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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.

DOI:10.1177/23821205241307475
PMID:39678431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11638984/
Abstract

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).

摘要

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)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/11638984/2d81fbb76ae2/10.1177_23821205241307475-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/11638984/2d81fbb76ae2/10.1177_23821205241307475-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/11638984/2d81fbb76ae2/10.1177_23821205241307475-fig1.jpg

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本文引用的文献

1
Ethical care in patients with Covid-19: A grounded theory.新冠患者的伦理关怀:扎根理论。
PLoS One. 2024 Mar 28;19(3):e0300156. doi: 10.1371/journal.pone.0300156. eCollection 2024.
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Perceived risk of infection, ethical challenges and motivational factors among frontline nurses in Covid-19 pandemic: prerequisites and lessons for future pandemic.新冠疫情期间一线护士感知到的感染风险、伦理挑战及动机因素:未来疫情的先决条件与经验教训
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Ethical challenges and dilemmas in the rationing of health commodities and provision of high-risk clinical services during COVID-19 pandemic in Ethiopia: the experiences of frontline health workers.
COVID-19 大流行期间埃塞俄比亚卫生商品配给和高风险临床服务提供中的伦理挑战和困境:一线卫生工作者的经验。
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Ethical Challenges Experienced by Clinical Ethicists during COVID-19.临床伦理学家在新冠疫情期间所面临的伦理挑战
AJOB Empir Bioeth. 2023 Jan-Mar;14(1):1-14. doi: 10.1080/23294515.2022.2110965. Epub 2022 Aug 22.
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A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward.一项基于文献的关于护患互动中以患者为中心的护理与沟通的研究:障碍、促进因素及未来方向。
BMC Nurs. 2021 Sep 3;20(1):158. doi: 10.1186/s12912-021-00684-2.
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Ethical Challenges in COVID-19 Biospecimen Research: Perspectives From Institutional Review Board Members and Bioethicists.COVID-19 生物标本研究中的伦理挑战:机构审查委员会成员和生物伦理学家的观点。
Mayo Clin Proc. 2021 Jan;96(1):165-173. doi: 10.1016/j.mayocp.2020.10.021. Epub 2020 Oct 23.
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Nurses' ethical challenges caring for people with COVID-19: A qualitative study.护士在照顾 COVID-19 患者时所面临的伦理挑战:一项定性研究。
Nurs Ethics. 2021 Feb;28(1):33-45. doi: 10.1177/0969733020944453. Epub 2020 Aug 28.
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Choosing which COVID-19 patient to save? The ethical triage and rationing dilemma.选择拯救哪一位新冠肺炎患者?伦理分诊与资源分配困境。
Ethics Med Public Health. 2020 Oct-Dec;15:100570. doi: 10.1016/j.jemep.2020.100570. Epub 2020 Jul 28.
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