西班牙医疗保健提供者的道德困境:观察性研究
Marta Mellides González1, Marta Elena Losa Iglesias2, Inmaculada Corral-Liria2
1Hospital Universitario 12 de Octubre, Usera, Madrid, 28041, Spain.
Risk management and healthcare policy
|June 12, 2024
概括
护士的道德压力比医生和技术人员更高. 成年患者护理医生报告道德困境比儿科护理医生更大,强调需要进行干预以改善道德气候.
科学领域:
- 医疗保健道德 医疗保健道德
- 职业健康 职业健康 职业健康
- 临床心理学 临床心理学
背景情况:
- 道德困扰 (MD) 影响医疗保健专业人员,可能受到患者人口复杂性的影响.
- 医院内的道德气候是影响专业福祉的关键因素.
- 了解MD驱动因素对于有针对性的干预措施至关重要.
研究的目的:
- 评估儿童和成人护理环境中的道德困境.
- 确定儿科护理的复杂性是否增加了道德上的痛苦.
- 评估与道德困境相关的伦理气候.
主要方法:
- 一项涉及169名西班牙医疗保健专业人员的观察性研究.
- 电子发行一个由58项组成的问卷.
- 使用了医疗保健专业人员 (MMD-HP-SPA) 的道德不安测量和医院伦理气候调查 (HECS).
主要成果:
- 护士报告道德困境明显高于医生和技术人员.
- 治疗成人患者的医生比治疗儿科患者的医生有更高的道德痛苦.
- 医学组在伦理气候调查中比护理组得分更高.
结论:
- 成人护理医生比儿科护理医生表现出更高的道德痛苦.
- MMD-HP-SPA是一个有效的工具,用于检测医院单位的MD.
- 干预措施可以缓解MD并改善医院的伦理气候.
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