한국간호윤리학회지 제2권 2호 (p.52-58)

인공기도관 유지를 위한 중환자실 신체보호대 적용: 증례보고

An Ethical Dilemma in Use of Physical Restraints for Maintain Endotracheal Tube in Intensive Care Unit : Case Report
키워드 :
Physical restraint,Ethical issue,Critical care

목차

Ⅰ. 서 론
Ⅱ. 윤리적 고려사항
Ⅲ. 증례기록
   1. 사례1
   2. 사례2
Ⅳ. 논의 및 제언
참고문헌

초록

The restraints are used in the intensive care unit as a way to restrict the movement of the whole body or part of the body for the safety of the patient, such as maintaining medical equipment, preventing falls and patient self tube removal through regulating the patient's behavior. However, the physical restraints are used for the physical safety of the patient, but that is cause a variety of physical and psychological complications. Thus, nurses in intensive care units who apply restraint on face an ethical dilemma in the confrontation between the nurse's duty to improve the patient's health and protect the patient's safety and the value of the patient's autonomy and dignity. We have two examples are proposed to identify the ethical dilemma situation faced by nurses, to induce an active attitude towards elimination by establishing exactly restraint - removal criteria. In addition, it is proposed to seek a balance of individual values through active communication between the patient and the medical staff regarding the application of the restraint.