Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain.
J Med Ethics. 2010 May;36(5):310-4. doi: 10.1136/jme.2009.034322.
To describe the distress experienced by Spanish podiatrists related to ethical dilemmas, organisational matters, and lack of resources.
A 2008 email survey of a representative sample of 485 Spanish podiatrists presenting statements about different ethical dilemmas, values and goals at the workplace.
The response rate was 44.8%. Of all the respondents, 57% described sometimes having to act against their own conscience as distressing. Time constraints is the main cause of moral distress (67%) and 58% of respondents said that they found it distressing that patients have long waits for treatment. Distress related to inadequate treatment due to economical constraints or ineffectiveness was described by 60% of the podiatrists. Another 51% reported that time spent on administration and documentation is distressing. Female doctors experienced more distress than their male colleagues. Last, 36% of respondents reported that their workplace lacked strategies for dealing with ethical dilemmas.
These study results identify moral distress among Spanish podiatrists mainly related to time constraints, patient demands and lack of resources. Moral distress varies with sex and age. Organisational strategies such as moral deliberation and responsive evaluation offer the potential to address moral distress.
描述西班牙足病医生在伦理困境、组织问题和资源匮乏方面所经历的困扰。
2008 年，对 485 名具有代表性的西班牙足病医生进行电子邮件调查，他们对工作场所的不同伦理困境、价值观和目标提出陈述。
回复率为 44.8%。所有受访者中，57%的人表示有时不得不违背自己的良心行事，这令人痛苦。时间限制是道德困境的主要原因（67%），58%的受访者表示，他们发现患者等待治疗的时间过长令人痛苦。由于经济限制或无效而导致治疗不足的困扰，被 60%的足病医生描述。另外 51%的人报告说，他们在管理和文件方面花费的时间令人痛苦。女医生比男医生经历更多的困扰。最后，36%的受访者报告说，他们的工作场所缺乏处理伦理困境的策略。
这些研究结果表明，西班牙足病医生主要存在与时间限制、患者需求和资源匮乏有关的道德困境。道德困境因性别和年龄而异。道德审议和响应评估等组织策略有可能解决道德困境。
