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[卫生专业人员的生物伦理问题评估]

[Evaluation of bioethical aspects in health professionals].

作者信息

Zabala-Blanco Jaime, Alconero-Camarero Ana Rosa, Casaus-Pérez María, Gutiérrez-Torre Elena, Saiz-Fernández Graciela

机构信息

Departamento de Enfermería, Escuela de Enfermería, Universidad de Cantabria, Santander, España.

出版信息

Enferm Clin. 2007 Mar-Apr;17(2):56-62. doi: 10.1016/s1130-8621(07)71770-9.

Abstract

OBJECTIVE

To evaluate training in bioethics, as well as knowledge and perceptions of bioethical issues, among health professionals.

METHOD

A descriptive cross-sectional study was performed in 2005 by means of a validated questionnaire. The study population consisted of the health team working in the cardiology area in the Marqués de Valdecilla University Hospital.

RESULTS

There were 186 health professionals, and 117 questionnaires were returned, representing 63.5% of the study population: 58 nurses (49.5%), 23 physicians (19.6%), and 34 nursing auxiliaries. More than half (64.6%) had no training in bioethics. The health professionals with the most training in bioethics were those with more than 20 years' experience (p = 0.019). Less than half (45.7%) knew of the existence (p = 0.004) or the content (p = 0.03) of law 41/2002. A total of 12.8% believed that users knew their rights. Health professionals with no bioethics training were those most likely to believe that users' confidentiality (p = 0.002) and privacy (p = 0.039) were always or usually respected. More than one third (37.8%) reported facing bioethical problems in their professional activity.

CONCLUSION

The members of the health team have insufficient knowledge of bioethics parallel to low levels of training in this discipline and perceive insufficient respect for users' basic rights. Training in bioethics should be increased, and information pathways should be established in institutions to allow continual adaptation to ethical and legal requirements.

摘要

目的

评估卫生专业人员的生物伦理学培训情况,以及他们对生物伦理问题的知识和认知。

方法

2005年通过一份经过验证的问卷进行了描述性横断面研究。研究人群包括在瓦尔迪西利亚侯爵大学医院心脏病学领域工作的卫生团队。

结果

共有186名卫生专业人员,回收了117份问卷,占研究人群的63.5%:58名护士(49.5%)、23名医生(19.6%)和34名护理辅助人员。超过一半(64.6%)的人没有接受过生物伦理学培训。接受生物伦理学培训最多的卫生专业人员是那些有20年以上工作经验的人(p = 0.019)。不到一半(45.7%)的人知道2002年第41号法律的存在(p = 0.004)或内容(p = 0.03)。共有12.8%的人认为使用者了解自己的权利。没有接受生物伦理学培训的卫生专业人员最有可能认为使用者的保密性(p = 0.002)和隐私权(p = 0.039)总是或通常得到尊重。超过三分之一(37.8%)的人报告在其专业活动中面临生物伦理问题。

结论

卫生团队成员对生物伦理学的知识不足,同时该学科的培训水平较低,并且认为对使用者基本权利的尊重不足。应加强生物伦理学培训,并在机构中建立信息渠道,以便不断适应伦理和法律要求。

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