Etični vidiki prisotnosti svojcev pri kardiopulmonalnem oživljanju : diplomsko delo

Mihelič, Lara (author), Ovijač, Darja (mentor), Mlinar, Suzana (reviewer)

Uvod: Splošno velja, da je vključevanje svojcev v razpravo o koncu življenja kritično, vendar si nekateri svojci želijo biti prisotni v zadnjih trenutkih ljubljene osebe, tudi če gre za kardiopulmonalno oživljanje. Zato je potrebno pretehtati koristi in tveganja pri odločanju glede prisotnosti svojcev pri kardiopulmonalnem oživljanju. Namen: Želeli smo raziskati etične vidike prisotnosti svojcev pri kardiopulmonalnem oživljanju. Metode dela: V diplomskem delu smo uporabili kvalitativen pristop, in sicer desktriptivno metodo dela s pregledom domače in tuje literature, katere objava je bila omejena med letoma 2013 in 2023. Pridobljena je bila s pomočjo iskalnika Google Scholar, bibliografske elektronske baze podatkov CINAHL, PubMed ter portala DiKUL. Pri iskanju literature smo uporabili slovenske in angleške besede in besedne zveze: vključevanje svojcev, kardiopulmonalno oživljanje, prisotnost družine, etični vidiki, kardiopulmonalno oživljanje otrok, CPR, ethics, resuscitation. Rezultati: Prisotnost svojcev med kardiopulmonalnim oživljanjem lahko pomaga svojcem narediti zaključek. Svojci vidijo, da je bilo za ljubljeno osebo strojeno vse, kar je v moči reanimacijskega tima. Po drugi strani pa je prisotnost lahko tvegana praksa, saj nikoli ne vemo, kako se bodo svojci odzvali ob takem dogodku. V takih primerih je zato dobro imeti možnost podporne osebe, ki svojcem skozi proces stoji ob strani. Razprava in zaključek: Zdravstveni delavci se redko poslužujejo prisotnosti svojcev med kardiopulmonalnim oživljanjem, saj jim predstavlja etično dilemo. Po eni strani bi se svojci počutili kot del ekipe in imeli občutek pomirjenosti, po drugi strani pa lahko prisotnost svojcev med kardiopulmonalnim oživljanjem vodi v dodaten stres tako na strani svojcev, kot tudi na strani zdravstvenega tima.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, etični vidiki, prisotnost družine, kardiopulmonalno oživljanje, podporna oseba
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Mihelič]
• Year: 2024
• Number of pages: 27 str.
• PID: 20.500.12556/RUL-155565
• UDC: 616-083
• COBISS.SI-ID: 191644675
• Publication date in RUL: 06.04.2024

MIHELIČ, Lara, 2024, Etični vidiki prisotnosti svojcev pri kardiopulmonalnem oživljanju : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : L. Mihelič. [Accessed 18 May 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=155565

Secondary language

• Language: English
• Title: Ethical aspects of the presence of relatives during cardiopulmonary resuscitation : diploma work

Abstract

Introduction: It is generally accepted that the involvement of relatives in the end-of-life discussion is critical. However, some relatives still want to be present during the last moments of their loved ones, even if it is cardiopulmonary resuscitation. That is why risks and benefits must be considered when deciding whether relatives can be present during cardiopulmonary resuscitation. Purpose: We wanted to explore the ethical aspects of the presence of relatives during cardiopulmonary resuscitation. Methods: In the diploma thesis, we used qualitative approach, a descriptive method with a review of domestic and foreign literature. Literature was published between 2013 and 2023. We used Google Scholar search, the electronic bibliographic database CINAHL, PubMed and DiKUL portal to find literature. When searching the literature, we used Slovenian and Englih words and phrases: vključevanje svojcev, kardiopulmonalno oživljanje, prisotnost družine, etični vidiki, kardiopulmonalno oživljanje otrok, CPR, ethics, resuscitation. Results: The presence of relatives during cardiopulmonary resuscitation can help the loved ones to come to a closure. Relatives can also see that everything in the power of the resuscitation team has been done for their loved one. Although the presence can be risky, because we never know how relatives will respond in such an event, it is good to have support person who stands by their side throughout the whole process. Discussion and conclusion: Healthcare professionals rarely use the presence of relatives during cardiopulmonary resuscitation, as it presents them ethical dilemma. On one hand, healthcare team can have more professional attitude and relatives would feel like part of the team and feel more calm. On the other hand, the presence of relatives during cardiopulmonary resuscitation can lead to additional stress on relatives and on medical team.

• Keywords: diploma theses, nursing care, ethical aspects, family presence, cardiopulmonary resuscitation, support person