在新生儿重症监护中使用和评估伦理咨询服务
Pia Göbert1,2, Pia von Blanckenburg3, Rolf F Maier1
1Hospital for Pediatric and Adolescent Medicine, University Hospital of Giessen and Marburg, 35037 Marburg, Germany.
Children (Basel, Switzerland)
|November 27, 2024
概括
德国新生儿科单位提供临床伦理咨询服务,但未得到充分利用. 尽管有积极的评价,但感知到的障碍可能解释了使用率较低,这表明了诸如联络服务等替代方法.
科学领域:
- 围产儿医学 围产儿医学
- 医学伦理 医学伦理
- 新生儿科学 新生儿科学
背景情况:
- 围产医学的进步带来了复杂的伦理挑战.
- 临床伦理咨询服务 (CEC) 可以帮助医疗团队.
- 德国新生儿科学中缺乏关于CEC可用性,利用和评估的数据.
研究的目的:
- 调查德国新生儿科单位中CEC的可用性,利用和评估.
- 确定影响CEC使用和医疗保健专业人员对CEC的看法的因素.
主要方法:
- 采用混合定量质量问卷的国家描述性研究.
- 调查分发给213个德国围产中心的儿科和新生儿重症监护病房负责人.
主要成果:
- 90%的响应单位已经建立了CEC.
- 尽管被评为非常有帮助,但CEC的利用率很低 (很少/从未:70.3%).
- 使用与感知到的有用性和支持有积极的相关性;评估在专业群体之间有所不同.
结论:
- 低CEC利用率,尽管有积极的反,可能源于感知到的障碍.
- 专业观念的差异和发现的障碍建议探索替代模型.
- 联络服务被提议作为新生儿学的一个潜在替代方案.
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