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物理治疗师的伦理与道德敏感性:一项符合STROBE标准的横断面研究,特别关注性别差异。

Physical Therapists' Ethical and Moral Sensitivity: A STROBE-Compliant Cross-Sectional Study with a Special Focus on Gender Differences.

作者信息

Moreno-Segura Noemí, Fuentes-Aparicio Laura, Fajardo Sergio, Querol-Giner Felipe, Atef Hady, Sillero-Sillero Amalia, Marques-Sule Elena

机构信息

Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.

Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain.

出版信息

Healthcare (Basel). 2023 Jan 23;11(3):333. doi: 10.3390/healthcare11030333.

DOI:10.3390/healthcare11030333
PMID:36766908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9914038/
Abstract

(1) Background: Healthcare professionals´ clinical practice, their care of patients and the clinical decision-making process may be influenced by ethical and moral sensitivity. However, such outcomes have been scarcely studied in physical therapists. This study aimed to explore ethical sensitivity and moral sensitivity in practicing physical therapists, and to compare both variables by gender. (2) Methods: Cross-sectional study. 75 physical therapists (58.7% women; average age = 34.56 (8.68) years) were asked to fill in questionnaires measuring ethical sensitivity (Ethical Sensitivity Scale Questionnaire) and moral sensitivity (Revised-Moral Sensitivity Questionnaire). (3) Results: The sample showed high ethical sensitivity (116.14 ± 15.87 over 140) and high moral sensitivity (40.58 ± 5.36 over 54). When comparing by gender, women reported significantly higher ethical sensitivity than men ( = 0.043), as well as higher scores in the following dimensions: Caring by connecting with others ( = 0.012) and Working with interpersonal and group differences ( = 0.028). However, no differences were found in moral sensitivity ( = 0.243). (4) Conclusion: Physical therapists showed high levels of ethical and moral sensitivity, whilst women reported higher ethical sensitivity than men. Understanding physical therapists´ ethical and moral sensitivity is essential to design and implement integrated education programs directed to improve the quality of care of patients in their daily clinical practice.

摘要

(1) 背景:医疗保健专业人员的临床实践、对患者的护理以及临床决策过程可能会受到伦理和道德敏感性的影响。然而,物理治疗师的此类情况鲜有研究。本研究旨在探索执业物理治疗师的伦理敏感性和道德敏感性,并按性别比较这两个变量。(2) 方法:横断面研究。75名物理治疗师(女性占58.7%;平均年龄 = 34.56(8.68)岁)被要求填写测量伦理敏感性(伦理敏感性量表问卷)和道德敏感性(修订后的道德敏感性问卷)的问卷。(3) 结果:样本显示出较高的伦理敏感性(满分140分,得分为116.14 ± 15.87)和较高的道德敏感性(满分54分,得分为40.58 ± 5.36)。按性别比较时,女性报告的伦理敏感性显著高于男性(P = 0.043),在以下维度得分也更高:通过与他人建立联系来关怀(P = 0.012)以及处理人际和群体差异(P = 0.028)。然而,在道德敏感性方面未发现差异(P = 0.243)。(4) 结论:物理治疗师表现出较高水平的伦理和道德敏感性,而女性报告的伦理敏感性高于男性。了解物理治疗师的伦理和道德敏感性对于设计和实施旨在提高患者日常临床护理质量的综合教育项目至关重要。

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本文引用的文献

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Influence of Professional Values on Attitudes towards Professional Ethics in Future Physical Therapy Professionals.未来物理治疗专业人员的职业价值观对职业道德态度的影响。
Int J Environ Res Public Health. 2022 Oct 27;19(21):13952. doi: 10.3390/ijerph192113952.
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Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study.物理治疗专业学生的专业价值观和对职业道德知识的认知:一项符合 STROBE 规范的横断面研究。
Medicine (Baltimore). 2022 Sep 2;101(35):e30181. doi: 10.1097/MD.0000000000030181.
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Int J Environ Res Public Health. 2022 Aug 25;19(17):10590. doi: 10.3390/ijerph191710590.
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Physiotherapy Students' Experiences about Ethical Situations Encountered in Clinical Practices.物理治疗专业学生在临床实践中遇到的伦理情境的体验。
Int J Environ Res Public Health. 2021 Aug 11;18(16):8489. doi: 10.3390/ijerph18168489.
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Attitudes towards learning professional ethics in undergraduate physiotherapy students: A STROBE compliant cross-sectional study.本科物理治疗专业学生对学习职业道德的态度:一项遵循STROBE标准的横断面研究。
Nurse Educ Today. 2021 Mar;98:104771. doi: 10.1016/j.nedt.2021.104771. Epub 2021 Jan 15.
6
Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice.临床实践中的性别差异:有解决方案吗?对克服或减少临床实践中性别偏见的干预措施的范围审查。
Int J Equity Health. 2020 Sep 22;19(1):166. doi: 10.1186/s12939-020-01283-4.
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Challenging times: ethics, nursing and the COVID-19 pandemic.挑战时刻:伦理学、护理与 COVID-19 大流行。
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