In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics...In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.展开更多
Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursin...Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursing staff supervisors at 17 general hospital wards and explained the objectives of the study. Supervisors at 14 hospitals agreed to participate, giving us a sampling pool of 1929 nurses. We used a chi square test to compare nurses who had spent time with elderly relatives and those who had not on several variables related to using restraints on elderly patients. Results and Conclusion: This study found that nurses who live with elderly family members were significantly more likely to believe that restraints cause diseases (including chronic diseases) based on a chi square test (p < 0.05). Therefore it would be important that essential was the experiences of individuals with elderly family members when making programs of decreasing nurse’s dilemma to restraining the elderly.展开更多
目的系统评价安宁疗护护士道德困境体验。方法计算机检索PubMed、Web of Science、CINAHL、Embace、Cochrane Library、Scopus、中国知网、中国生物医学文献数据库、维普数据库及万方等数据库,收集与安宁疗护护士道德困境体验相关的质...目的系统评价安宁疗护护士道德困境体验。方法计算机检索PubMed、Web of Science、CINAHL、Embace、Cochrane Library、Scopus、中国知网、中国生物医学文献数据库、维普数据库及万方等数据库,收集与安宁疗护护士道德困境体验相关的质性研究,检索时限为建库至2024年3月。运用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献的质量进行评价。采用汇集性整合方法进行结果整合和归纳。结果共纳入11篇文献,提炼出38个研究结果,归纳为9个类别,得到3个整合结果:安宁疗护实践中的道德挑战;道德困境触发负性情绪;调整与应对。结论安宁疗护护士具有复杂的道德困境,需要护理管理者重视其困境体验并提供多样化支持,以改善安宁疗护护士工作中的道德困境。展开更多
目的了解重症监护室护士道德困境的真实体验,为管理者制定干预措施,提高重症监护室护士幸福感,稳定护理队伍提供参考。方法检索中国知网、维普、中国生物医学文献数据库、万方、PubMed、the Cochrane Library、Web of Science、Embase...目的了解重症监护室护士道德困境的真实体验,为管理者制定干预措施,提高重症监护室护士幸福感,稳定护理队伍提供参考。方法检索中国知网、维普、中国生物医学文献数据库、万方、PubMed、the Cochrane Library、Web of Science、Embase数据库关于重症监护室护士道德困境的质性研究,检索时限为建库至2023年7月24日。根据JBI循证卫生保健中心推荐的质性研究质量评价标准对纳入文献进行质量评价,运用Meta整合方法对研究结果进行整合。结果共纳入8篇文献,从纳入研究中提炼出36个主题,将其归纳成为10个新类别,综合成3个整合结果,即ICU护士经历道德困境受多种因素影响,护士遭遇道德困境时的情感体验,应对道德困境的策略。结论重症监护室护士存在一定程度的道德困境,护理管理者应了解其产生的原因,并制定和实施有效干预措施,以减少重症监护室护士道德困扰,促进护士生理心理健康发展,稳定护理队伍。展开更多
为探讨中国农村日常生活自理能力(activity of daily living, ADL)受损老年人的自理困境现状及其异质性和影响因素,基于安德森(Andersen)模型理论和中国健康与养老追踪调查(Chinese Health and Retirement Longitudinal Study, CHARLS)...为探讨中国农村日常生活自理能力(activity of daily living, ADL)受损老年人的自理困境现状及其异质性和影响因素,基于安德森(Andersen)模型理论和中国健康与养老追踪调查(Chinese Health and Retirement Longitudinal Study, CHARLS)数据库,对农村ADL受损老年人的自理困境现状进行潜在类别分析,并采用单因素分析和多因素分类logistic回归,探讨不同潜在类别的影响因素.结果显示:在纳入的有效样本2 447人中,中国农村ADL受损老年人的自理困境现状存在3个潜在类别,即自理困境低危(占87.2%)、工具性困境高危(占4.1%)、自理困境高危(占8.7%);年龄、教育状况、居住方式、个人收入、贫困户状态、门诊利用次数、两年内体检情况、慢性病情况、自理独立等级、自评健康状况、生活满意度是影响老年人自理受困潜在类别的重要因素(P<0.05).由此可见,中国农村ADL受损老年人的自理困境现状存在群体异质性.相关部门应根据老年人不同的自理受困类别特征及其影响因素,采取更具针对性的措施,以改善我国农村ADL受损老年人的自理困境现状.展开更多
文摘In the field of robotics and in the health sciences, transitions have been occurring in the control of robots operating with predetermined logic and rules. Robotics in health care are influencing human caring dynamics in many ways such as enhancing dependency and surrender to machine technologies. Situations such as these are charged with possibilities of legal liabilities triggered by influences and consequences of advancing robotic technology dependency. The purpose of this paper is to identify, describe, and explain legal issues and/or dilemmas centered on robotics in healthcare while providing engaging opportunities to limit consequent legalities thus forming beneficial human health care outcomes. Laying bare these liabilities will provide critically informative data that can foster proactive encounters which can or may deter health care liabilities while ensuring quality healthcare outcomes. An attempt is made to re-conceptualize how to view agency, causality, liability responsibility, culpability, and autonomy for the new age of autonomous robots. While it is still not clear how this would turn out, a clear framing of the problem is the first step in the project.
