Huang Hangyu, Ding Yun, Wang Honghong, Khoshnood Kaveh, Yang Min
J Assoc Nurses AIDS Care. 2018 Mar-Apr;29(2):266-274. doi: 10.1016/j.jana.2017.09.001. Epub 2017 Sep 12.
The level of ethical sensitivity of health care professionals who care for patients with HIV may shed light on ethical behaviors in HIV care. However, little research has determined how such professionals view ethical issues in clinical practice in China. The purpose of our qualitative descriptive study was to explore the ethical sensitivity of health care professionals in Hunan Province, China, and to discuss the existing deficiencies. We used purposive sampling to recruit 17 health care professionals who provided direct care to patients with HIV and conducted interviews with them. Interview transcripts were analyzed by thematic analysis. Informants showed certain sensitivities to ethical issues, but the majority also held stigmatizing attitudes toward patients with HIV, and exhibited ethics driven by HIV-related laws and regulations rather than ethical principles. There is room to improve the ethical sensitivity of health care professionals who care for patients with HIV in China.
为感染艾滋病毒患者提供护理的医护人员的伦理敏感性水平,可能有助于揭示艾滋病毒护理中的伦理行为。然而,很少有研究确定这类专业人员如何看待中国临床实践中的伦理问题。我们这项定性描述性研究的目的是探讨中国湖南省医护人员的伦理敏感性,并讨论现存的不足。我们采用目的抽样法招募了17名直接为艾滋病毒患者提供护理的医护人员,并对他们进行了访谈。访谈记录通过主题分析法进行分析。受访者对伦理问题表现出一定的敏感性,但大多数人对艾滋病毒患者也持有污名化态度,并且表现出受艾滋病毒相关法律法规而非伦理原则驱动的伦理观念。中国为感染艾滋病毒患者提供护理的医护人员的伦理敏感性仍有提升空间。