从道德痛苦到道德诚信:对一种新的道德冲突评估工具的定性评估
Soudabeh Jolaei1, Patricia Rodney2, Rosalie Starzomski3
1Soudabeh Jolaei is a research ethics and regulatory specialist, Fraser Health Authority, and a research assistant, Center for Advancing Health Outcomes, St Paul's Hospital, Vancouver, Canada.
概括
道德冲突评估 (MCA) 帮助医疗保健专业人员表达道德困境,但需要一个促进者. 解决组织文化,领导力和结构问题是预防和减少道德困境的关键.
科学领域:
- 医疗保健专业人员的福祉
- 在重症监护室的道德痛苦.
- 定性研究方法 定性研究方法
背景情况:
- 道德上的困扰会对医疗保健专业人员产生负面影响,导致倦怠和疲劳.
- 有效的评估和干预对于管理道德困境至关重要.
- 开发了一个新的道德冲突评估 (MCA) 工具,以促进行动.
研究的目的:
- 评估道德冲突评估 (MCA) 的实用性和有效性.
主要方法:
- 对3家医院10名重症监护病房专业人员进行的半结构面试的定性内容分析.
- 采访遵循MCA的步骤,与会者介绍他们的经验.
主要成果:
- 该MCA作为一个催化剂来表达和描述道德困境,虽然最佳使用需要一个促进者.
- 组织文化,领导力和结构因素显著影响道德困境的预防和改善.
- 关键的决定因素包括对ICU能力,权力平衡,心理安全,工作时间表和领导者问责制的一致理解.
结论:
- 关于MCA的实用性,MCA有积极的和消极的方面.
- 预防和减少道德痛苦需要采取多方面的方法,解决文化,结构和领导因素.
- 教育和开放的沟通是减轻医疗保健机构道德困境的重要策略.
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