目的:评估巴基斯坦医疗保健专业人员的生物伦理意识水平,关注与社会人口统计学特征的关联,道德培训和教学,医学伦理实践和具体的伦理问题。
方法:横断面研究。
方法:哈里普尔的公立和私立医院,巴基斯坦。
方法:共有647名医疗保健专业人员参与了这项研究。
方法:这项研究是在2023年3月至5月期间进行的,在加强流行病学检查表标准中的观察研究报告之后,涉及具有至少6个月患者护理实践经验的医疗保健专业人员。在密切监督下的提供者被建议不要对生物伦理学知识做出回应,由于潜在的道德困境,态度和实践调查表格。
结果:医生和非医生都需要更多地了解生物伦理学。在基于工作类别/名称的道德培训和教学方面存在显着差异(p<0.05),道德观念因工作指定而大不相同。具体的伦理问题,例如接受患者和制药公司的礼物,推荐费,为特定产品提供建议,医疗错误的披露,患者保密,没有充分告知患者治疗和执行任务以获取经济利益,显示与医疗保健专业人员的指定有显著关联(p<0.05)。伦理意识得分也显示基于年龄的显著差异(p<0.05),种族,张贴地点,专业经验和组织的道德准则。
结论:这项研究强调了医疗保健专业人员对某些道德问题的理解存在明显差距。与其他专业人员相比,护士对医疗保健实践的认识相对较低。通过有针对性的培训和健全的道德准则解决这些问题对于改善巴基斯坦医疗保健系统的患者护理至关重要。
OBJECTIVE: To assess the level of
bioethics awareness among healthcare professionals in Pakistan, focusing on the associations with sociodemographic characteristics, training and teaching of ethics, medical ethics practice and specific ethical issues.
METHODS: Cross-sectional study.
METHODS: Public and private hospitals in Haripur, Pakistan.
METHODS: A total of 647 healthcare professionals participated in this study.
METHODS: This study was conducted between March and May 2023, following Strengthening the Reporting of Observational Studies in Epidemiology checklist criterion, involving healthcare professionals with at least 6 months of experience in patient care practice. Providers under close supervision are advised not to respond to the
bioethics knowledge, attitudes and practices survey form due to potential ethical dilemmas.
RESULTS: Both physicians and non-physicians need to know more about
bioethics. There was a significant difference (p<0.05) in ethical training and teaching based on job categories/designations, with ethical views differing greatly by job designation. Specific ethical issues, such as accepting gifts from patients and pharmaceutical companies, referral fees, advising specific products, disclosure of medical errors, patient confidentiality, not informing patients fully about treatment and performing tasks for financial gain, showed significant associations (p<0.05) with healthcare professional\'s designation. Ethical awareness scores also showed significant differences (p<0.05) based on age, ethnicity, place of posting, professional experience and the organisation\'s ethical guidelines.
CONCLUSIONS: This study highlighted a notable gap in the understanding of certain ethical concerns among healthcare professionals, with nurses showing relatively lower awareness of healthcare practice compared with other professionals. Addressing these issues through targeted training and robust ethical guidelines is critical to improving patient care in Pakistan\'s healthcare system.