使用道德困境衡量的全系统评估 - 医疗保健专业人员
Adam T Booth1, Kathryn L Robinson1
1University of Louisville (UofL) Health.
Nursing ethics
|March 4, 2025
概括
在重症监护室的正式领导人和医疗保健专业人员经历了最高水平的道德痛苦. 解决这个问题对于改善医疗保健参与和患者护理质量至关重要.
科学领域:
- 医疗保健管理的管理
- 护理伦理学 护理伦理学
- 职业健康心理学 职业健康心理学
背景情况:
- 由于系统性障碍,道德困扰,无法以道德行为,是医疗保健中的一个重要问题.
- 衡量道德困扰 - 医疗保健专业人员 (MMD-HP) 是评估道德困扰的有效工具.
- 以前的研究主要集中在护士身上,对各种各样的医疗保健专业人员 (HP) 和环境进行了有限的大规模研究.
研究的目的:
- 为了确定一大群医疗保健专业人员的道德痛苦的总体水平.
- 识别特定的因素和与增加道德困境相关的设置.
- 为旨在减轻医疗保健系统道德困境的干预提供数据.
主要方法:
- 采用了一种定量,探索性,横截面的研究设计.
- "道德困境的测量 - 医疗保健专业人员 (MMD-HP) "调查对住院和门诊单位的8206名HP进行了调查.
- 分析了3561项完成调查的数据,以确定道德困境水平的模式和显著差异.
主要成果:
- 最常见的道德困扰原因包括由于资源不足而导致的患者护理受损,高患者对员工的比例,以及团队沟通不佳.
- 在重症监护室 (ICU) 的医疗保健专业人员报告道德困扰明显高于其他地区 (p < 0.001).
- 正式领导人经历了最高水平的道德困境 (p < 0.001),护士占42.2%的那些考虑由于道德困境而离开工作的人.
结论:
- 正式领导人和基于ICU的HP表现出最大的道德痛苦.
- 对医疗保健组织来说,识别和解决道德困境的根本原因至关重要.
- 缓解道德困扰可以减少员工流动,提高参与度,提高患者护理质量.
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