了解中国医生的道德伤害及其预测因素
Rongqing Shao1, Yu Wang2,3, Roger Worthington4
1School of Humanities and Social Sciences, Harbin Medical University, Harbin, 150081, China.
BMC health services research
|April 8, 2025
概括
道德伤害影响了30%以上的中国医生,与暴露于有害事件和缺乏支持有关. 解决这些因素可以改善医生的福祉,防止道德伤害.
科学领域:
- 医学伦理 医学伦理
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
背景情况:
- 道德伤害,定义为背叛一个人的道德和专业价值观,会对医生福祉产生负面影响.
- 在医疗保健专业人员中,关于道德伤害及其预测因素的研究有限.
- 这项研究调查了中国医生的道德伤害的患病率,相关因素和预测因素.
研究的目的:
- 探索中国医生中道德伤害的普遍性.
- 确定与此种人群中的道德伤害相关的因素.
- 确定中国医生的道德伤害预测因素.
主要方法:
- 在2023年9月14日至10月27日期间,在中国大陆进行了一项横向的在线调查.
- 549名医生通过微信填写了自我管理的问卷.
- 使用10项道德伤害症状尺度-健康专业人员 (MISS-HP) 和道德伤害事件尺度 (MIES) 分别评估道德伤害症状和暴露在潜在的道德伤害事件 (PMIEs) 中.
主要成果:
- 平均MISS-HP得分为42.07 (SD=13.67). 这是一个很好的结果.
- 在中国医生中,道德伤害的流行率为31.6%.
- 通过多重线性回归确定的关键预测因素包括接触PME,工作满意度,缺乏组织支持,目睹患者痛苦或死亡以及心理健康需求.
结论:
- 中国医生在临床实践中经历PME和道德伤害症状.
- 确定了道德伤害的可修改的风险因素,强调了系统干预的必要性.
- 医疗机构应实施同行支持网络,改善有关工作负载的沟通,并建立道德认可系统,以减轻道德伤害并保护医疗工作者的福祉.
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