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巴西南部一家急诊室医护人员对道德氛围的认知

Perception of the ethical climate among healthcare professionals in an emergency room from southern Brazil.

作者信息

Carpes Lanes Taís, Graziele de Lima Dalmolin, Maciel da Silva Augusto, Antunez Villagran Camila, da Silva Caram Carolina, Bosi de Souza Magnago Tânia Solange

机构信息

Universidade Federal de Santa Maria, Santa Maria, RS, Brasil.

Universidade do Rio Verde, Rio Verde, GO, Brasil.

出版信息

Rev Cuid. 2024 Dec 19;16(1):e4196. doi: 10.15649/cuidarte.4196. eCollection 2025 Jan-Apr.

Abstract

INTRODUCTION

The ethical climate is defined as the shared perception among healthcare professionals of what is ethically correct behavior and how to deal with ethical issues.

OBJECTIVE

To evaluate the perception of the ethical climate among health professionals working in an emergency room.

MATERIALS AND METHODS

Cross-sectional study carried out with healthcare professionals working in the emergency room of a university hospital in southern Brazil. Collection took place in January 2024 through the Positive Ethical Climate Promotion Platform, through the Hospital Ethical Climate Survey-Brazilian Version instrument. The data was organized and analyzed on the Positive Ethical Climate Promotion Platform, applying descriptive statistics.

RESULTS

71 health professionals participated in the research, in which the general ethical climate was classified as positive (M=3.73; SD=0.60). The factors were evaluated as positive, except for the medical factor (M=3.23; SD=1.16), classified as negative. Descriptively, female professionals (p=0.063), with a partner (p=0.508), aged over 42 years (p=0.047) and with training time over 17 years (p=0.072) presented high averages for positive ethical climate, however, only age showed a significant association.

DISCUSSION

Despite the positive assessment of the general ethical climate, the importance of self-reflection and self-awareness when making ethical decisions in care is understood.

CONCLUSION

The general ethical climate and its factors were evaluated as positive, however, the medical factor was perceived as negative.

摘要

引言

道德氛围被定义为医疗保健专业人员对什么是道德正确行为以及如何处理道德问题的共同认知。

目的

评估在急诊室工作的卫生专业人员对道德氛围的认知。

材料与方法

对巴西南部一家大学医院急诊室的卫生专业人员进行横断面研究。2024年1月通过积极道德氛围促进平台,使用巴西版医院道德氛围调查问卷进行数据收集。数据在积极道德氛围促进平台上进行整理和分析,应用描述性统计方法。

结果

71名卫生专业人员参与了研究,其中总体道德氛围被归类为积极(M = 3.73;标准差 = 0.60)。除医疗因素(M = 3.23;标准差 = 1.16)被归类为消极外,其他因素评估为积极。描述性地,女性专业人员(p = 0.063)、有伴侣的专业人员(p = 0.508)、年龄超过42岁的专业人员(p = 0.047)以及培训时间超过17年的专业人员(p = 0.072)在积极道德氛围方面得分较高,但只有年龄显示出显著关联。

讨论

尽管对总体道德氛围有积极评价,但理解在护理中做出道德决策时自我反思和自我意识的重要性。

结论

总体道德氛围及其因素评估为积极,然而,医疗因素被认为是消极的。

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