文摘Purpose: This study sought to clarify the relationship between a nurse’s exposure to elderly relatives and their perspective in using restraints on the elderly in health care situations. Methods: We approached nursing staff supervisors at 17 general hospital wards and explained the objectives of the study. Supervisors at 14 hospitals agreed to participate, giving us a sampling pool of 1929 nurses. We used a chi square test to compare nurses who had spent time with elderly relatives and those who had not on several variables related to using restraints on elderly patients. Results and Conclusion: This study found that nurses who live with elderly family members were significantly more likely to believe that restraints cause diseases (including chronic diseases) based on a chi square test (p < 0.05). Therefore it would be important that essential was the experiences of individuals with elderly family members when making programs of decreasing nurse’s dilemma to restraining the elderly.
文摘目的系统评价安宁疗护护士道德困境体验。方法计算机检索PubMed、Web of Science、CINAHL、Embace、Cochrane Library、Scopus、中国知网、中国生物医学文献数据库、维普数据库及万方等数据库,收集与安宁疗护护士道德困境体验相关的质性研究,检索时限为建库至2024年3月。运用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献的质量进行评价。采用汇集性整合方法进行结果整合和归纳。结果共纳入11篇文献,提炼出38个研究结果,归纳为9个类别,得到3个整合结果:安宁疗护实践中的道德挑战;道德困境触发负性情绪;调整与应对。结论安宁疗护护士具有复杂的道德困境,需要护理管理者重视其困境体验并提供多样化支持,以改善安宁疗护护士工作中的道德困境。
文摘目的了解重症监护室护士道德困境的真实体验,为管理者制定干预措施,提高重症监护室护士幸福感,稳定护理队伍提供参考。方法检索中国知网、维普、中国生物医学文献数据库、万方、PubMed、the Cochrane Library、Web of Science、Embase数据库关于重症监护室护士道德困境的质性研究,检索时限为建库至2023年7月24日。根据JBI循证卫生保健中心推荐的质性研究质量评价标准对纳入文献进行质量评价,运用Meta整合方法对研究结果进行整合。结果共纳入8篇文献,从纳入研究中提炼出36个主题,将其归纳成为10个新类别,综合成3个整合结果,即ICU护士经历道德困境受多种因素影响,护士遭遇道德困境时的情感体验,应对道德困境的策略。结论重症监护室护士存在一定程度的道德困境,护理管理者应了解其产生的原因,并制定和实施有效干预措施,以减少重症监护室护士道德困扰,促进护士生理心理健康发展,稳定护理队伍。
文摘为探讨中国农村日常生活自理能力(activity of daily living, ADL)受损老年人的自理困境现状及其异质性和影响因素,基于安德森(Andersen)模型理论和中国健康与养老追踪调查(Chinese Health and Retirement Longitudinal Study, CHARLS)数据库,对农村ADL受损老年人的自理困境现状进行潜在类别分析,并采用单因素分析和多因素分类logistic回归,探讨不同潜在类别的影响因素.结果显示:在纳入的有效样本2 447人中,中国农村ADL受损老年人的自理困境现状存在3个潜在类别,即自理困境低危(占87.2%)、工具性困境高危(占4.1%)、自理困境高危(占8.7%);年龄、教育状况、居住方式、个人收入、贫困户状态、门诊利用次数、两年内体检情况、慢性病情况、自理独立等级、自评健康状况、生活满意度是影响老年人自理受困潜在类别的重要因素(P<0.05).由此可见,中国农村ADL受损老年人的自理困境现状存在群体异质性.相关部门应根据老年人不同的自理受困类别特征及其影响因素,采取更具针对性的措施,以改善我国农村ADL受损老年人的自理困境现状.
