| Survey on the experience in ethical decision-making and attitude of Pleven University hospital physicians towards ethics consultation. | |
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MedLine Citation:
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PMID: 17909985 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Silviya Aleksandrova |
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Publication Detail:
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Type: Journal Article Date: 2007-10-02 |
Journal Detail:
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Title: Medicine, health care, and philosophy Volume: 11 ISSN: 1386-7423 ISO Abbreviation: Med Health Care Philos Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-02-25 Completed Date: 2008-06-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815900 Medline TA: Med Health Care Philos Country: Netherlands |
Other Details:
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Languages: eng Pagination: 35-42 Citation Subset: E; IM |
Affiliation:
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Department of Social and Preventive Medicine, Faculty of Public Health, University of Medicine, Pleven, Bulgaria. aleksandrova_silviya@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Attitude to Health* Bulgaria Decision Making / ethics* Ethicists Ethics Consultation* Ethics, Medical* Female Humans Male Medical Staff, Hospital / ethics* Physician-Patient Relations / ethics Socioeconomic Factors |
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