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医疗从业者的个人及职业价值观。

Healthcare practitioners' personal and professional values.

作者信息

Moyo Mpatisi, Goodyear-Smith Felicity A, Weller Jennifer, Robb Gillian, Shulruf Boaz

机构信息

Department of General Practice and Primary Health Care, Level 2, School of Population Health, Tamaki Innovation Campus, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.

Centre for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand.

出版信息

Adv Health Sci Educ Theory Pract. 2016 May;21(2):257-86. doi: 10.1007/s10459-015-9626-9. Epub 2015 Jul 28.

Abstract

Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them into a single framework using Schwartz's values model. We searched Medline, Embase, PsycINFO, CINAHL and ERIC databases for articles on personal and professional values of healthcare practitioners and students. We extracted values from included papers and synthesized them into a single framework using Schwartz's values model. We summarised the framework within the context of healthcare practice. We identified 128 values from 50 included articles from doctors, nurses and allied health professionals. A new framework for the identified values established the following broad healthcare practitioner values, corresponding to Schwartz values (in parentheses): authority (power); capability (achievement); pleasure (hedonism); intellectual stimulation (stimulation); critical-thinking (self-direction); equality (universalism); altruism (benevolence); morality (tradition); professionalism (conformity); safety (security) and spirituality (spirituality). The most prominent values identified were altruism, equality and capability. This review identified a comprehensive set of personal and professional values of healthcare practitioners. We integrated these into a single framework derived from Schwartz's values model. This framework can be used to assess personal and professional values of healthcare practitioners across professional groups, and can help improve practitioners' awareness of their values so they can negotiate more patient-centred decisions. A common values framework across professional groups can support shared education strategies on values and help improve interprofessional teamwork and decision-making.

摘要

医疗从业者的个人价值观和职业价值观会影响他们的临床决策。了解个体以及不同医疗行业的这些价值观,分别有助于提高个体从业者和跨专业团队以患者为中心的决策能力。我们旨在利用施瓦茨价值观模型识别这些价值观,并将其整合到一个单一框架中。我们在Medline、Embase、PsycINFO、CINAHL和ERIC数据库中搜索有关医疗从业者和学生个人及职业价值观的文章。我们从纳入的论文中提取价值观,并使用施瓦茨价值观模型将其综合成一个单一框架。我们在医疗实践的背景下总结了该框架。我们从50篇纳入的来自医生、护士和专职医疗人员的文章中识别出128种价值观。针对所识别价值观建立的一个新框架确立了以下广泛的医疗从业者价值观,与施瓦茨价值观(括号内)相对应:权威(权力);能力(成就);愉悦(享乐主义);智力刺激(刺激);批判性思维(自主);平等(普遍主义);利他主义(仁爱);道德(传统);专业精神(遵从);安全(保障)和精神性(精神性)。所识别出的最突出的价值观是利他主义、平等和能力。本综述识别出了一套全面的医疗从业者个人和职业价值观。我们将这些价值观整合到一个源自施瓦茨价值观模型的单一框架中。该框架可用于评估不同专业群体医疗从业者的个人和职业价值观,并有助于提高从业者对自身价值观的认识,以便他们能够协商做出更以患者为中心的决策。一个跨专业群体的共同价值观框架可以支持关于价值观的共享教育策略,并有助于改善跨专业团队合作和决策。

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