Ewuoso Cornelius, Hall Susan, Dierickx Kris
Department of Medicine, University of Cape Town, South Africa.
Center for Applied Ethics, Stellenbosch University, Western-Cape, South Africa.
Glob Bioeth. 2021 Apr 5;32(1):67-84. doi: 10.1080/11287462.2021.1909820.
This study is a systematic review that aims to assess how healthcare professionals manage ethical challenges regarding information within the clinical context.
We carried out searches in PubMed, and Embase, using two search strings; searches generated 665 hits. After screening, 47 articles relevant to the study aim were selected for review. Seven articles were identified through snowballing, and 18 others were included following a system update in PubMed, bringing the total number of articles reviewed to 72. We used a Q-sort technique for the analysis of identified articles.
This study reveals that healthcare professionals around the world generally employ (to varying degrees) four broad strategies to manage different types of challenges regarding information, which can be categorized as challenges related to confidentiality, communication, professional duty, and decision-making. The strategies employed for managing these challenges include resolution, consultation, stalling, and disclosure/concealment.
There are a variety of strategies which health professionals can adopt to address challenges regarding information management within the clinical context. This insight complements current efforts aimed at enhancing health professional-patient communication. Very few studies have researched the results of employing these various strategies. Future empirical studies are required to address this.
CIOMS: Council of International Organization of Medical Sciences; WHO: World Health Organization; AMA: American Medical Association; WMA: World Medical Association; PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analysis; ISCO: International Standard Classification of Occupations; ILO: International Labour Office; SPSS: The Statistical Package for the Social Sciences.
本研究是一项系统评价，旨在评估医疗保健专业人员在临床环境中如何应对信息方面的伦理挑战。
我们使用两个检索词在PubMed和Embase中进行检索；检索共产生665条结果。经过筛选，选择了47篇与研究目的相关的文章进行综述。通过滚雪球法确定了7篇文章，在PubMed系统更新后又纳入了18篇文章，使综述的文章总数达到72篇。我们使用Q分类技术对已识别的文章进行分析。
本研究表明，世界各地的医疗保健专业人员通常（在不同程度上）采用四种广泛的策略来应对不同类型的信息挑战，这些挑战可分为与保密、沟通、职业责任和决策相关的挑战。用于应对这些挑战的策略包括解决、咨询、拖延以及披露/隐瞒。
医疗专业人员可以采用多种策略来应对临床环境中信息管理方面的挑战。这一见解补充了当前旨在加强医疗专业人员与患者沟通的努力。很少有研究探讨采用这些不同策略的结果。未来需要进行实证研究来解决这一问题。
CIOMS：国际医学科学组织理事会；WHO：世界卫生组织；AMA：美国医学协会；WMA：世界医学协会；PRISMA：系统评价和荟萃分析的首选报告项目；ISCO：国际职业分类标准；ILO：国际劳工组织；SPSS：社会科学统计软件包
