Restraint in somatic healthcare: how should it be regulated?

IF 3.3 2区 哲学 Q1 ETHICS
Amina Guenna Holmgren, Ann-Christin von Vogelsang, Anna Lindblad, Niklas Juth
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引用次数: 0

Abstract

Restraint is regularly used in somatic healthcare settings, and countries have chosen different paths to regulate restraint in somatic healthcare. One overarching problem when regulating restraint is to ensure that patients with reduced decision-making capacity receive the care they need and at the same time ensure that patients with a sufficient degree of decision-making capacity are not forced into care that they do not want. Here, arguments of justice, trust in the healthcare system, minimising harm and respecting autonomy are contrasted with different national regulations. We conclude that a regulation that incorporates an assessment of patients' decision-making capacity and considers the patient's best interests is preferable, in contrast to regulations based on psychiatric diagnoses or regulations where there are no legal possibilities to exercise restraint at all in somatic care.

身体保健中的约束:应该如何监管?
约束在躯体医疗环境中经常使用,各国选择了不同的途径来规范躯体医疗中的约束。监管约束时的一个首要问题是确保决策能力下降的患者得到他们需要的护理,同时确保决策能力足够的患者不会被迫接受他们不想要的护理。在这里,正义、对医疗系统的信任、最大限度地减少伤害和尊重自主权的论点与不同的国家法规形成了对比。我们得出的结论是,与基于精神病诊断的法规或在身体护理中根本没有法律限制的法规相比,纳入对患者决策能力评估并考虑患者最大利益的法规更可取。
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
Journal of Medical Ethics
Journal of Medical Ethics 医学-医学:伦理
CiteScore
7.80
自引率
9.80%
发文量
164
审稿时长
4-8 weeks
期刊介绍: Journal of Medical Ethics is a leading international journal that reflects the whole field of medical ethics. The journal seeks to promote ethical reflection and conduct in scientific research and medical practice. It features articles on various ethical aspects of health care relevant to health care professionals, members of clinical ethics committees, medical ethics professionals, researchers and bioscientists, policy makers and patients. Subscribers to the Journal of Medical Ethics also receive Medical Humanities journal at no extra cost. JME is the official journal of the Institute of Medical Ethics.
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