School of Nursing, Memorial University of Newfoundland, St. John’s, Newfoundland, Canada.
Nurs Ethics. 2011 Nov;18(6):767-80. doi: 10.1177/0969733011403808. Epub 2011 Jun 6.
Hospitals in many countries have had clinical ethics committees for over 20 years. Despite this, there has been little research to evaluate these committees and growing evidence that they are underutilized. To address this gap, we investigated the question 'What are the barriers and facilitators nurses and physicians perceive in consulting their hospital ethics committee?' Thirty-four nurses, 10 nurse managers and 31 physicians working at four Canadian hospitals were interviewed using a semi-structured interview guide as part of a larger investigation. We used content analysis of the interview data related to barriers and facilitators to use of hospital ethics committees to identify nine categories of barriers and nine categories of facilitators. These categories as well as their subcategories are discussed and those specific to nurses or physicians are identified. The need to increase health professionals' use of clinical ethics committees through reducing barriers and maximizing facilitators is discussed.
许多国家的医院都设有临床伦理委员会已有 20 多年了。尽管如此，针对这些委员会的研究却很少，越来越多的证据表明这些委员会并未得到充分利用。为了弥补这一空白，我们调查了“护士和医生在咨询医院伦理委员会时，他们认为有哪些障碍和促进因素？”这一问题。作为一项更大规模调查的一部分，我们采访了四家加拿大医院的 34 名护士、10 名护士长和 31 名医生，使用半结构化访谈指南进行访谈。我们对与使用医院伦理委员会的障碍和促进因素相关的访谈数据进行了内容分析，以确定了 9 个类别的障碍因素和 9 个类别的促进因素。讨论了这些类别及其子类别，并确定了具体针对护士或医生的类别。讨论了通过减少障碍因素和最大化促进因素来增加卫生专业人员使用临床伦理委员会的必要性。
