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魁北克住院药剂师和法国实习药剂师职业道德思维的比较试点研究。

A comparative pilot study of the professional ethical thinking of Quebec pharmacy residents and French pharmacy interns.

机构信息

Unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, Montréal, QC, Canada.

出版信息

Int J Clin Pharm. 2011 Dec;33(6):974-84. doi: 10.1007/s11096-011-9570-6. Epub 2011 Sep 30.

DOI:10.1007/s11096-011-9570-6
PMID:21960152
Abstract

OBJECTIVE

The main objective of this pilot study is to compare the professional ethical thinking of Quebec pharmacy residents and French pharmacy interns. The secondary objective is to compare the professional ethical thinking of Quebec pharmacy residents and first year French pharmacy interns.

SETTING

Hospital pharmacy residents from Quebec, Canada and pharmacy interns from France.

METHODS

This is a cross-sectional, descriptive, web-based survey.

MAIN OUTCOME MEASURE

For this study, professional ethical thinking was defined as the level of agreement/disagreement with statements about pharmacy ethics/dilemmas.

RESULTS

A total of 208 usable questionnaires were completed (response rate 91% in Quebec and 11% in France). There were no significant differences between Quebec residents and French interns for 29/43 items (67%). However, there were significant differences in their level of agreement with 14/43 items (33%) surveyed by our questionnaire. The differences related to the following themes: economic aspects (four statements), pharmaceutical care, code of ethics, evaluation, clinical research (two statements each) and training and education, dispensing medications (one statement each). There were statistically significant differences between the two groups in terms of exposure to ethics during academic training and experiential practice. There were significant statistical differences between the two groups of first year pharmacy respondents for 11 statements (26%), with only two out of 11 statements being different from those reported in the overall comparison.

CONCLUSION

Published data on the professional ethical thinking of pharmacy residents and interns remain limited. We believe the higher exposure of Quebec residents to ethics during academic courses and experiential/practical training may have contributed to a higher level of agreement with some ethical statements.

摘要

目的

本初步研究的主要目的是比较魁北克住院药剂师和法国实习药剂师的职业道德思维。次要目的是比较魁北克住院药剂师和法国第一年实习药剂师的职业道德思维。

背景

加拿大魁北克的医院药剂师住院医师和法国的实习药剂师。

方法

这是一项横断面、描述性、基于网络的调查。

主要结果衡量标准

在这项研究中,职业道德思维被定义为对与药学伦理/困境相关的陈述的同意/不同意程度。

结果

共完成了 208 份有效问卷(魁北克的回复率为 91%,法国的回复率为 11%)。在 43 项中的 29 项(67%),魁北克住院医师和法国实习生之间没有显著差异。然而,他们对我们问卷中调查的 14 项中的 14 项(33%)的同意程度存在显著差异。差异与以下主题有关:经济方面(四项陈述)、药物治疗、道德规范、评估、临床研究(各两项陈述)和培训教育、配药(各一项陈述)。在学术培训和经验实践中接触道德规范方面,两组之间存在统计学显著差异。两组第一年药学受访者的 11 项声明(26%)存在统计学显著差异,其中只有两项声明与总体比较中报告的声明不同。

结论

关于住院药剂师和实习药剂师职业道德思维的已发表数据仍然有限。我们认为,魁北克住院医师在学术课程和经验/实践培训中接触伦理学的机会较多,这可能导致他们对一些伦理声明的同意程度更高。

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