在社区医院的住院体验,为被监禁的患者提供护理
Samantha K Chao1, Rachel Clark2, Michael Susalla3
1Department of Emergency Medicine, Michigan Medicine, Ann Arbor, Michigan, USA.
概括
医疗人员缺乏照顾被监禁患者的培训,面临道德和后勤挑战. 需要改进的课程,以提供公平的护理.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 住院医生需要专门的培训,以应对为被监禁患者提供病床护理的独特的伦理和后勤挑战.
- 现有的医学教育课程不足以为这些复杂的患者群体做好准备.
研究的目的:
- 探索住院医生照顾被监禁患者的病床经验.
- 确定在这种环境中居民所面临的知识差距和道德问题.
主要方法:
- 在2022年至2023年间,对多个专业的住院医生进行了匿名调查 (急诊医学,整体外科,内科,产科和妇科).
- 该调查使用了REDCap软件,收集了居民的经验,正规教育和对监禁患者制度政策的认识的数据.
主要成果:
- 几乎所有受访居民 (98.7%) 都曾照顾过被监禁的病人,但只有15.4%的人报告了有关这个主题的正式教育,而24.4%的人知道有关政策.
- 定性分析揭示了反复出现的主题:护理障碍,许可和授权问题,条件治疗,不一致性和冲突.
结论:
- 需要标准化的医疗课程,以使居民具备照顾被监禁患者的知识和技能.
- 解决程序,政策和伦理考虑方面的知识差距对于改善临床学习环境和确保为这一群体提供公平护理至关重要.
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