Sibel KARACA SİVRİKAYA, Ali KAMİL BAYRAKTAR

Acil Servis Hemsirelik Hizmetlerinde E

Acil servisler, ani gelisen hastalık, kaza, yaralanma gibi beklenmedikanlarda ortaya çıkan saglık sorunlarına yönelik saglık hizmetlerinin verildigibirimlerdir. Acil servislerde, çogu zaman yasamı tehdit eden birsaglık sorunu olan, bilinci yerinde olmayan, kimsesiz, bazen de kimligibelirsiz hastalar tedavi edilir. Bu açıdan acil servisler özenli bir hizmetsunulmasını gerektiren, saglık profesyonellerine etik sorumluluk yükleyenbir alandır. Bu birimlerde görev alan hemsireler, acil servistekisaglık ekibi içerisinde hasta ve hasta yakınlarıyla sürekli etkilesimdeanahtar rolü sürdüren önemli saglık bakım profesyonelleridir. Acilserviste hemsirelik hizmetleri yürütülürken hızlı ve etik karar vermeyietkileyen acil servise özgü birçok farklı olay ve durumda etik sorunlarlakarsılasılabilir. Bu derlemede acil servis yogunlugu, triyaj uygulaması,acil servis ortamında hasta mahremiyetinin saglanmaya çalısılması, acilhastanın bilgilendirilmesi ve onam alma gibi durumlarda olusan etiksüreçler hemsirelik hizmetleri açısından ele alınmıs ve etik karar vermesürecine etki edebilecek konularda bilgi sunulması amaçlanmıstır.

Nursing Ethics in the Emergency Department

Emergency departments are units that provide health services for emergencies such as sudden diseases, accidents, and injuries. Patients having mostly life-threatening health problems, being unconscious, orphaned, and sometimes unidenti ed are treated in emergency services. In this respect, emergency departments give healthcare professionals moral responsibilities and these healthcare professionals need to provide their services meticulously. Emergency department nurses are essential healthcare professionals that play a key role on emergency healthcare teams by constantly interacting with patients and their relatives. Nurses can experience many ethical dilemmas which may affect immediate decision-making while emergency nursing services are being provided. In this review, ethical situations arising as a result of emergency department crowding, triage process, protection of patient privacy, keeping emergency patients informed, and taking the consent of patients are considered with regards to nursing services. The purpose is to present information concerning the matters which may affect the ethical decision- making process.

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