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Updated: Jul 19, 2025

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实习生持续接受不充分的同意培训
Susie Ní Fhaolain1, James Griffin2, Pat Rohan3
1Department of Urology, Beaumont Hospital, Beaumont, Dublin 9, Republic of Ireland.
Irish journal of medical science
|August 7, 2023
概括
实习生经常在没有适当的培训或监督的情况下获得患者的同意,这是在五年来没有改变的做法. 这突显了医疗教育和患者安全方面的严重差距,影响了初级医生和患者.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 在知情同意的情况下同意.
背景情况:
- 知情同意是一个持续的患者沟通过程,而不仅仅是签署表格.
- 爱尔兰医疗理事会的指导限制了内部授权同意,在解释后进行轻微,熟悉的程序.
研究的目的:
- 评估过去五年内关于知情同意的内部做法的变化.
主要方法:
- 在所有网络中向实习生分发的匿名谷歌表格调查.
- 调查于2021年8月24日至11月26日期间进行.
主要成果:
- 在854名实习生中,有147名应答 (17.2%的应答率).
- 87.8%的人同意程序,86%的程序没有先前见证.
- 71.3%缺乏监督者解释,99.2%在同意期间缺乏高级观察.
- 89.9%的人定期获得同意,60.5%的人感到有压力;结果自2016年以来没有变化.
结论:
- 实习生经常在没有适当的培训或监督的情况下参与同意.
- 这种情况不利于初级医生和患者.
- 必须遵守爱尔兰医学委员会的指导方针;高级临床医生必须解决这个缺陷.
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