Etička pitanja na kraju života u sestrinskoj skrbi na odjelima onkologije

master's thesis

• Title (english): End of life ethical issues in nursing care at oncology departments
• Author: Lana Marčetić Rodić
• Mentor: Ana Borovečki (mentor)
• Committee member: Zlata Ožvačić Adžić (predsjednik povjerenstva)
• Committee member: Natalija Dedić Plavetić (član povjerenstva)
• Committee member: Ana Borovečki (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Social Medicine and Health Care Organization); Zagreb
• Defense date and country: 2021-09-23, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Social Medicine

Abstract

S obzirom na sve veći porast malignih bolesti u svijetu, raste i potreba za sve više
intervencija na području onkologije. Nažalost, znatan udio malignih bolesti je
neizlječiv i smrtonosan. U zbrinjavanju onkološkog pacijenta sudjeluje cijeli
multidisciplinarni tim stručnjaka, no najbrojniji su medicinske sestre i tehničari.
Upravo su oni ti koji najviše vremena provode uz pacijente, te aktivno sudjeluju u
svim aspektima zbrinjavanja onkoloških pacijenata, od same dijagnostike do različitih
metoda liječenja, koje u neizlječivim slučajevima bolesti i terminalnim fazama
uključuju i palijativno liječenje.
U njihovome radu javlja se niz etičkih dilema vezanih uz: korisnost nekog
medicinskog postupka i domete suvremene medicine, pretjerano i nepotrebno
liječenje pacijenata na kraju života (distanazija), očekivanja pacijenata i njihovih
obitelji i mogućnosti liječenja koje liječnici imaju na raspolaganju, te načina
donošenja odluka o istima u samome medicinskom timu. Osim toga u svome
svakodnevnom radu medicinske sestre i tehničari suočeni su i s drugim zahtjevima
svakodnevne skrbi za onkološke pacijente. Rezultat neriješenih etičkih dilema i
kompleksnih zahtjeva koje pred njih stavlja svakodnevni rad u skrbi za onkološke
pacijente može u njih dovesti do nastanka sindroma sagorijevanja i moralnog
distresa.

Abstract (english)

Given the growing number of malignant diseases in the world, there is a growing
need for more and more interventions in the field of oncology. Unfortunately, a
significant share of malignant diseases are incurable and deadly. An entire
multidisciplinary team of experts is involved in the care of the oncology patient, but
the most numerous are nurses. They are the ones who spend the most time with
patients, and actively participate in all aspects of care for oncology patients, from
diagnostic to various treatment methods, which in incurable cases and terminal
stages also include palliative care.
A number of ethical dilemmas arise in their work, related to: the utility of a
medical procedure and the scopes of modern medicine, excessive and unnecessary
treatment of patients at the end of life (dysthanasia), expectations of patients and
their families and treatment options available to doctors, and ways of decision making
in the medical team itself. In addition, in their daily work, nurses are faced with other
requirements of daily care for oncology patients. The result of unresolved ethical
dilemmas and the complex demands placed on them by daily work in the care of
oncology patients can lead to the development of burnout syndrome and moral
distress.

• Keywords: medicinske sestre i tehničari; onkologija; etička pitanja; kraj života
• Keywords (english): nurses; oncology; ethical issues; end of life
• Language: croatian
• URN:NBN: urn:nbn:hr:105:911668
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-06-17 10:57:26