菲律宾不同临床环境中物理治疗临床医生的道德敏感性

Andre F. Relao, Jayson Alexis D. Advincula, Jessica Mae Guantero, Gabriel R. Malayo, Ian Louis L. Nuida, Dianne Eunice C. Ricahuerta, Christopher Allan F. Reballos, Kathlyne Jane F. Graycochea
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摘要

简介道德敏感性(MS)是医疗从业人员在特定情况下处理道德冲突所需的个人特质。物理治疗师(PTs)是持有执照的从业人员,他们负责评估、诊断和提供治疗,以恢复患者的最佳功能,这就需要具备道德能力。因此,本研究旨在确定菲律宾物理治疗师在不同临床环境中的道德敏感性水平。方法:这是一项描述性、横断面研究,对菲律宾 40 名至少有 3 年执业经验的持证理疗师的 MS 进行了评估。Lutzen 道德敏感性(MSQ)问卷(1997 年)被修改为 21 个项目的核对表,以达到 Cronbach's alpha 0.70 及以上的内部一致性可靠性。MSQ 采用 7 点李克特量表,包含 6 个道德敏感要素:人际导向、道德意义结构、表达仁慈、修改自主性、经历道德冲突和对医学知识的信心。结果显示数据显示,结构性道德意义的平均值最高,为 1.83+0.70。菲律宾执业医师的总体道德意义水平较高(2.75+0.75)。除了在医学知识信心(X2=7.417,p=0.025)和修改自主权(X2=17.625,p=0.0072)方面的工作经验年限(X2=17.625,p=0.0072)的性别差异外,所有人口统计学特征的道德意义水平均无差异。男性护理人员的MS明显高于男性护理人员;在护理人员中,工作年限大于10年的护理人员的MS明显高于工作年限大于10年的护理人员。讨论对修改自主权的经验年限表明,经验年限越长的康复治疗师,由于其实践和对效率和效果的认识,其治疗选择和应用往往更灵活。此外,不同性别的医务人员对医学知识的自信程度也不同,这表明男性医务人员的道德选择受规章制度的约束,而不是对特定情况的主观感受。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MORAL SENSITIVITY OF PHYSICAL THERAPY CLINICIANS IN VARIED CLINICAL SETTINGS IN THE PHILIPPINES
Introduction: Moral sensitivity (MS) is the personal attribute needed to handle ethical conflicts in a specific scenario that the medical practitioner face in vulnerable situations due to the patient’s presence of an illness. Physical Therapists (PTs) are licensed practitioners who assess, diagnose and provide treatment that restore patients to optimal function, which requires moral competence. Thus, this study aimed to determine the level of moral sensitivity of PTs clinicians in the Philippines in varied clinical settings. Methods: This is a descriptive, cross-sectional study where the MS of 40 licensed PTs with at least 3 years of experience practice in the Philippines were assessed. The Lutzen's Moral Sensitivity (MSQ) questionnaire (1997) was modified to a 21-item checklist to meet the internal consistency reliability measured by Cronbach’s alpha of 0.70 and above. The MSQ utilized a 7-point Likert scale along 6 elements of MS: interpersonal orientation, structural moral meaning, expressing benevolence, modifying autonomy, experiencing moral conflict and confidence in medical knowledge. Results: Data shows that Structural Moral Meaning obtained the highest mean of 1.83+0.70. Overall MS of PTs in the Philippines was high (2.75+0.75). The levels of MS do not vary in all demographic profiles, except gender in Confidence in Medical Knowledge (X2=7.417, p=0.025) and years of experience in Modifying Autonomy (X2=17.625, p=0.0072). Male PTs have significantly higher MS compared to their counterpart; and >10 years of experience have significantly higher MS among the PTs. Discussion: The years of experience towards modifying autonomy indicates the treatment choices and applications of PTs with more years of experience tend to be more flexible owing to their practice and knowledge of efficiency and effectivity. Moreover, the level of MS varies in gender towards confidence in medical knowledge as it demonstrate moral choices are governed by rules and regulations among the male PTs rather than subjective feelings on particular situation.
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