[安乐死法和专业经验:临床实践中的紧张关系]
Maria Verdaguer1, Patricia Beroiz-Groh2, Xavier Busquet-Duran3
1Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol i Gurina, Mataró (Barcelona), España; Departament de Psicologia Social, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès, Barcelona), España.
Gaceta sanitaria
|March 12, 2024
概括
在加泰罗尼亚,提供协助死亡的专业人员由于法律,道德和结构性挑战而经历了严重的痛苦. 解决这些问题需要加强心理,同行支持和机构干预.
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
- 卫生社会学 卫生社会学
背景情况:
- 协助死亡的提供涉及医疗保健专业人员的复杂的伦理和实际考虑.
- 之前的研究已经强调了实施终身护理政策的挑战.
研究的目的:
- 分析加泰罗尼亚的协助死亡过程.
- 在专业实践中识别紧张局势,困难和不适的来源.
主要方法:
- 使用采访 (n=29) 和专注组 (n=19) 与参与的专业人士进行定性研究.
- 参与者选择采用了雪球和最大化可变性程序.
- 蓄意和理论抽样确保了各种各样的专业配置文件和设置.
主要成果:
- 协助死亡的过程包括四个阶段:请求接收,医疗官僚程序,程序本身和结束.
- 困难和痛苦源于法律和道德冲突,职业角色模两可,缺乏角色认可,压力,过度负担和患者/家庭关系.
- 保护性法律带来的官僚行政压力,再加上预算削减和COVID-19疫情带来的系统压力,显著影响了专业人士.
结论:
- 痛苦的来源是多样化的,包括心理,心理社会和结构因素.
- 干预措施应侧重于心理和同行支持,改善信息和培训,以及机构参与.
- 减少职业负担对于可持续的辅助死亡提供至关重要.
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