临床伦理咨询的必要性：重症监护病房的单中心观察性调查研究（Consul.E.T.I. 研究）
The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study).
作者信息
Filippini Matteo, Nicoli Federico, Picozzi Mario, Latronico Nicola
机构信息
Department of Anesthesia, Intensive Care and Emergency, ASST Spedali Civili University Hospital, Piazzale Spedali Civili, 1, Brescia, 25123, Italy.
Center for Clinical Ethics, Department of Biotechnologies and Life Sciences, University of Insubria, Varese, Italy.
出版信息
J Anesth Analg Crit Care. 2022 Sep 14;2(1):40. doi: 10.1186/s44158-022-00069-0.
BACKGROUND
The current organizational structure of the Italian healthcare system does not include the institutionalization of clinical ethics services. To describe the need for structured clinical ethics consultation services for ICU staff members in the intensive care unit (ICU), a monocentric observational survey study was performed utilizing a paper-based questionnaire.
RESULTS
A total of 73 healthcare professionals (HCPs) responded out of a team of 84 people (87%). The results showed that the need for ethics consultation in the ICU is urgent, the institutionalization of the clinical ethics service is perceived as useful and should be a priority, and the issues on which the HCPs would like ethics consultation to focus are various and belong to "end of life" topics.
CONCLUSIONS
HCPs believe that the clinical ethicist should become an integral part of ICU healthcare teams, offering consultations similar to the other specialistic consultations carried out in hospitals.
背景
意大利医疗保健系统当前的组织结构不包括临床伦理服务的制度化。为了描述重症监护病房（ICU）的ICU工作人员对结构化临床伦理咨询服务的需求，使用纸质问卷进行了一项单中心观察性调查研究。
结果
在84人的团队中，共有73名医疗保健专业人员（HCP）做出了回应（87%）。结果表明，ICU中伦理咨询的需求紧迫，临床伦理服务的制度化被认为是有用的，应成为优先事项，HCP希望伦理咨询关注的问题多种多样，且属于“生命末期”主题。
结论
HCP认为临床伦理学家应成为ICU医疗团队的一个组成部分，提供类似于医院进行的其他专科咨询的咨询服务。
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