Professional Challenges of Bedside Rationing in Intensive Care
As the pressure on available health care resources grows, an increasing moral challenge in intensive care is to secure a fair distribution of nursing care and medical treatment. The aim of this article is to explore how limited resources influence nursing care and medical treatment in intensive care...
| Authors: | ; ; |
|---|---|
| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
|
| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
Sage
2008
|
| In: |
Nursing ethics
Year: 2008, Volume: 15, Issue: 6, Pages: 715-728 |
| Further subjects: | B
intensive care
B Distributive Justice B Resource Allocation B Ethical Dilemma B Critical care nursing B health care priorities |
| Online Access: |
Presumably Free Access Volltext (lizenzpflichtig) |
MARC
| LEADER | 00000naa a22000002 4500 | ||
|---|---|---|---|
| 001 | 1779446594 | ||
| 003 | DE-627 | ||
| 005 | 20211126113418.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 211126s2008 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1177/0969733008095383 |2 doi | |
| 035 | |a (DE-627)1779446594 | ||
| 035 | |a (DE-599)KXP1779446594 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 1 |2 ssgn | ||
| 100 | 1 | |a Halvorsen, Kristin |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Professional Challenges of Bedside Rationing in Intensive Care |
| 264 | 1 | |c 2008 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a As the pressure on available health care resources grows, an increasing moral challenge in intensive care is to secure a fair distribution of nursing care and medical treatment. The aim of this article is to explore how limited resources influence nursing care and medical treatment in intensive care, and to explore whether intensive care unit clinicians use national prioritization criteria in clinical deliberations. The study used a qualitative approach including participant observation and in-depth interviews with intensive care unit physicians and nurses working at the bedside. Scarcity of resources regularly led to suboptimal professional standards of medical treatment and nursing care. The clinicians experienced a rising dilemma in that very ill patients with a low likelihood of survival were given advanced and expensive treatment. The clinicians rarely referred to national priority criteria as a rationale for bedside priorities. Because prioritization was carried out implicitly, and most likely partly without the clinician's conscious awareness, central patient rights such as justice and equality could be at risk. | ||
| 601 | |a Challenger | ||
| 650 | 4 | |a Resource Allocation | |
| 650 | 4 | |a intensive care | |
| 650 | 4 | |a health care priorities | |
| 650 | 4 | |a Ethical Dilemma | |
| 650 | 4 | |a Distributive Justice | |
| 650 | 4 | |a Critical care nursing | |
| 700 | 1 | |a Førde, Reidun |e VerfasserIn |4 aut | |
| 700 | 1 | |a Nortvedt, Per |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Nursing ethics |d London [u.a.] : Sage, 1994 |g 15(2008), 6, Seite 715-728 |h Online-Ressource |w (DE-627)324869460 |w (DE-600)2031461-9 |w (DE-576)273866605 |x 1477-0989 |7 nnns |
| 773 | 1 | 8 | |g volume:15 |g year:2008 |g number:6 |g pages:715-728 |
| 856 | |u https://www.duo.uio.no/bitstream/10852/59086/1/PhD-Halvorsen-DUO.pdf |x unpaywall |z Vermutlich kostenfreier Zugang |h repository [oa repository (via OAI-PMH doi match)] | ||
| 856 | 4 | 0 | |u https://doi.org/10.1177/0969733008095383 |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 935 | |a mteo | ||
| 936 | u | w | |d 15 |j 2008 |e 6 |h 715-728 |
| 951 | |a AR | ||
| ELC | |a 1 | ||
| ITA | |a 1 |t 1 | ||
| LOK | |0 000 xxxxxcx a22 zn 4500 | ||
| LOK | |0 001 400812036X | ||
| LOK | |0 003 DE-627 | ||
| LOK | |0 004 1779446594 | ||
| LOK | |0 005 20211126113418 | ||
| LOK | |0 008 211126||||||||||||||||ger||||||| | ||
| LOK | |0 035 |a (DE-Tue135)IxTheo#2021-10-24#CD901E049B3E288580CFC88335F221586C59DC24 | ||
| LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
| LOK | |0 092 |o n | ||
| LOK | |0 852 |a DE-Tue135 | ||
| LOK | |0 852 1 |9 00 | ||
| LOK | |0 935 |a ixzs |a ixrk |a zota | ||
| OAS | |a 1 | ||
| ORI | |a SA-MARC-ixtheoa001.raw | ||