减少儿科住院人员感知到的道德痛苦:一个试点研究
Allison N J Lyle1, Angela Quain2, Sara Ali3
1Department of Pediatrics, Norton Children's Medical Group - Neonatology, University of Louisville School of Medicine, Louisville, KY, USA.
概括
儿科住院医生报告说,参与基于病例的伦理讨论后,他们的准备能力和伦理知识增加了. 这种培训也导致了受训人员感知到的道德困境的减少.
科学领域:
- 医学教育 医学教育
- 生物伦理学生物伦理学
- 儿科 儿科 儿科
背景情况:
- 儿科医生在他们的培训过程中经常遇到道德困境和道德困境.
- 有限的研究存在于有效的策略,以减轻儿童学员的道德痛苦.
研究的目的:
- 评估儿科住院医生对伦理学案例讨论的看法.
- 确定伦理案例讨论计划对实习生伦理知识和感知到的道德困境的影响.
- 评估居民在讨论系列之前,期间和之后感知到的道德困境的变化.
主要方法:
- 一系列的五个1小时的伦理案例讨论会议在5个月内为儿科住院医生进行.
- 每个会议都由一名居民介绍的案例,由一名伦理学家指导,多学科专家出席.
- 在基线,会议后和最后的随访中进行了调查,以评估伦理知识,道德困扰和准备.
主要成果:
- 观察到居民准备好导航道德决策的统计学上显著增加 (p = 0.004).
- 感知到的道德困境下降了10.2%,伦理知识显示增加.
- 居民表示他们更喜欢以案例为基础的多学科讨论,并希望有更多的会议和法律见解.
结论:
- 基于案例的,多学科的伦理培训是儿科学员的首选.
- 这种培训形式似乎有效地提高了伦理知识和准备能力,并减少了道德困扰.
- 儿科居民主张持续和扩大伦理培训,包括小组讨论和法律观点.
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