道德困境咨询服务:单位和组织层级领导人的见解
Vanessa Amos1, Phyllis Whitehead2, Beth Epstein3
1School of Nursing, University of Virginia, Charlottesville, Virginia.
概括
医疗保健领导者发现道德困境咨询对于员工赋权和开放沟通非常有价值. 改善服务需要多样化的代表和透明的教育,以获得持续的影响.
科学领域:
- 医疗保健管理的管理
- 医学伦理 医学伦理
- 组织心理学 组织心理学
背景情况:
- 道德困扰是医疗保健中的一个重要问题,影响提供者和潜在的患者护理.
- 医疗保健系统越来越多地实施咨询服务,以解决道德困境.
- 了解这些服务的领导观点对于其有效性和可持续性至关重要.
研究的目的:
- 探索医疗保健领导者如何感知和体验道德困境咨询服务.
- 从领导层的角度评估这些服务的实用性,有效性和可持续性.
主要方法:
- 在两个学术医疗中心采用了多方法设计.
- 数据收集包括对接受道德困扰咨询的医疗保健提供者的调查以及对单位和组织领导人的半结构化采访.
- 采访成绩单使用诱导和演编码进行分析,并为分析绘制主题.
主要成果:
- 领导人认为道德困境咨询是有价值的,赋予了权力,促进了讨论困难事件的安全空间.
- 参与者在咨询后报告道德困境得分下降,感知原因从团队到系统层面的转变.
- 领导人建议在顾问和参与者中增加专业多样性,以及对该服务进行更透明的教育.
结论:
- 解决道德困境需要有系统的合作,开放的沟通和透明的教育.
- 开发或维持道德困境咨询服务应该考虑多样化的专业代表和灵活的成功指标.
- 领导团队高度重视员工对道德上令人痛苦事件的定性反.
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