Ho Anita, MacDonald Lisa Mei-Hwa, Unger David
Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
W. Maurice Young Centre for Applied Ethics, University of British Columbia, 237-6356 Agricultural Road, Vancouver, BC, V6T 1Z2, Canada.
HEC Forum. 2016 Mar;28(1):69-74. doi: 10.1007/s10730-015-9273-9.
Healthcare institutions have been making increasing efforts to standardize consultation methodology and to accredit both bioethics training programs and the consultants accordingly. The focus has traditionally been on the ethics consultation as the relevant unit of ethics intervention. Outcome measures are studied in relation to consultations, and the hidden assumption is that consultations are the preferred or best way to address day-to-day ethical dilemmas. Reflecting on the data from an internal quality improvement survey and the literature, we argue that having general ethics education as a key function of ethics services may be more important in meeting the contemporaneous needs of acute care settings. An expanded and varied ethics education, with attention to the time constraints of healthcare workers' schedules, was a key recommendation brought forward by survey respondents. Promoting ethical reflection and creating a culture of ethics may serve to prevent ethical dilemmas or mitigate their effects.
医疗机构一直在加大力度规范咨询方法，并相应地对生物伦理培训项目和咨询师进行认证。传统上，重点一直放在伦理咨询上，将其作为伦理干预的相关单位。研究结果指标与咨询相关，隐含的假设是咨询是解决日常伦理困境的首选或最佳方式。通过对内部质量改进调查数据和文献的反思，我们认为，将一般伦理教育作为伦理服务的关键功能，在满足急症护理环境的当前需求方面可能更为重要。调查受访者提出的一项关键建议是开展范围更广、形式多样的伦理教育，同时要考虑到医护人员日程安排的时间限制。促进伦理反思并营造伦理文化，可能有助于预防伦理困境或减轻其影响。
