دورية أكاديمية
أعرض في EDS

"I feel like I'm walking on eggshells": a qualitative study of moral distress among Chinese emergency doctors.

التفاصيل البيبلوغرافية
العنوان: "I feel like I'm walking on eggshells": a qualitative study of moral distress among Chinese emergency doctors.
المؤلفون: Liu J; School of Nursing, Southwest Medical University, Luzhou, Sichuan Province, 646000, China., Dai F; School of Nursing, Southwest Medical University, Luzhou, Sichuan Province, 646000, China., Song Q; Department of Emergency Medicine, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan Province, 646000, China., Sun J; School of Nursing, Southwest Medical University, Luzhou, Sichuan Province, 646000, China., Liu Y; Department of Emergency Medicine, The Affiliated Hospital, Southwest Medical University, Luzhou, Sichuan Province, 646000, China. liuyao1095@swmu.edu.cn.
المصدر: BMC medical ethics [BMC Med Ethics] 2024 Jun 20; Vol. 25 (1), pp. 72. Date of Electronic Publication: 2024 Jun 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088680 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6939 (Electronic) Linking ISSN: 14726939 NLM ISO Abbreviation: BMC Med Ethics Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Qualitative Research* , Physicians*/psychology , Physicians*/ethics , Morals* , Emergency Service, Hospital*/ethics, Humans ; China ; Female ; Male ; Adult ; Attitude of Health Personnel ; Stress, Psychological/etiology ; Communication ; Physician-Patient Relations/ethics ; Middle Aged ; East Asian People
مستخلص: 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.
Aim: 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.
Method: 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.
Study Findings: 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.
Conclusion: 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.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 2023GJZKP001 Clinical Key Speciality Construction Project Funding of Sichuan Province; SMUSS202219 Social Science Federation Project of Southwest Medical University
فهرسة مساهمة: Keywords: Doctors; Emergency Department; Moral Distress; Qualitative research
تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240621 Latest Revision: 20240924
رمز التحديث: 20240924
مُعرف محوري في PubMed: PMC11188161
DOI: 10.1186/s12910-024-01074-4
PMID: 38902648
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6939
DOI:10.1186/s12910-024-01074-4