外科医生对道德困境的日常呈现的观点:一种定性研究
Steven Char1, Kenneth Prager2,3, Lydia Dugdale3,4
1From the Department of Surgery, Division of General Surgery (Chan, Fischkoff), Columbia University Medical Center, New York, NY.
Journal of the American College of Surgeons
|July 10, 2023
概括
外科医生面临着许多道德困境,其中大多数与专业义务和生命末期护理有关. 手术伦理课程可以更好地为这些挑战做好准备.
科学领域:
- 医学伦理 医学伦理
- 在外科手术实践中.
- 定性研究是指质量研究.
背景情况:
- 外科医生在日常实践中遇到复杂的道德困境.
- 美国外科医生学院 (ACS) 之前已经确定了6个核心伦理问题.
- 外科医生面临的道德挑战的全部范围仍未得到充分报道.
研究的目的:
- 探索外科医生遇到的伦理困境的范围和复杂性.
- 将外科医生的经验与现有的伦理框架进行比较.
主要方法:
- 进行了深入的采访,对12个外科子专业的30名主治外科医生进行了深入的采访.
- 有根据的理论,数据分析的诱导方法.
- 在一个大型的,城市的,学术医疗中心进行的采访.
主要成果:
- 大多数困境涉及职业义务,利益冲突,说实话和终身护理.
- 很少提到保密性和代理决策.
- 三分之一的外科医生报告了ACS原则未涵盖的困境,通常与非医疗指示护理的压力有关.
- 发现了对正式的外科伦理课程的强烈支持.
结论:
- 现有的ACS伦理原则涵盖了许多,但并非所有手术困境.
- 外科医生遇到伦理问题,例如对不必要的手术的压力,目前的框架没有完全解决这些问题.
- 建议制定专门的外科伦理课程,以提高外科医生应对伦理挑战的能力.
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