• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
When Healthcare Professionals Disagree: Finding the Right Balance.当医疗专业人员意见不一致时：找到正确的平衡。
Malays J Med Sci. 2024 Aug;31(4):223-227. doi: 10.21315/mjms2024.31.4.19. Epub 2024 Aug 27.
2
Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs.儿科和成人急诊科的伦理咨询：临床、伦理、学习和资源需求评估。
J Med Ethics. 2018 Jan;44(1):13-20. doi: 10.1136/medethics-2016-103531. Epub 2017 Jul 27.
3
Does participation in ethics discussions have an impact on ethics decision-making? A cross-sectional study among healthcare professionals in paediatric oncology.参与伦理讨论是否会对伦理决策产生影响？儿科肿瘤学中医疗保健专业人员的横断面研究。
Eur J Oncol Nurs. 2021 Jun;52:101950. doi: 10.1016/j.ejon.2021.101950. Epub 2021 Mar 27.
4
Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned.新冠肺炎疫情期间 ICU 医护人员的道德困境和积极体验：经验教训。
BMC Med Ethics. 2023 Jun 8;24(1):40. doi: 10.1186/s12910-023-00919-8.
5
Ethical case interventions for adult patients.针对成年患者的伦理案例干预措施。
Cochrane Database Syst Rev. 2019 Jul 22;7(7):CD012636. doi: 10.1002/14651858.CD012636.pub2.
6
Perceptions of important outcomes of moral case deliberations: a qualitative study among healthcare professionals in childhood cancer care.对道德案例审议重要结果的认知：一项针对儿童癌症护理领域医护人员的定性研究
BMC Med Ethics. 2021 Mar 17;22(1):27. doi: 10.1186/s12910-021-00597-4.
7
What healthcare teams find ethically difficult.医疗团队在伦理方面遇到的难题。
Nurs Ethics. 2016 Dec;23(8):825-837. doi: 10.1177/0969733015583928. Epub 2016 Aug 3.
8
Point and counterpoint. Should HECs involved in case review have a healthcare ethics consultant?正方与反方观点。参与病例审查的医院伦理委员会是否应该配备医疗伦理顾问？
HEC Forum. 1993 May;5(3):196-204. doi: 10.1007/BF01463893.
9
Institutional Ethics Resources: Creating Moral Spaces.机构伦理资源：创造道德空间。
Hastings Cent Rep. 2016 Sep;46 Suppl 1:S22-7. doi: 10.1002/hast.627.
10
Developing a framework for the ethical design and conduct of pragmatic trials in healthcare: a mixed methods research protocol.制定医疗保健中实用临床试验的伦理设计和实施框架：混合方法研究方案。
Trials. 2018 Sep 27;19(1):525. doi: 10.1186/s13063-018-2895-x.

本文引用的文献

1
Correlations between moral courage, moral sensitivity, and ethical decision-making by nurse interns: a cross-sectional study.实习护士道德勇气、道德敏感性与伦理决策之间的相关性：一项横断面研究。
BMC Nurs. 2023 Aug 8;22(1):260. doi: 10.1186/s12912-023-01428-0.
2
Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings.医护人员的认知偏差和道德特征及其在急症护理环境中对晚期痴呆患者的治疗方法。
Front Med (Lausanne). 2023 Jun 22;10:1145142. doi: 10.3389/fmed.2023.1145142. eCollection 2023.
3
What nursing chooses not to know: Practices of epistemic silence/silencing.护理选择不知道的事：认知沉默/沉默化的实践。
Nurs Philos. 2023 Apr 26:e12443. doi: 10.1111/nup.12443.
4
Interprofessional collaboration between nurses and doctors for treating patients in surgical wards.护士与医生在外科病房治疗患者方面的跨专业协作。
J Interprof Care. 2022 Mar-Apr;36(2):186-194. doi: 10.1080/13561820.2021.1890703. Epub 2021 May 13.
5
Bias in Medicine: Lessons Learned and Mitigation Strategies.医学中的偏差：经验教训与缓解策略。
JACC Basic Transl Sci. 2021 Jan 25;6(1):78-85. doi: 10.1016/j.jacbts.2020.07.012. eCollection 2021 Jan.
6
Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data.探索医疗团队中的心理安全感，以为干预措施的制定提供信息：结合观察、调查和访谈数据。
BMC Health Serv Res. 2020 Aug 31;20(1):810. doi: 10.1186/s12913-020-05646-z.
7
When Team Conflicts Threaten Quality of Care: A Study of Health Care Professionals' Experiences and Perceptions.当团队冲突危及医疗质量时：一项关于医疗保健专业人员经历与认知的研究
Mayo Clin Proc Innov Qual Outcomes. 2019 Feb 26;3(1):43-51. doi: 10.1016/j.mayocpiqo.2018.11.003. eCollection 2019 Mar.
8
Can the Ethical Best Practice of Shared Decision-Making lead to Moral Distress?共享决策的伦理最佳实践会导致道德困扰吗？
J Bioeth Inq. 2018 Jun;15(2):259-268. doi: 10.1007/s11673-018-9847-8. Epub 2018 Mar 14.
9
The role of emotion in clinical decision making: an integrative literature review.情绪在临床决策中的作用：综合文献回顾。
BMC Med Educ. 2017 Dec 15;17(1):255. doi: 10.1186/s12909-017-1089-7.
10
The Commercialization of Patient-Related Decision Making in Hospitals.医院中与患者相关的决策的商业化。
Dtsch Arztebl Int. 2017 Nov 24;114(47):797-804. doi: 10.3238/arztebl.2017.0797.

当医疗专业人员意见不一致时：找到正确的平衡。

When Healthcare Professionals Disagree: Finding the Right Balance.

作者信息

Zolkefli Yusrita

机构信息

PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.

School of Health in Social Science, The University of Edinburgh, Edinburgh, United Kingdom.

出版信息

Malays J Med Sci. 2024 Aug;31(4):223-227. doi: 10.21315/mjms2024.31.4.19. Epub 2024 Aug 27.

DOI:10.21315/mjms2024.31.4.19
PMID:39247114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11376999/
Abstract

Healthcare disagreements are common, but recognising the causes is essential to reaching a moral consensus. The article describes the challenges associated with resolving the disagreements. Therefore, a systematic and timely team-based discussion, ethics consultation with ethicists and the hospital ethics committee, active participation of all members' discussions, and scheduled debriefings are pragmatic ways to find balance when healthcare professionals disagree. Teams need these attempts to build consensus and make moral decisions. It also fosters harmony, prioritises patient and team interests and, most importantly, keeps the team intact.

摘要

医疗保健方面的分歧很常见，但认识到其原因对于达成道德共识至关重要。本文描述了在解决这些分歧时所面临的挑战。因此，进行系统且及时的基于团队的讨论、与伦理学家及医院伦理委员会进行伦理咨询、所有成员积极参与讨论以及定期进行情况汇报，是医疗保健专业人员出现分歧时寻求平衡的务实方法。团队需要通过这些努力来建立共识并做出道德决策。这也有助于促进和谐、优先考虑患者和团队的利益，最重要的是，保持团队的完整。