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Cleve Clin J Med. 2020 Jun 9. doi: 10.3949/ccjm.87a.ccc047.
2
[COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review].[新冠疫情：医护人员的压力体验——近期简要综述]
Psychiatr Prax. 2020 May;47(4):190-197. doi: 10.1055/a-1159-5551. Epub 2020 Apr 27.
3
Moral distress and burnout in caring for older adults during medical school training.在医学院培训期间照顾老年人时的道德困境和倦怠。
BMC Med Educ. 2020 Mar 23;20(1):84. doi: 10.1186/s12909-020-1980-5.
4
[Dealing with psychological distress by healthcare professionals during the COVID-19 pandemia].[新冠疫情期间医护人员应对心理困扰的情况]
Nervenarzt. 2020 May;91(5):417-421. doi: 10.1007/s00115-020-00905-0.
5
[Working conditions and health status of young physicians and nurses in German hospitals].[德国医院年轻医生和护士的工作条件与健康状况]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Jan;63(1):113-121. doi: 10.1007/s00103-019-03057-y.
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Ethical climate and intention to leave among critical care clinicians: an observational study in 68 intensive care units across Europe and the United States.重症监护临床医生的道德氛围与离职意愿：一项针对欧美68个重症监护病房的观察性研究。
Intensive Care Med. 2020 Jan;46(1):46-56. doi: 10.1007/s00134-019-05829-1. Epub 2019 Nov 5.
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[The clinical ethic committee: aims, structure, and tasks of clinical ethics].[临床伦理委员会：临床伦理学的目标、结构与任务]
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Moral distress in medical student reflective writing.医学生反思性写作中的道德困扰
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[医学生和年轻专业人员中的道德困境：COVID-19大流行背景下的研究需求]

[Moral distress in medical students and young professionals: research desiderata in the context of the COVID-19 pandemic].

作者信息

Kühlmeyer Katja, Kuhn Eva, Knochel Kathrin, Hildesheim Hanna, Witt Victoria Dorothea, Friedrich Orsolya, Rogge Annette

机构信息

Institut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität (LMU), Lessingstr. 2, 80336, München, Deutschland.

Philosophisches Seminar, Lehrstuhl für Praktische Philosophie, Christian-Albrechts-Universität zu Kiel (CAU), Kiel, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Dec;63(12):1483-1490. doi: 10.1007/s00103-020-03244-2. Epub 2020 Nov 12.

DOI:10.1007/s00103-020-03244-2
PMID:33180160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7659897/
Abstract

BACKGROUND

The COVID-19 pandemic poses particular challenges for people working in the medical sector. Some of the medical students and young medical professionals who are starting their work in healthcare facilities during this time are confronted with extraordinary moral challenges. A portion of them does not yet have sufficient coping skills to adequately deal with these challenges. This can lead to so-called moral distress (MoD). Permanent or intensive exposure to MoD can have serious consequences. Appropriate support services have the potential to improve the handling of MoD.

OBJECTIVE

This article aims to provide an overview of the current state of research on MoD among medical students and young medical professionals in order to sensitize lecturers with responsibility for education and training and doctors in leading positions to the problem.

MAIN PART

This article presents the scientific concept of MoD, known triggers, and options for prevention and intervention. The topic is presented with reference to the changes in patient care in the context of the COVID-19 pandemic and research needs are presented.

CONCLUSION

The article illustrates the necessity of a German-language, interdisciplinary discourse on MoD among medical students and young professionals.

摘要

背景

新冠疫情给医疗行业的从业者带来了特殊挑战。在此期间，一些刚开始在医疗机构工作的医学生和年轻医疗专业人员面临着非同寻常的道德挑战。他们中的一部分人尚未具备足够的应对技能来妥善应对这些挑战。这可能导致所谓的道德困扰（MoD）。长期或频繁暴露于道德困扰可能会产生严重后果。适当的支持服务有可能改善对道德困扰的应对。

目的

本文旨在概述医学生和年轻医疗专业人员中道德困扰的研究现状，以使负责教育培训的讲师和担任领导职务的医生对该问题有所认识。

主要内容

本文介绍了道德困扰的科学概念、已知的触发因素以及预防和干预的方法。结合新冠疫情背景下患者护理的变化来阐述该主题，并提出研究需求。

结论

本文说明了在医学生和年轻专业人员中就道德困扰开展德语跨学科讨论的必要性。