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Title:Vpliv specializacije iz družinske medicine na zaznavanje in reševanje etičnih dilem
Authors:ID Klemenc-Ketiš, Zalika (Author)
ID Ojsteršek, Janja (Author)
ID Kersnik, Janko (Author)
Files:.pdf Zdravniski_vestnik_2009_Klemenc-Ketis,_Ojstersek,_Kersnik_Vpliv_specializacije_iz_druzinske_medicine_na_zaznavanje_in_resevanje_eticnih.pdf (108,97 KB)
MD5: 2B5FC20EB03EA148D171698571A4CBFE
 
URL http://vestnik.szd.si/index.php/ZdravVest/article/view/350
 
Language:Slovenian
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract:Izhodišča: Etične dileme so pomemben del vsakdanjega dela zdravnika družinske medicine. Ena od možnosti kakovostnejšega dela je tudi učinkovito podiplomsko izobraževanje na področju etike. Z raziskavo smo želeli opredeliti vpliv specializacije iz družinske medicine na zaznavanje in težavnost reševanja etičnih dilem. Predvidevali smo, da bodo etične dileme med specialisti družinske medicine zaznane pogosteje, težavnost reševanja pa se jim bo zdela lažja. Metode: V presečno raziskavo smo vključili naključni vzorec 259 zdravnikov družinske medicine (30% celotne populacije). Anketiranci so izpolnili vprašalnik, sestavljen iz 14 vprašanj o pogostosti in težavnosti reševanja etičnih dilem v družinski medicini. Odgovore so razporedili na 5-točkovni lestvici z maksimalnim možnim seštevkom točk 100. Rezultati: Odgovorilo je 142 zdravnikov družinske medicine (55-odstotni odziv). Specialisti in specializanti družinske medicine etične dileme zaznavajo pogosteje kot zdravniki brez specializacije (37,0 12,6 proti 30,7 10,8; P = 0,05). Prav tako jih specializanti družinske medicine zaznavajo pogosteje kot zdravniki brez specializacije (39,5 12,5 proti 30,7 10,8, P = 0,04). Specialisti in specializanti družinske medicine so v primerjavi z zdravniki brez specializacije reševanje etičnih dilem opredelili kot težavnejše (57,3 11,6 proti 47,1 11,8, P = 0,001). Podobne razlike obstajajo tudi med specialisti družinske medicine in zdravniki brez specializacije (56,7 11,7 proti 47,1 11,8, P = 0,003) in med specializanti družinske medicine ter zdravniki brez specializacije (62,0 10,0 proti 47,1 11,8, P = 0,001). Zaključki: Zdravniki družinske medicine potrebujejo kakovostno podiplomsko izobraževanje na področju zaznavanja in obvladovanja etičnih dilem. Vprašalniko etičnih dilemah je zanesljivo orodje za ugotavljanje učinkovitostiizobraževalnega procesa.
Keywords:bioetika, družinska medicina, izobraževanje, obravnava bolnikov, presečna raziskava
Publication status:Published
Publication version:Version of Record
Year of publishing:2009
Number of pages:str. 169-174
Numbering:Letn. 78, št. 4
PID:20.500.12556/DKUM-65273 New window
ISSN:1318-0347
UDC:61
ISSN on article:1318-0347
COBISS.SI-ID:25602265 New window
NUK URN:URN:SI:UM:DK:JDUT9QEB
Publication date in DKUM:28.03.2017
Views:1179
Downloads:180
Metadata:XML DC-XML DC-RDF
Categories:Misc.
:
KLEMENC-KETIŠ, Zalika, OJSTERŠEK, Janja and KERSNIK, Janko, 2009, Vpliv specializacije iz družinske medicine na zaznavanje in reševanje etičnih dilem. Zdravniški vestnik. glasilo Slovenskega zdravniškega društva [online]. 2009. Vol. 78, no. 4, p. 169–174. [Accessed 27 April 2025]. Retrieved from: https://dk.um.si/IzpisGradiva.php?lang=eng&id=65273
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Record is a part of a journal

Title:Zdravniški vestnik. glasilo Slovenskega zdravniškega društva
Publisher:Slovensko zdravniško društvo
ISSN:1318-0347
COBISS.SI-ID:32893696 New window

Licences

License:CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
Link:http://creativecommons.org/licenses/by-nc/4.0/
Description:A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.
Licensing start date:28.03.2017

Secondary language

Language:English
Title:Influence of specialistic training in family medicine on detection and management of ethical dilemmas
Abstract:Background: Ethical dilemmas are an important part of daily routine in family practice. One of the options for better quality in family practice is also an effective postgraduate education in the field of bioethics. We wanted to determine the influence of the specialization process on the susceptibility offamily physicians to ethical dilemmas and their solving difficulty. We hypothesized that specialists in family medicine would detect the ethical dilemmas more often and that they would report of less problems in their managing. Methods: The cross-sectional study included a random sample of 259 Slovenian family medicine physicians (30% of the whole population of family physicians). Participants were given a self-administered questionnaire on perceived ethical dilemmas in family practice with responses on a 5-point scale and a maximum score of 100. Results: In the final analysis 142 Slovenian family medicine physicians (55% response rate) were included. Specialists in family medicine and residents of family medicine reported ethical dilemmas more often than their colleagues without specialization (37.0 12.6 vs. 30.7 10.8; P = 0.05). Similarly, the residents of family medicine reported ethical dilemmas more often than their colleagues without specialization (39.5 12.5 vs. 30.7 10.8, P = 0.04). Specialists in family medicine and residents of family medicine considered solving ethical dilemmas to be more difficult than their colleagues without specialization (57.3 11.6 vs. 47.111.8, P = 0.001). The same differences exist also between the specialists in family medicine and their colleagues without specialization (56.7 11.7 vs. 47.1 11.8, P = 0.003) and between the residents of family medicine and their colleagues without specialization (62.0 10.0 vs. 47.1 11.8, P = 0.001). Conclusions: Physicians that are working in family practices need effective postgraduate education in the field of detection and management of ethical dilemmas. The questionnaire for perceived ethical dilemmas proved to be a reliable instrument for evaluation of education’s effectiveness.
Keywords:bioethics, family practice, education, patient care management, cross-sectional survey


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