RT Article
T1 Ethical challenges in home mechanical ventilation: A secondary analysis
JF Nursing ethics
VO 19
IS 2
SP 233
OP 244
A1 Dybwik, Knut
A1 Nielsen, Erik Waage
A1 Brinchmann, Berit Støre
LA English
PB Sage
YR 2012
UL https://www.ixtheo.de/Record/1779450117
AB The aim of this study was to explore the ethical challenges in home mechanical ventilation based on a secondary analysis of qualitative empirical data. The data included perceptions of healthcare professionals in hospitals and community health services and family members of children and adults using home mechanical ventilation. The findings show that a number of ethical challenges, or dilemmas, arise at all levels in the course of treatment: deciding who should be offered home mechanical ventilation, respect for patient and family wishes, quality of life, dignity and equal access to home mechanical ventilation. Other challenges were the impacts home mechanical ventilation had on the patient, the family, the healthcare services and the allocation of resources. A better and broader understanding of these issues is crucial in order to improve the quality of care for both patient and family and assist healthcare professionals involved in home mechanical ventilation to make decisions for the good of the patient and his or her family.
K1 Non-maleficence
K1 Justice
K1 home mechanical ventilation
K1 ethical challenges
K1 Beneficence
K1 Autonomy
DO 10.1177/0969733011414967