J Vet Med Educ. 2021 Jun;48(3):330-342. doi: 10.3138/jvme.2019-0059. Epub 2020 May 15.
Recognizing and addressing ethical conflicts is an emerging concern for veterinarians. Veterinary students ( = 284) from four US schools were surveyed regarding their opinions on ethical dilemmas encountered by veterinarians and the benefits of ethics instruction. The majority of respondents had encountered all clinical scenarios that may be associated with ethical dilemmas that were provided. The most common ethical dilemma experienced was compromise of patient care because of financial limitations. Students with at least 12 months of experience were more likely to believe that practitioners encounter ethical dilemmas regularly. Although 92% of 271 respondents indicated that veterinarians should prioritize patient interests when the interests of clients and patients conflict, 84% of respondents reported that veterinarians most often prioritize client interests. Most (78%) respondents indicated having received training in ethical theories and approaches to address ethical dilemmas. The majority of respondents agreed that they feel better prepared to identify (80%) and address (55%) ethical dilemmas as a result of their ethics training. Most respondents (81%) identified experiencing moral stress in relation to how animals were treated. Only 46% of respondents reported receiving training in tools for coping with moral stress. Most of these respondents (54%) agreed that such training would be effective in helping to manage moral stress. Results suggested that educators should prepare students for the contrast in advocacy preferences they are apt to encounter when they enter practice. It is recommended that ethics training and tools for coping with moral stress be core components of the veterinary curriculum.
识别和处理伦理冲突是兽医面临的一个新问题。对来自美国四所学校的 284 名兽医学生进行了调查,以了解他们对兽医遇到的伦理困境的看法以及伦理教学的好处。大多数受访者都遇到了可能与所提供的伦理困境相关的所有临床情况。最常见的伦理困境是由于财务限制而损害患者护理。有至少 12 个月经验的学生更有可能认为从业者经常遇到伦理困境。尽管 271 名受访者中的 92%表示,当客户和患者的利益发生冲突时,兽医应优先考虑患者的利益,但 84%的受访者报告说,兽医通常优先考虑客户的利益。大多数(78%)受访者表示已经接受过处理伦理困境的伦理理论和方法的培训。大多数受访者(80%)表示,他们觉得由于接受了伦理培训,他们更有能力识别(80%)和解决(55%)伦理困境。大多数受访者(81%)表示,在与动物的待遇有关的问题上感到道德压力。只有 46%的受访者报告说接受过应对道德压力的工具培训。这些受访者中的大多数(54%)认为这种培训将有助于有效管理道德压力。结果表明,教育者应该为学生做好准备,让他们在进入实践时,应对可能遇到的宣传偏好之间的差异。建议将伦理培训和应对道德压力的工具作为兽医课程的核心组成部分。