三甲医院医务工作者对临床伦理认知的分析  

Analysis on Clinical Ethics Cognition of Medical Workers in Third-Class A Hospital

作　　者：王明霞 刘健[2] 雷良华[3] 李青莉[4] 陈倩[5] 付强 贺电 王美霞[8] 吴建元[9] WANG Mingxia;LIU Jian;LEI Lianghua;LI Qingli;CHEN Qian;FU Qiang;HE Dian;WANG Meixia;WU Jianyuan(Department of Clinical Medicine,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Nephrology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Jiangxi Provincial People's Hospital,Nanchang 330006,China;Graduate School,Jiangxi Provincial People s Hospital,Nanchang 330006,China;Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China;Department of Oncology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Neurology,The Affiliated Hospital of Guizhou Medical University,Guiyang 550004,China;Drug Clinical Trial Institute,Beijing YouAn Hospital,Capital Medical University,Beijing 100069,China;Clinical Trial Center,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]新疆医科大学第一附属医院临床医学研究院,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院肾病科,新疆乌鲁木齐830054 [3]江西省人民医院,江西南昌330006 [4]江西省人民医院研究生院,江西南昌330006 [5]北京大学第一医院妇产科,北京100034 [6]华中科技大学同济医学院附属同济医院肿瘤科,湖北武汉430030 [7]贵州医科大学附属医院神经内科,贵州贵阳550004 [8]首都医科大学附属北京佑安医院药物临床试验机构,北京100069 [9]武汉大学中南医院临床试验中心,湖北武汉430071

出　　处：《中国医学伦理学》2019年第5期606-611,共6页Chinese Medical Ethics

摘　　要：目的了解中华医学会医学伦理学分会临床伦理学小组中部分成员单位对临床伦理及其重要性认知的情况,为医院伦理工作的开展提供参考。方法通过问卷调查,对6家医院的196名医务工作者进行医学伦理学基础知识及临床伦理问题的调查。结果调查对象中有14.29%的调查对象不知道所在医院已成立了伦理委员会,且有32.14%的调查对象从来没有向伦理委员会提出过任何层面的申请;不同学历的医务工作者在伦理基础知识及临床伦理应用中的差异性没有统计学意义,但不同岗位的医务工作者在伦理基础知识及临床伦理应用中有着显著的统计学意义。结论调查对象中临床医生能够更好地将医学伦理学的价值理论转化为临床伦理规范,在各项临床伦理认知的重要程度上有较好的表现,但还需加强对临床医生以外的各岗位医务工作者开展多层面多内容的伦理培训,提高医务人员对伦理委员会职能的认知。Objective: To understand the recognition of clinical ethics and its importance of some members of the clinical ethics group of the Chinese Medical Ethics Branch, and to provide reference for the development of hospital ethical work. Methods: Through questionnaires, 196 medical workers in six hospitals were investigated on basic ethical knowledge and clinical ethical issues. Results: 14.29% of the respondents did not know that the ethics committee had been established in their hospital, and 32.14% of the respondents had never applied to the ethics committee at any level. There was no statistical significance in the application of basic ethics knowledge and clinical ethics among medical workers with different educational background, but there was significant statistical significance in the application of basic ethics knowledge and clinical ethics among medical workers with different positions. Conclusion: Clinicians can better translate the value theory of medical ethics into clinical ethics norms among the respondents, and had better performance in the importance of various clinical ethics cognition. However, it is necessary to strengthen multi-level and multi-content ethics training for medical workers in different positions besides clinicians, so as to enhance the awareness of the functions of ethics committees among medical staff.

关 键 词：医务工作者 伦理基础知识 临床伦理应用 医学伦理学 

分 类 号：R-052[医药卫生]