对良心的干预措施的有效性:系统审查的结果
Christina M Lamb1, Dimitra V Pouliopoulou2, Ken Kirkwood2
1Athabasca University; University of Toronto.
Nursing ethics
|April 24, 2025
概括
医疗保健专业人员需要更好的支持,以便在道德决策中使用良心. 这次系统审查发现没有任何干预措施有效地帮助专业人士理解或在实践中使用他们的良心,突出了关键的研究差距.
科学领域:
- 医学伦理 医学伦理
- 医疗保健专业发展
- 道德心理学道德心理学
背景情况:
- 良心被认为对医疗保健专业人员的实践至关重要.
- 有限的资源存在,以帮助医疗保健专业人员 (HCP) 了解和利用他们的良心进行道德决策.
- 在重视良心和为医疗保健工作者提供实际支持之间存在差距.
研究的目的:
- 系统地审查旨在支持医疗保健工作者理解和在实践中使用他们的良心的干预措施的有效性.
- 确定现有的干预措施,解决医疗保健中的良心问题.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在多个国际,跨学科的数据库中进行搜索 (例如,Medline,Embase,PsycINFO,CINAHL).
- 包括来自11项符合纳入标准的研究的定量和质量结果.
主要成果:
- 确定了五项干预措施,但没有一个专门旨在支持医疗保健人员理解或使用他们的良心进行道德决策.
- 现有的研究强调了良心的重要性,但也强调了良心对卫生保健工作者的两极分化性质.
- 没有任何干预措施在这个领域被发现是有效的.
结论:
- 显著需要进行干预和基于教育的研究,以支持医疗保健工作者在职业实践中理解和应用良心.
- 目前的支持系统不足以导航与良心有关的道德决策.
- 进一步的研究至关重要,以弥合良心的公认价值和医疗保健专家的实际支持之间的差距.
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