“姑息治疗中的伦理教学”：一项医学伦理培训计划的混合方法评估。
"Teach for ethics in palliative care": a mixed-method evaluation of a medical ethics training programme.
机构信息
Unit of Bioethics, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Palliative Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
出版信息
BMC Palliat Care. 2020 Sep 25;19(1):149. doi: 10.1186/s12904-020-00653-7.
BACKGROUND
Training in medical ethics aims to educate health care professionals in dealing with daily care ethical issues. To guarantee quality of life and spiritual and emotional support, palliative care professionals have to develop ethical and relational skills. We propose the implementation and evaluation of a specialized training programme in medical ethics dedicated to a hospital-based Palliative Care Unit.
METHODS
This study is a mixed-method before-after evaluation with data triangulation.
RESULTS
The results highlight that participants developed their ethical knowledge, and a deeper ethical awareness. They also felt more confident and motivated to widely apply ethical reflections and reasonings in their daily practice.
CONCLUSION
The participants appreciated the innovative structure of the training, especially regarding the integration of the theoretical-interactive and practical parts. However, they recommended increasing the number of concrete occasions for ethical supervision and practical application of what they learned during the programme. The training programme also has some potential practical implications: the development of advanced ethical skills within a hospital-based PC team may improve the quality of life of the patients and their families. In addition, health care professionals with advanced ethical competencies are able to educate patients and their families towards more active participation in the decision-making process.
背景
医学伦理学培训旨在教育医疗保健专业人员处理日常护理中的伦理问题。为了保证生活质量以及精神和情感支持，姑息治疗专业人员必须发展伦理和关系技能。我们提出在医院姑息治疗病房实施和评估专门的医学伦理学培训计划。
方法
这是一项混合方法的前后评估，采用数据三角测量法。
结果
结果表明，参与者发展了他们的伦理知识和更深的伦理意识。他们也感到更加自信和有动力将伦理反思和推理广泛应用于日常实践中。
结论
参与者赞赏培训的创新结构，特别是理论互动和实践部分的结合。然而，他们建议增加更多的伦理监督机会和实际应用，让参与者在培训计划中学习到的内容。培训计划还有一些潜在的实际影响：在医院姑息治疗团队中发展高级伦理技能可以提高患者及其家属的生活质量。此外，具有高级伦理能力的医疗保健专业人员能够教育患者及其家属更积极地参与决策过程。
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