新生儿毒理学检测如何更公平? 一个交互式的伦理工作坊
Kelsey Ryan1, Rakhi Gupta Basuray2, Christy Cummings3
1Associate Professor, Department of Pediatrics, Medical College of Wisconsin.
MedEdPORTAL : the journal of teaching and learning resources
|September 11, 2024
概括
这次研讨会讨论了新生儿毒理学测试的实践变化,强调了随意测试如何加剧医疗保健不平等. 参与者探讨了改善新生儿护理实践的伦理考虑.
科学领域:
- 医学伦理 医学伦理
- 儿科毒理学 儿科毒理学
- 医疗保健的不公平 医疗保健的不公平
背景情况:
- 新生儿毒理学检测的实践变化在医疗机构和法律管辖区中普遍存在.
- 无差别的毒理学测试可能会加剧现有的医疗保健不平等,特别是在阿片类药物流行病的背景下.
- 一个充满负荷的医疗法律环境需要对新生儿毒理学测试协议进行重新评估.
研究的目的:
- 引导医疗保健专业人员重新审查新生儿毒理学测试实践.
- 培养一个共同的伦理框架来解决新生儿毒理学测试的问题.
- 探索新生儿中毒学测试的伦理影响.
主要方法:
- 在国际儿科会议上进行了90分钟的现场研讨会.
- 医生,住院医生和研究员参与大小组讨论和基于案例的分析.
- 匿名在线调查被用来评估对参与者的知识,行为和临床实践的影响.
主要成果:
- 94%的受访者表示遇到了新的想法,82%的受访者在研讨会后立即考虑改变实践.
- 3个月后续调查的低响应率有限的解释.
- 一些参与者报告了他们在研讨会后的临床实践中自我感知的变化.
结论:
- 研讨会成功促进了医生之间关于新生儿毒理学测试和医疗保健不平等问题的讨论.
- 用道德框架来解决儿科医疗保健中的复杂问题.
- 需要进一步的研究,以充分评估这种教育干预导致的长期实践变化.
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