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关于阿卜杜勒阿齐兹国王大学医院住院医师医学伦理学教育的感知需求和偏好评估。

Assessment of perceived needs and preferences with regard to the education of residents in Medical Ethics in King Abdulaziz University Hospital.

作者信息

Ghamri Ranya A, Al-Raddadi Rajaa M

机构信息

Department of Family and Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Joint Program of Family and Community Medicine, Jeddah, Saudi Arabia.

出版信息

J Family Community Med. 2017 Sep-Dec;24(3):189-195. doi: 10.4103/jfcm.JFCM_34_17.

Abstract

INTRODUCTION

Medical ethics is the branch of ethics that deals with moral issues in medical practice. Many postgraduate training programs have developed educational interventions in ethics to meet accreditation standards and prepare learners for certification examinations and clinical practice. The aim of this study was to assess the attitude of residents in King Abdulaziz University Hospital (KAUH) toward the need for ethics education and identify the most effective methods of teaching ethical issues.

MATERIALS AND METHODS

A cross-sectional study of residents in different specialties at KAUH was conducted using a self-administered questionnaire. The questionnaire consisted of four parts: demographic data, assessment of the educational need for ethics education, assessment of the impact of various learning methods, and assessment of the need for ethically important practices and behavior. SPSS version 16.0 was used for data entry and analysis. Descriptive analysis included frequency distribution, percentages, mean, and standard deviation (SD); Chi-square test and -test were employed to determine statistical significance.

RESULTS

Eighty-eight of the 102 residents invited to participate in the study returned completed questionnaires, providing a response rate of 86.3%. Their ages ranged between 24 and 38 years with a mean of 27.7 (standard deviation 2.8) years. Approximately two-thirds of the residents (65.9%) agreed that medical ethics can be taught and learned while only 19.3% of them disagreed. The most effective methods of ethical education according to the residents were discussion groups of peers led by a knowledgeable clinician (78.4%), clinical rounds (72.7%), and an incorporation of ethical issues into lectures and teaching rounds (69.3%).

CONCLUSION

This study documents the importance residents placed on ethics education directed at practical, real-world dilemmas and ethically important professional developmental issues.

摘要

引言

医学伦理学是伦理学的一个分支,涉及医疗实践中的道德问题。许多研究生培训项目都开展了伦理学教育干预措施,以满足认证标准,并帮助学习者准备认证考试和临床实践。本研究的目的是评估阿卜杜勒阿齐兹国王大学医院(KAUH)住院医师对伦理学教育需求的态度,并确定教授伦理问题的最有效方法。

材料与方法

采用自填式问卷对KAUH不同专业的住院医师进行横断面研究。问卷包括四个部分:人口统计学数据、伦理学教育需求评估、各种学习方法的影响评估以及对具有伦理重要性的实践和行为的需求评估。使用SPSS 16.0版本进行数据录入和分析。描述性分析包括频率分布、百分比、均值和标准差(SD);采用卡方检验和t检验确定统计学意义。

结果

受邀参加研究的102名住院医师中有88人返回了完整的问卷,回复率为86.3%。他们的年龄在24岁至38岁之间,平均年龄为27.7岁(标准差2.8岁)。约三分之二的住院医师(65.9%)同意医学伦理学可以教授和学习,而只有19.3%的人不同意。住院医师认为最有效的伦理教育方法是由知识渊博的临床医生主持的同行讨论小组(78.4%)、临床查房(72.7%)以及将伦理问题纳入讲座和教学查房(69.3%)。

结论

本研究记录了住院医师对针对实际现实困境和具有伦理重要性的职业发展问题的伦理学教育的重视程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd1/5596632/e0ab671176c7/JFCM-24-189-g003.jpg

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