麻醉患者的同意和教育敏感检查:加拿大医学学生的经验
Phoebe Friesen1, Wan-Li Sun2, Sarah Towle3
1Departments of Equity, Ethics, and Policy, and Social Studies of Medicine, McGill University, Montreal, QC.
概括
加拿大的医学学生报告说,在麻醉下进行敏感检查 (EUA) 的同意不一致. 许多人经历或目睹了非同意的程序,导致对教育敏感的EUAs的不适和道德问题.
科学领域:
- 医学教育 医学教育
- 患者的同意 患者的同意
- 临床伦理学 临床伦理学
背景情况:
- 在麻醉下进行教育敏感的检查 (EUA),如盆腔和直肠检查,是医疗培训的一部分.
- 确保对这些敏感程序的适当同意对于道德医学教育至关重要.
研究的目的:
- 调查医学学生在加拿大对教育敏感EUAs的同意的经验.
- 确定同意问题的普遍性和学生对这些做法的舒适度.
主要方法:
- 开发了一份双语在线问卷,并向全国各地的医学学生分发.
- 分析了134名受访者的数据,以评估盆腔,直肠和其他敏感EUA的经验.
主要成果:
- 有很大比例的学生在不清楚或没有具体同意的情况下进行了敏感的EUA (例如,26%的盆腔,48%的直肠).
- 大多数受访者 (68%) 表示对学生盆腔EUA的同意过程感到不舒服或不确定.
- 开放式的回应突出了影响同意体验的变化,不适和权力动态.
结论:
- 在加拿大医学培训中,存在着非自愿的教育敏感的EUA,其同意实践高度变化.
- 大多数学生对这些教育程序的同意处理感到不舒服或不确定.
- 权力动态使学生表达对敏感EUA同意的担忧的能力变得复杂.
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