This article analyses and presents a survey of ethical conflicts in prehospital emergency care. The results are based on six focus group interviews with 29 registered nurses and paramedics working in prehospital emergency care at three different locations: a small town, a part of a major city and a sparsely populated area. Ethical conflict was found to arise in 10 different nodes of conflict: the patient/carer relationship, the patient's self-determination, the patient's best interest, the carer's professional ideals, the carer's professional role and self-identity, significant others and bystanders, other care professionals, organizational structure and resource management, societal ideals, and other professionals. It is often argued that prehospital care is unique in comparison with other forms of care. However, in this article we do not find support for the idea that ethical conflicts occurring in prehospital care are unique, even if some may be more common in this context.

译文

本文对院前急救中的伦理冲突进行了分析和调查。结果基于对29名注册护士和医护人员的六次焦点小组访谈,这些护士和医护人员在三个不同的地点从事院前急救工作: 一个小镇,一个主要城市的一部分和一个人口稀少的地区。在10个不同的冲突节点中发现了道德冲突: 患者/照顾者关系,患者的自决,患者的最大利益,照顾者的职业理想,照顾者的职业角色和自我认同,重要的他人和旁观者,其他护理专业人员,组织结构和资源管理、社会理想和其他专业人员。人们经常争辩说,与其他形式的护理相比,院前护理是独特的。但是,在本文中,我们没有找到支持院前护理中发生的道德冲突是独特的观点的支持,即使在这种情况下某些冲突可能更为普遍。

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