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首页> 外文期刊>African Studies >‘We didn't do anything wrong, we tried our best, but they just died … we tried, we really tried’: Child Deaths in the Paediatric Intensive Care Unit, Red Cross Children's Hospital, Cape Town, South Africa
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‘We didn't do anything wrong, we tried our best, but they just died … we tried, we really tried’: Child Deaths in the Paediatric Intensive Care Unit, Red Cross Children's Hospital, Cape Town, South Africa

机译：“我们没有做错任何事，我们尽了最大的努力，但他们只是死了……我们曾尝试过，我们确实尝试过”：南开普敦红十字儿童医院儿科重症监护室的儿童死亡非洲

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This article argues that child deaths in the Paediatric Intensive Care Unit (PICU) generate profound moral struggle amongst caregivers. In it I deconstruct how caregivers manage the messy and at times problematic circumstances that clinical necessity requires from them in order to save children's lives. One result of this is that on many occasions they care for them at their time of death. When deaths are well managed compassion is engendered into the child's dying and the death becomes restorative for the family and unit. In this, consultants - who are intensive-care specialists - play a critical role as they take responsibility for the clinical management of child deaths. In doing so, they inform a team-based deliberation process to consider the child's clinical assessment in the context of other ethical and moral issues. In addition, consultants must take part in the social negotiation of these events with family and caregivers. Nurses in contrast are more intimately involved in child deaths and are shown to be more affected by the emotional, psychological and social consequences of deaths. The discussion further proposes that the nature of moral struggle is confounded by a complex of related factors that arise in a South African landscape, critical among which are the past inequities brought by apartheid and this makes the deaths of children particularly sensitive. These inequities are now inherent in a geographical context influencing the demographic and epidemiological profile of disease that children suffer from and thereby, their chances of survival on admission to the hospital and the deaths that occur.View full textDownload full textKeywordschild deaths, intensive care, caregivers, moral struggle, end-of-life decisions, South Africa, apartheidRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/00020184.2012.702970
机译：本文认为，儿童重症监护病房（PICU）中的儿童死亡在看护人之间产生了深刻的道德斗争。在这篇文章中，我解构了看护人如何处理混乱的情况，有时还需要临床上需要的有问题的情况，以挽救儿童的生命。其结果是，在很多情况下，他们在去世时都会照顾他们。如果对死亡的处理得当，孩子的快将死去，产生同情心，而死亡对家庭和单位而言就可以恢复原状。在这种情况下，作为重症监护专家的顾问在承担儿童死亡的临床管理责任时起着至关重要的作用。通过这样做，他们可以告知基于团队的审议过程，以便在其他道德和道德问题的背景下考虑孩子的临床评估。此外，顾问必须与家人和看护人一起参加这些活动的社会协商。相比之下，护士更密切地参与了儿童的死亡，并且显示出他们更受死亡的情感，心理和社会后果的影响。讨论进一步提出，道德斗争的性质被南非局势中出现的一系列相关因素所迷惑，其中至关重要的是种族隔离带来的过去不平等，这使得儿童的死亡特别敏感。这些不平等现象现在在地理环境中是固有的，会影响儿童所患疾病的人口统计和流行病学特征，从而影响儿童入院时的生存机会以及所发生的死亡。查看全文下载全文关键字儿童死亡，重症监护，看护人，道德斗争，临终决定，南非，种族隔离，more“，pubid：” ra-4dff56cd6bb1830b“};添加到候选列表链接永久链接http://dx.doi.org/10.1080/00020184.2012.702970

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