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在老龄化世界中培养伦理能力:医院和养老院环境中的多方法伦理研讨。

Training Ethical Competence in a World Growing Old: A Multimethod Ethical Round in Hospital and Residential Care Settings.

机构信息

Faculty of Philosophy, Vita-Salute San Raffaele University, Via Olgettina 58, 20132, Milan, Italy.

Centre for Nursing Research and Innovation, Vita-Salute San Raffaele University, Via Olgettina 58, 20132, Milan, Italy.

出版信息

J Bioeth Inq. 2023 Jun;20(2):279-294. doi: 10.1007/s11673-023-10236-9. Epub 2023 Mar 23.

Abstract

Ethical challenges are traditionally described in a negative light, even though moral conflict can express the individual ability to perceive when something is not working and promote change. The true question, therefore, is not to how to silence moral conflict but how to educate it. Although the need for ethical support of health- and social-care professionals in elderly care is clearly perceived, there is no universal method for providing effective interventions. The authors hypothesize that adequate training sessions can help care professionals enhance this skill, once clear goals and specific educational techniques are set. This research tests the hypothesis on twenty care professionals working in acute and residential care settings for the elderly, building on the ethics round method. Mixed methods drawn from literature and the experience of educators were adapted to meet different educational goals. Moral issues can hardly be removed from a context characterized by increasing demand and decreasing resources, but they can be recognized and addressed with common efforts, a critical attitude, and a growth mindset. Enhancing these skills in qualified workers can help them accept the reality of work, release pressure, and identify common team goals. Introducing these skills before graduation can help future workers avoid unreal expectations and reduce frustration and early job quit rates.

摘要

传统上,伦理挑战是以负面的方式描述的,尽管道德冲突可以表达个人察觉到某些事情出了问题并促进变革的能力。因此,真正的问题不是如何压制道德冲突,而是如何教育它。尽管人们清楚地认识到需要为老年护理中的医疗和社会保健专业人员提供伦理支持,但没有提供有效干预的通用方法。作者假设,一旦设定了明确的目标和具体的教育技巧,适当的培训课程可以帮助护理专业人员提高这种技能。本研究通过伦理轮方法,在为老年人提供急性和居住护理的二十名护理专业人员中检验了这一假设。从文献和教育工作者的经验中汲取的混合方法适应了不同的教育目标。在需求增加和资源减少的情况下,几乎不可能将道德问题从一个环境中消除,但可以通过共同努力、批判态度和成长心态来认识和解决这些问题。在合格的工作人员中增强这些技能可以帮助他们接受工作现实,释放压力,并确定共同的团队目标。在毕业前引入这些技能可以帮助未来的工作人员避免不切实际的期望,减少挫折感和早期离职率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da1e/10035964/7db92185f86d/11673_2023_10236_Fig1_HTML.jpg

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