PDF(Pubmed)
Abstract：
BACKGROUND: While the number of emergency patients worldwide continues to increase, emergency doctors often face moral distress. It hampers the overall efficiency of the emergency department, even leading to a reduction in human resources.
OBJECTIVE: This study explored the experience of moral distress among emergency department doctors and analyzed the causes of its occurrence and the strategies for addressing it.
METHODS: Purposive and snowball sampling strategies were used in this study. Data were collected through in-depth, semi-structured interviews with 10 doctors working in the emergency department of a tertiary general hospital in southwest China. The interview data underwent processing using the Nvivo 14 software. The data analysis was guided by Colaizzi\'s phenomenological analysis method.
RESULTS: This study yielded five themes: (1) imbalance between Limited Medical Resources and High-Quality Treatment Needs; (2) Ineffective Communication with Patients; (3) Rescuing Patients With no prospect of treatment; (4) Challenges in Sustaining Optimal Treatment Measures; and (5) Strategies for Addressing Moral Distress.
CONCLUSIONS: The moral distress faced by emergency doctors stems from various aspects. Clinical management and policymakers can alleviate this distress by enhancing the dissemination of emergency medical knowledge to the general public, improving the social and economic support systems, and strengthening multidisciplinary collaboration and doctors\' communication skills.
OBJECTIVE: This study explored the experience of moral distress among emergency department doctors and analyzed the causes of its occurrence and the strategies for addressing it.
METHODS: Purposive and snowball sampling strategies were used in this study. Data were collected through in-depth, semi-structured interviews with 10 doctors working in the emergency department of a tertiary general hospital in southwest China. The interview data underwent processing using the Nvivo 14 software. The data analysis was guided by Colaizzi\'s phenomenological analysis method.
RESULTS: This study yielded five themes: (1) imbalance between Limited Medical Resources and High-Quality Treatment Needs; (2) Ineffective Communication with Patients; (3) Rescuing Patients With no prospect of treatment; (4) Challenges in Sustaining Optimal Treatment Measures; and (5) Strategies for Addressing Moral Distress.
CONCLUSIONS: The moral distress faced by emergency doctors stems from various aspects. Clinical management and policymakers can alleviate this distress by enhancing the dissemination of emergency medical knowledge to the general public, improving the social and economic support systems, and strengthening multidisciplinary collaboration and doctors\' communication skills.
摘要：
背景：虽然全球急诊患者数量持续增加，急诊医生经常面临道德困扰。这阻碍了急诊科的整体效率，甚至导致人力资源的减少。
目的：本研究探讨了急诊科医生道德困扰的经历，分析了其发生的原因和解决策略。
方法：本研究采用目的抽样和滚雪球抽样策略。通过深入收集数据，对中国西南地区某三级综合医院急诊科的10名医生进行半结构化访谈。使用Nvivo14软件对访谈数据进行了处理。数据分析以Colaizzi的现象学分析方法为指导。
结果：这项研究产生了五个主题：（1）有限的医疗资源与高质量治疗需求之间的不平衡；（2）与患者的无效沟通；（3）挽救没有治疗前景的患者；（4）维持最佳治疗措施的挑战；（5）解决道德困扰的策略。
结论：急诊医生面临的道德困扰源于各个方面。临床管理和政策制定者可以通过加强向公众传播急诊医学知识来缓解这种困扰，完善社会经济支持体系,加强多学科协作和医生的沟通技巧。
目的：本研究探讨了急诊科医生道德困扰的经历，分析了其发生的原因和解决策略。
方法：本研究采用目的抽样和滚雪球抽样策略。通过深入收集数据，对中国西南地区某三级综合医院急诊科的10名医生进行半结构化访谈。使用Nvivo14软件对访谈数据进行了处理。数据分析以Colaizzi的现象学分析方法为指导。
结果：这项研究产生了五个主题：（1）有限的医疗资源与高质量治疗需求之间的不平衡；（2）与患者的无效沟通；（3）挽救没有治疗前景的患者；（4）维持最佳治疗措施的挑战；（5）解决道德困扰的策略。
结论：急诊医生面临的道德困扰源于各个方面。临床管理和政策制定者可以通过加强向公众传播急诊医学知识来缓解这种困扰，完善社会经济支持体系,加强多学科协作和医生的沟通技巧。
