restraints, including patient teaching, assessment, monitoring and documentation. This article discusses on the concept, ethical and legal issues of restraint use, and the related roles and functions of nursing staff. |
本系統中英文摘要資訊取自各篇刊載內容。