临床伦理决策的结构:医院系统需要评估
Leana G Araujo1, Martin Shaw2, Edwin Hernández1
1Administration Department, AdventHealth University, Orlando, FL, USA.
概括
医疗机构需要更好的生物伦理基础设施. 一项需求评估发现,虽然临床伦理委员会 (CEC) 活跃,但许多人缺乏正式培训和明确的解决困境的过程.
科学领域:
- 医学伦理 医学伦理
- 医疗保健管理的管理
- 组织行为 组织行为
背景情况:
- 生物伦理困境在医疗保健研究和临床实践中普遍存在.
- 随着COVID-19大流行,医疗保健机构需要强大的生物伦理基础设施.
- 临床伦理委员会 (CEC) 对政策制定,员工培训和解决复杂的伦理案件至关重要.
研究的目的:
- 评估一个综合性医院系统内生物伦理基础设施的现状.
- 确定现有的生物伦理资源和培训计划的优缺点.
- 为改善机构生物伦理学支持提供信息.
主要方法:
- 进行了一项横截面的匿名在线调查.
- 该调查包括定量和定性问题.
- 来自该系统内的五家医院的关键领导人参加了会议.
主要成果:
- 大多数设施都有活跃的,多学科的CEC,解决关键问题.
- 参与者报告了关于CEC运营流程和困境解决的不确定性.
- 报告指出,CEC成员缺乏正式的指导和持续的道德教育.
结论:
- 对于医疗机构来说,具有训练有素成员的运作良好的CEC是必不可少的.
- 需要进行重大改进,以加强生物伦理基础设施和培训.
- 解决发现的差距将加强对道德医疗实践的承诺.
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