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[面向原则的临床伦理咨询巴塞尔模型2.0:精神病学导论]

[The Basel model of principle-oriented clinical ethics consultation 2.0 : An introduction for psychiatry].

作者信息

Schürmann Jan, Wetterauer Charlotte, Westermair Anna Lisa, Trachsel Manuel

机构信息

Abteilung Klinische Ethik, Universitätsspital Basel (USB), Universitäre Psychiatrische Kliniken Basel (UPK), Universitäre Altersmedizin Felix Platter (UAFP), Universitäts-Kinderspital beider Basel (UKBB), Spitalstrasse 22, 4031, Basel, Schweiz.

Institut für Biomedizinische Ethik und Geschichte der Medizin, Universität Zürich, Zürich, Schweiz.

出版信息

Nervenarzt. 2024 Nov;95(11):1033-1042. doi: 10.1007/s00115-024-01710-9. Epub 2024 Jul 20.

Abstract

BACKGROUND

The effectiveness of clinical ethics counselling in medicine in terms of satisfaction of the participants, support of ethical decision-making, perceived impact on clinical care, moral competence and quality of communication is now empirically well validated. In psychiatry, more and more institutions have structures for clinical ethics consultation as well; however, there is still a lack of evaluative accompanying research on the benefits and differential indications of the various forms and models of clinical ethics counselling in psychiatry.

AIM OF THE WORK

The article presents the principles and the step by step application of the principle-oriented clinical ethics consultation according to the Basel model 2.0.

MATERIAL AND METHODS

The article is based on material and procedures developed at the Clinical Ethics Unit of the University Hospital Basel and the University Psychiatric Clinics Basel for the principle-oriented clinical ethics consultation according to the Basel model 2.0.

RESULTS AND DISCUSSION

Principle-oriented clinical ethics consultation according to the Basel model 2.0 is suitable for dealing with moral issues and conflicts in psychiatric practice and for their ethical reflection; however, further evaluative accompanying research is needed on the benefits and differential indications of this and other models of clinical ethics support in psychiatry.

摘要

背景

从参与者满意度、对伦理决策的支持、对临床护理的感知影响、道德能力和沟通质量等方面来看,医学临床伦理咨询的有效性现已得到充分的实证验证。在精神病学领域,越来越多的机构也设有临床伦理咨询机构;然而,对于精神病学中各种形式和模式的临床伦理咨询的益处和差异适应症,仍缺乏评估性的伴随研究。

工作目的

本文介绍了基于巴塞尔模型2.0的以原则为导向的临床伦理咨询的原则及逐步应用方法。

材料与方法

本文基于巴塞尔大学医院临床伦理科和巴塞尔大学精神病诊所开发的用于基于巴塞尔模型2.0的以原则为导向的临床伦理咨询的材料和程序。

结果与讨论

基于巴塞尔模型2.0的以原则为导向的临床伦理咨询适用于处理精神病学实践中的道德问题和冲突,并对其进行伦理反思;然而,对于这种及其他精神病学临床伦理支持模式的益处和差异适应症,还需要进一步的评估性伴随研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/373a/11525241/b8d0a8755610/115_2024_1710_Fig1_HTML.jpg

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