Gaslighting of Inpatients-A threat to nursing care and a violation of relational autonomy.

IF 2.9 1区 哲学 Q1 ETHICS
Gabay Gillie, Yaarit Bokek-Cohen
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引用次数: 0

Abstract

Background Medical gaslighting refers to the mistreatment that patients experience following interactions with clinicians when their medical complaints and suffering are discounted, doubted, questioned, second-guessed, or denied, resulting in self-doubts of patients and psychological ramifications. This research focuses on the ethical aspects of medical gaslighting among hospitalized patients by nurses.Research QuestionWhat are the nursing care and nursing ethics perspectives concerning medical gaslighting? Research DesignA narrative review.Research MethodInterpretation of two narrative interviews with each participant through the lenses of nursing ethics.Participants14 hospitalized patients, males and females, ages 30-81, from the majority group in the population.ContextLengthy hospitalizations.Ethical considerationsEthical approval was granted; all participants signed an informed consent form for participation and publication.FindingsPatient experiences demonstrate medical gaslighting by nurses, violating relational autonomy and resulting in delayed care.DiscussionMedical gaslighting contradicts ethics of care, the professional values of nursing, and patient-centered care constituting obstacles to respectful patient-nurse relationships and to relational autonomy.ConclusionsMedical gaslighting is a profoundly concerning ethical phenomenon that adversely affects patient well-being and trust in nursing as a significant profession in a just society.

住院病人的煤气灯——对护理的威胁和对关系自主权的侵犯。
医疗煤气灯是指患者在与临床医生互动后,因其医疗投诉和痛苦被轻视、怀疑、质疑、猜测或否认而遭受的虐待,导致患者自我怀疑和心理后果。本研究聚焦于护士在住院病人中使用医疗煤气灯的伦理问题。研究问题:医疗煤气灯的护理和护理伦理学观点是什么?研究设计:叙述性回顾。研究方法:通过护理伦理学的视角对每位参与者进行两次叙述性访谈。参与者14名住院患者,男女,年龄30-81岁,来自人口中的大多数群体。ContextLengthy住院。伦理考虑伦理批准;所有参与者都签署了一份知情同意书,以便参与和发表。发现病人的经验表明,护士在医疗上“煤气灯”,侵犯了关系自主权,导致护理延误。医疗煤气灯与护理伦理、护理专业价值和以患者为中心的护理相矛盾,构成了尊重患者-护士关系和关系自治的障碍。结论医疗煤气灯是一种深刻关注的伦理现象,它对患者的福祉和对护理作为公正社会中重要职业的信任产生不利影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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