2021 年，埃塞俄比亚西北部贡德尔地区公立医院卫生专业人员的道德规范实践及相关因素：混合方法研究设计。
Practice of code of ethics and associated factors among health professionals in Central Gondar Zone public hospitals, Northwest Ethiopia, 2021: a mixed-method study design.
机构信息
Tegedie Woreda Health Office, Tegedie, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
出版信息
BMC Med Ethics. 2022 Jul 1;23(1):68. doi: 10.1186/s12910-022-00807-7.
BACKGROUND
Ethics is the science of moral and ethical rules recognised in human life and attempts to verify what is morally right and wrong. Healthcare ethics is seen as an integrated part of the daily activities of health facilities. Healthcare professionals' standardisation and uniformity in healthcare ethics are urgent and basic requirements. Therefore, this study aimed to assess the practice of the code of ethics and associated factors among health professionals in Central Gondar Zone public hospitals, Northwest Ethiopia, 2021.
METHODS
A facility-based cross-sectional study design with a mixed method was conducted on 631 health professionals from Central Gondar Zone public hospitals. For the quantitative part, pre-tested self-administered questionnaires were used, and for the qualitative part, key informant interviews with a semi-structured questionnaire were used. Variables with a p value of < 0.2 in binary logistic regression entered into a multivariable logistic regression, then p value < 0.05 and AOR were used to declare statistically significant variables in quantitative data. A thematic content analysis was used for qualitative data analysis.
RESULTS
This study revealed that only 286 (46.7%) health professionals had good practice of the code of ethics. Good ethical knowledge (AOR = 1.95, 95% CI 1.37, 2.77), favourable attitude (AOR = 1.55, 95% CI 1.11, 2.16), and satisfaction of health professionals with their jobs (AOR = 1.45, 95% CI (1.04, 2.04) were significantly associated with the practice of health care ethics.
CONCLUSIONS
Health professionals' overall level of practice of health care ethics in the Central Gondar Zone public hospitals was poor. This necessitates practical training, ongoing follow-up, availing of necessary medical equipment, a smooth working environment, and modification of the recognition system for health professionals.
背景
伦理学是人类生活中所认可的道德和伦理规则的科学，旨在验证什么是道德上正确的，什么是错误的。医疗保健伦理学被视为卫生机构日常活动的一个组成部分。医疗保健专业人员在医疗保健伦理方面的标准化和统一是迫切和基本的要求。因此，本研究旨在评估 2021 年埃塞俄比亚西北部贡德尔地区中心公立医院卫生专业人员的伦理守则实践及其相关因素。
方法
采用混合方法的基于机构的横断面研究设计，对贡德尔地区中心公立医院的 631 名卫生专业人员进行了研究。在定量部分，使用了经过预测试的自我管理问卷，在定性部分，使用了关键知情人访谈和半结构化问卷。在二元逻辑回归中，p 值<0.2 的变量进入多变量逻辑回归，然后使用 p 值<0.05 和 AOR 来宣布定量数据中具有统计学意义的变量。使用主题内容分析对定性数据进行分析。
结果
本研究表明，只有 286（46.7%）名卫生专业人员有良好的伦理守则实践。良好的伦理知识（AOR=1.95，95%CI 1.37，2.77）、有利的态度（AOR=1.55，95%CI 1.11，2.16）和卫生专业人员对工作的满意度（AOR=1.45，95%CI 1.04，2.04）与医疗保健伦理实践显著相关。
结论
贡德尔地区中心公立医院卫生专业人员的整体医疗保健伦理实践水平较差。这需要进行实际培训、持续跟进、提供必要的医疗设备、营造顺畅的工作环境以及修改卫生专业人员的认可制度。
Zotero 插件