在COVID-19大流行期间,医生道德伤害
Nina A Djukic1,2, Rachel M Ranney3,4,5,6, Shira Maguen3,4,5,6
1School of Medicine, University of California - San Francisco, San Francisco, CA, USA. ninadjukic@berkeley.edu.
Journal of general internal medicine
|July 15, 2025
概括
医生面临的道德伤害,从流行病挑战,如资源短缺和安全问题. 社会认同,特别是被边缘化的医生与病人认同,加剧了这些道德伤害经历.
科学领域:
- 医疗道德和专业福利
- 公共卫生危机对心理的影响
背景情况:
- 道德伤害,定义为违反一个人的道德准则的痛苦,在COVID-19大流行期间影响了医疗保健工作者.
- 现有的研究突出显示,医疗保健工作人员的道德伤害风险增加,但医生社会身份的作用仍未得到充分探索.
研究的目的:
- 确定COVID-19大流行期间医生之间道德伤害的主要来源.
- 调查医生社会身份如何影响道德伤害的经历.
主要方法:
- 定性研究涉及13名医生在2020年3月至2023年5月期间照顾COVID-19患者.
- 采访探讨了医生的道德伤害经历和社会身份的影响.
- 使用快速主题定性分析来分析采访数据.
主要成果:
- 确定了四个主要的道德伤害来源:资源不足,患者自主冲突,平衡患者护理与个人安全,以及目睹不平等.
- 边缘化身份的医生报告说,与边缘化患者的认同加剧了他们的道德伤害经历.
结论:
- 照顾COVID-19患者的医生遇到了各种道德伤害的来源.
- 了解这些来源和社会身份的影响对于开发针对医生的有针对性的支持系统至关重要.
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