与COVID-19大流行相关的住院教育中的伦理问题:一个叙事调查研究
Aliya Kassam1,2, Stacey Page3, Julie Lauzon4
1Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada kassama@ucalgary.ca.
Journal of medical ethics
|June 26, 2024
概括
在COVID-19大流行期间,第一年住院医生面临着复杂的道德挑战,突出了医疗保健系统和医学教育的需求. 了解这些经验对于未来的流行病准备和伦理培训至关重要.
科学领域:
- 医疗教育 医学教育
- 公共卫生道德 公共卫生道德
- 医疗保健系统 医疗保健系统
背景情况:
- 随着COVID-19的流行,居民医生培训和患者护理面临了前所未有的挑战.
- 在大流行期间,第一年住院医生的经验和道德困境在很大程度上是未经记录的.
研究的目的:
- 探索COVID-19大流行期间第一年住院医生的积极和消极经验.
- 识别和描述在这种独特的背景下住院医生遇到的伦理问题.
主要方法:
- 采用了叙事调查方法,使用半结构面试.
- 采访的重点是伦理原则和与流行病相关的经验.
- 研究小组对成绩单进行了主题分析,以确定关键的见解.
主要成果:
- 来自各种计划的11名居民参与了其中,分享了他们的经验.
- 关键主题包括导航复杂的医疗保健和教育系统,平衡公共卫生与个人需求,以及公平的医疗保健服务.
- 参与者的叙述突出了参与的愿望,对待的责任感,以及集体的"所有这些一起"精神.
结论:
- 伦理问题和从大流行中获得的经验可以为未来的伦理教育和大流行规划提供信息.
- 将临床伦理与公共卫生伦理进行对比,对于应对公共卫生紧急情况至关重要.
- 了解住院医生的公共卫生紧急情况导航可以改善住院教育和医疗保健系统.
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