调查医学学生在道德困境中的导航:理解崩以及如何解决它
Adam J Wesevich1, Lauren E Gulbas1, Hilary F Ryder2
1Steve Hicks School of Social Work, The University of Texas at Austin, Austin, Texas, USA.
AJOB empirical bioethics
|June 21, 2023
概括
医学学生在临床培训期间经常遇到涉及患者自主权和慈善的伦理困境. 他们希望有更好的准备和策略来应对这些复杂的情况,并减少道德上的痛苦.
科学领域:
- 医学教育 医学教育
- 生物伦理学生物伦理学
- 临床心理学 临床心理学
背景情况:
- 医学学生接受不一致的伦理培训,但仍有望管理复杂的临床伦理困境.
- 有限的研究存在于早期临床经验和课程准备期间面临的伦理困境.
研究的目的:
- 探讨医学三年级学生在职务期间遇到的道德困境.
- 分析这些道德困境的因素,来源和建议的解决方案.
主要方法:
- 三年级医学学生从2016年至2018年完成了关于临床道德困境的书面反思.
- 应用主题分析和主题矩阵被用来分析162个学生的反思.
- 学生们确定了困境,解决方案,并反思了职业发展.
主要成果:
- 88.9%的学生报告了涉及自主和慈善的困境,71.6%的学生经历了这些原则之间的直接冲突.
- 常见的冲突来源包括沟通不良,关于家庭权威/精神病学能力的政策不清楚,以及医疗疏忽.
- 学生们提出了各种解决方案来管理和预防道德冲突.
结论:
- 大多数医学学生面临着道德上的挑战,特别是自主性与慈善之间的冲突.
- 学生们主张加强工具和策略,以管理困难的伦理决策和道德困境.
- 建议医学生对道德决策的复杂性进行更好的教育.
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