识别并优先处理伊朗医院中确诊COVID-19患者临床服务中的伦理挑战。
Identifying and Prioritizing Ethical Challenges in Clinical Services of Patients With Confirmed COVID-19 in Iran's Hospitals.
作者信息
Keshavarz Mohsen, Mirmoghtadaie Zohrehsadat, Ahmadian Maliheh, Rasouli Davood
机构信息
Department of E-Learning in Medical Sciences, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
Department of eLearning in Medical Sciences, School Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran.
出版信息
J Med Educ Curric Dev. 2024 Dec 13;11:23821205241307475. doi: 10.1177/23821205241307475. eCollection 2024 Jan-Dec.
AIM
Since COVID-19 has set the state of health of the country in an emergency, it is natural that in such circumstances, violation of some principles of professional ethics is inevitable. This study aimed to identify and prioritize ethical challenges in the clinical services of patients with confirmed coronavirus disease in Iran's hospitals.
DESIGN
This study was a mixed method with an exploratory sequential design.
METHODS
This study was done in 2 qualitative and quantitative phases. In the qualitative phase, a systematized review was conducted and in the quantitative phase, a questionnaire of 35 questions based on the results of Phase 1 was formulated and completed.
RESULTS
The challenges related to the provider of clinical services (physicians and nurses), the recipients of clinical services (patients), and the organizational challenges had the most significant importance, respectively ( < .05, χ2 = 6.23).
目的
由于新冠疫情使该国的健康状况处于紧急状态，在这种情况下，违反某些职业道德原则是不可避免的。本研究旨在确定伊朗医院中确诊冠状病毒病患者临床服务中的伦理挑战并对其进行优先级排序。
设计
本研究为采用探索性序列设计的混合方法研究。
方法
本研究分定性和定量两个阶段进行。在定性阶段，进行了系统评价；在定量阶段，根据第一阶段的结果编制并完成了一份包含35个问题的问卷。
结果
与临床服务提供者（医生和护士）、临床服务接受者（患者）相关的挑战以及组织方面的挑战分别最为重要（<0.05，χ2 = 6.23）。
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