20.500.12556/DKUM-65273 Vpliv specializacije iz družinske medicine na zaznavanje in reševanje etičnih dilem Influence of specialistic training in family medicine on detection and management of ethical dilemmas 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. 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. bioetika družinska medicina izobraževanje obravnava bolnikov presečna raziskava bioethics family practice education patient care management cross-sectional survey true false true Slovenski jezik Angleški jezik Znanstveno delo 2017-03-28 09:51:03 2017-03-28 09:53:07 2022-07-07 03:09:03 2019-07-11 15:13:05 2009 0 0 str. 169-174 št. 4 Letn. 78 2009 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1318-0347 61 32893696 25602265 1318-0347 URN:SI:UM:DK:JDUT9QEB Zdravniski_vestnik_2009_Klemenc-Ketis,_Ojstersek,_Kersnik_Vpliv_specializacije_iz_druzinske_medicine_na_zaznavanje_in_resevanje_eticnih.pdf Zdravniski_vestnik_2009_Klemenc-Ketis,_Ojstersek,_Kersnik_Vpliv_specializacije_iz_druzinske_medicine_na_zaznavanje_in_resevanje_eticnih.pdf 1 2B5FC20EB03EA148D171698571A4CBFE 2f90ddbc805833b84ba7fcf0e17d927a767260f94f6ef357a6da9fb569f4c5f5 06bfcac1-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=110231 http://vestnik.szd.si/index.php/ZdravVest/article/view/350 1 https://dk.um.si/Dokument.php?lang=slv&id=110230 Medicinska fakulteta 0 0 0