Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia.
Ethics knowledge, attitudes, and experiences of tertiary care pediatricians in Ethiopia.
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DOI：
10.1186/s12910-022-00812-w
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发表时间：
2022-07-22
影响因子：
2.7
通讯作者：
Lantos, John D.
中科院分区：
文献类型：
--
作者：
Tekleab, Atnafu Mekonnen;Lantos, John D.
发展中国家的儿科医生面临的伦理困境与在资源更多的环境中工作的医生不同。很少有来自发展中国家的研究分析儿科医生的知识和态度，在这种情况下出现的伦理困境。为了解决这一差距，我们探讨了临床伦理知识，态度和经验的医生谁是在儿科和儿童健康（DPCH）的圣保罗医院千年医学院（SPHMMC），埃塞俄比亚阿迪斯。2020年12月在SPHMMC DPCH工作的所有儿科住院医生和儿科顾问。在2020年12月15日至27日期间，向该部门的所有79名居民和顾问分发了一份结构化的预测试自填问卷。调查问卷评估了研究参与者关于各种生物伦理问题的知识（23个问题）、态度（9个问题）和经验（9个问题）。数据分析采用SPSS20.0软件包。调查对象得分的平均值、中位数、标准差和四分位数范围采用Fisher精确检验进行测定和比较。共有59/79（75%）名医生完成了调查问卷。参与者的平均年龄为30.7 ± 4.1岁。36例（61.0%）为女性。在收集数据时，超过一半（57.6%）的人担任医生不到5年。在23个知识问题中，被调查者的平均道德知识得分为12.3 ± 2.34。最低和最高知识得分分别为8和19。关于保密性的问题得分最高（94.9%正确），关于基因检测和诊断的问题得分最低（13.6%正确）。只有13（22.4%）的医生同意的做法，儿童不应该被视为未经父母同意。 埃塞俄比亚一家医院的三级保健儿科医生缺乏对当前生物伦理标准的了解。在这种情况下，需要进行更多的道德教育。
Pediatricians in developing countries face different ethical dilemmas than do doctors working in settings with more resources. There are very few studies from developing countries analyzing pediatricians’ knowledge and attitudes regarding the ethical dilemmas that arise in such settings. To address this gap, we explored the clinical ethical knowledge, attitude and experience of physicians who are working in the Department of Pediatrics and Child Health (DPCH) of St Paul’s Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia. All pediatric resident doctors and pediatric consultants who were working in the DPCH of SPHMMC in December, 2020. A structured pretested self-administered questionnaire was distributed to all 79 of the residents and consultants in the department during the period December 15–27, 2020. The questionnaire assessed the knowledge (23 questions), attitude (9 questions) and experiences (9 questions) of the study participants regarding a variety of bioethical issues. Data were analyzed using SPSS version 20.0 for windows. The mean, median, standard deviation, and interquartile range of respondents’ scores were determined and compared using Fisher’s exact test. A total of 59/79 (75%) physicians completed the questionnaire. The mean age of the participants was 30.7 ± 4.1 years. Thirty six (61.0%) were female. At the time of data collection, more than half (57.6%) served < 5 years as a physician. The mean ethics knowledge score of the respondents was 12.3 ± 2.34 out of 23 knowledge questions. The lowest and highest knowledge scores were 8 and 19 respectively. Scores were highest on questions about confidentiality (94.9% correct) and lowest on questions about genetic testing and diagnosis (13.6% correct). Only 13 (22.4%) physicians agreed with the practice of children should never be treated without consent of the parent. Tertiary care pediatricians at one hospital in Ethiopia lack knowledge about current standards in bioethics. There is a need for more ethics education in this setting.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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