Ethics Communication in Groups Among Healthcare Professionals (The Ethics-com Study).
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 试验地点
- 3
- 主要终点
- moral distress meausered by using the Meausure of Moral Distress for Health care Professionals (MMD-HP) and the Moral Distress Thermometer
研究概览
简要总结
Moral distress has been described as a condition with frustration, guilt, anger and as one reason for health care professionals to leave the profession. Ethics communication in groups has been showed to work as support for health care professionals in ethically difficult situations and further work as a tool to improve the ethical climate and prevent moral distress. Our research group has developed the "one to five-step method" for interprofessional ethical communication in groups. The overall aim of this project: is to implement and evaluate a method for organized interprofessional communication about ethical issues in healthcare.
详细描述
Ethically difficult situations are a part of the everyday clinical practice for health care professionals and concerns difficult judgements, prioritization and crucial decisions. Being unable or prevented to act according to one's moral conviction for what is good and right care may increase the risk for health care professionals to experience moral distress. Moral distress has been described as a condition with frustration, guilt, anger and as one reason for health care professionals to leave the profession. Ethics communication in groups has been showed to work as support for health care professionals in ethically difficult situations and further work as a tool to improve the ethical climate and prevent moral distress. Our research group has developed the "one to five-step method" for interprofessional ethical communication in groups. The method is a stepwise support for facilitating ethics communication in clinical practice when the situations occurs. The overall aim of this project: is to implement and evaluate a method for organized interprofessional communication about ethical issues in healthcare.
Significance: The study can generate knowledge about ethics communication in groups in line with the " one to five step method", reduce moral distress, create improved ethical climate for healthcare professionals and in turn open up prerequisites for good care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •healthcare professionals working at included wards
排除标准
- 未提供
研究组 & 干预措施
No organized ethics communication in group
Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They have not being educated in "the one to five-step method and organized interprofessional sessions are not planned at the wards.
ethics communication in group, in line with "the one to five-step method"
Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They will continue by going through an education program for facilitating ethics communication in group, in line with "the one to five-step method"
- The education program has a theoretical and practical approach, which includes the theoretical base of the ethical communication in groups and practicing "the one to five method"
- Thereafter, each "ethical representative" will facilitate interprofessional sessions at a clinical ward, once a month, for six months at their workplace. Gathering meetings for feedback will be offered for the "ethical representatives" once a month.
干预措施: ethics communication in group, in line with "the one to five-step method" (Other)
结局指标
主要结局
moral distress meausered by using the Meausure of Moral Distress for Health care Professionals (MMD-HP) and the Moral Distress Thermometer
时间窗: Change from Baseline moral distress at 6 months
primary outcome
次要结局
- ethical climate meausered by the Swedish ethical climate questionnaire (SwECQ)(Change from Baseline ethical climate at 6 months)
- experiences(at 6 month)
研究者
Margareta Brännström
professor
Umeå University