Document Detail

Survey on the experience in ethical decision-making and attitude of Pleven University hospital physicians towards ethics consultation.
MedLine Citation:
PMID:  17909985     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Contemporary medical practice is complicated by many dilemmas requiring ethical sensitivity and moral reasoning. OBJECTIVE: To investigate physicians' experience in ethical decision-making and their attitude towards ethics consultation. METHODS: In a cross-sectional survey 126 physicians representing the main clinics of Pleven University hospital were investigated by a self-administered questionnaire. The following variables were measured: occurrence, nature and ways of resolving ethical problems; physicians' attitudes towards ethics consultation; physicians' opinions on qualities and skills of an ethics consultant, and socio-demographic characteristics. Data analysis included descriptive statistics, chi(2 )and t-test. RESULTS: Response rate was 88.9% (n = 112). Men and women were equally represented (48.2%-51.8%). The sample consisted of experienced physicians: 42.9% had 11-20 years experience, and 33% had 21-30 years. According to 84.8% of respondents, ethical problems have been discussed in their specialty. Predominant dilemmas included relationships with patients and relatives (76.8%) and team work (67.6%). Over (3/4) of physicians needed an advice in solving ethical problems. Ninety six percent responded positively to ethics consultation. They would mainly request it for resolving conflicts (72.5%), and in case of concern for the rightness of their decisions (52.7%). The image of an ethics consultant was built of clinical competence (70.9%), ability to deal with conflicts (59.1%), communication skills (58.2%), tolerance for different views (55.4%), and a special qualification in ethics (52.7%). CONCLUSIONS: The study underlined that Pleven University hospital physicians face similar ethical dilemmas as their colleagues in other countries do. The expressed positive attitudes to ethics consultation should serve as a basis for further research and development of ethics consultation services.
Silviya Aleksandrova
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Publication Detail:
Type:  Journal Article     Date:  2007-10-02
Journal Detail:
Title:  Medicine, health care, and philosophy     Volume:  11     ISSN:  1386-7423     ISO Abbreviation:  Med Health Care Philos     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-25     Completed Date:  2008-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815900     Medline TA:  Med Health Care Philos     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  35-42     Citation Subset:  E; IM    
Department of Social and Preventive Medicine, Faculty of Public Health, University of Medicine, Pleven, Bulgaria.
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MeSH Terms
Attitude to Health*
Decision Making / ethics*
Ethics Consultation*
Ethics, Medical*
Medical Staff, Hospital / ethics*
Physician-Patient Relations / ethics
Socioeconomic Factors

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