实施科学中的伦理问题:参与临床医生的定性采访研究
Justin T Clapp1, Naomi Zucker1, Olivia K Hernandez2
1University of Pennsylvania, Philadelphia, Pennsylvania, USA.
AJOB empirical bioethics
|August 13, 2024
概括
参与实施科学研究的临床医生担心人际关系,并将研究视为质量改进. 研究人员必须在实施研究中解决员工地位和各种相互作用的问题.
科学领域:
- 实施科学 实施科学
- 临床伦理学 临床伦理学
- 医疗保健研究 医疗保健研究
背景情况:
- 传统的研究伦理框架不足以解决实施科学中的伦理问题.
- 对临床医生对这些道德问题的观点的经验数据很少.
- 这项研究探讨了临床医生在一项专注于重症监护室 (ICU) 患者移交的实施研究中对道德挑战的看法.
研究的目的:
- 调查临床医生如何看待他们参与实施科学研究的伦理影响.
- 了解临床医生对影响其日常工作的研究中的伦理实践的担忧和态度.
主要方法:
- 在参与实施研究的地点,与32名临床医生进行了半结构面试.
- 该研究的重点是改善从手术室到重症监护室的患者交接.
- 采访数据使用代编码和常规内容分析来分析.
主要成果:
- 临床医生主要关注的是与高级同事关系的潜在损害.
- 关于临床医生知情同意的必要性的意见各不相同;大众传播被普遍接受.
- 临床医生认为实施研究是常规的质量改进,使选择退出看起来是不可行的和无问题的.
结论:
- 对临床医生的确定的风险更多来自员工身份,而不是临床角色,需要研究人员根据基于等级的伦理考虑进行调整.
- 实施研究人员必须认识到,从业人员可能将研究等同于质量改善,可能会忽视研究组成部分.
- 实施研究的促进涉及到传统守门工作之外的多样性互动,突出了对这些道德动态的进一步研究的需要.
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