临床培训的知情同意:葡萄牙医学学生和教师的观点
Carolina Frade Moreira1, Cristina Costa-Santos2, Bárbara Frade Moreira3
1Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Healthcare (Basel, Switzerland)
|September 28, 2024
概括
医学学生必须获得患者护理参与的知情同意. 学生和教师的看法之间的差异凸显了需要在临床环境中改善伦理教育,以确保患者的自主性和高质量的培训.
科学领域:
- 医学教育 医学教育
- 生物伦理学生物伦理学
- 患者的自主权 患者的自主权
背景情况:
- 学生-病人关系对于医学培训至关重要.
- 患者同意对于尊重学生参与护理时的自主权至关重要.
- 一些患者可能对学生参与感到不舒服.
研究的目的:
- 评估学生出席和参与患者护理的知情同意的实施情况.
- 确定医学学生和教师之间对知情同意实践的看法上的差异.
主要方法:
- 进行了一项观察性横截面研究.
- 一个机构的医学学生和教师分发了一份在线问卷.
- 289名参与者 (232名学生,57名教师) 完成了调查.
主要成果:
- 在教师报告的做法 (81%总是要求同意) 和学生的感知 (28%目睹它) 之间存在很大的差距.
- 与学生报告的经验相比,教师报告获得知情同意的比例更高.
- 时间限制和过度拥挤等挑战可能会影响同意实践.
结论:
- 在知情同意实践中的差异需要在医学伦理教育中进行有针对性的干预.
- 在临床实践中加强对伦理价值观的教育对于学生和教师都至关重要.
- 需要机构战略来平衡高质量的患者护理与有效的临床培训.
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