Morley Georgina, Shashidhara Shilpa
Nursing in Ethics Program, Cleveland Clinic Center for Bioethics, Cleveland, Ohio USA.
Sutter Health Program in Medicine and Human Values, San Francisco, California USA.
J Clin Ethics. 2020 Fall;31(3):283-289.
There are few evidence-based interventions that have been developed that mitigate the negative effects of moral distress. Group debriefing is one approach that some clinical ethicists have adopted as a response. However, there is very little academic literature or empirical research that identifies best practices and approaches to debriefing as a response to moral distress. Our aim at the 2020 UnConference was to share our different approaches to debriefing with other clinical ethicists to identify best practices or guiding principles to enhance our respective approaches and meet the needs of healthcare professionals. In this article we share an overview of our respective approaches, reflect on our discussion with other clinical ethicists and healthcare professionals, and propose foundations to move debriefing forward as an intervention to address moral distress in the field of clinical ethics.
目前几乎没有已开发出的循证干预措施能够减轻道德困扰的负面影响。小组汇报是一些临床伦理学家采用的一种应对方式。然而,几乎没有学术文献或实证研究能确定作为应对道德困扰的汇报的最佳实践和方法。我们在2020年非会议上的目标是与其他临床伦理学家分享我们不同的汇报方法,以确定最佳实践或指导原则,从而改进我们各自的方法,并满足医疗保健专业人员的需求。在本文中,我们概述了各自的方法,反思了与其他临床伦理学家和医疗保健专业人员的讨论,并提出了推动汇报作为一种干预措施向前发展的基础,以解决临床伦理领域的道德困扰。