Ethical conflicts presented to doctors in three hospitals in bogotá, colombia
The transformation of the Colombian health system from the 100/1993 law raised new ethical conflicts to physicians. As a part of a doctorate thesis oriented to understand emerging tensions among ethical climate and ethical conflicts faced by physicians and nurses in three hospitals located in Bogot...
| Autor Principal: | |
|---|---|
| Formato: | Artículo (Article) |
| Lenguaje: | Español (Spanish) |
| Publicado: |
Universidad Militar Nueva Granada
2014
|
| Materias: | |
| Acceso en línea: | http://hdl.handle.net/10654/34075 |
| id |
ir-10654-34075 |
|---|---|
| recordtype |
dspace |
| institution |
Universidad Militar Nueva Granada |
| collection |
DSpace |
| language |
Español (Spanish) |
| topic |
Ethical conflicts ethical dilemma moral distress bioethics and medicine ethics. Conflicto ético dilema ético angustia moral bioética ética médica Conflito ético dilema ético sofrimento moral bioética ética médica. |
| spellingShingle |
Ethical conflicts ethical dilemma moral distress bioethics and medicine ethics. Conflicto ético dilema ético angustia moral bioética ética médica Conflito ético dilema ético sofrimento moral bioética ética médica. Arango Bayer, Gloria Lucía Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| description |
The transformation of the Colombian health system from the 100/1993 law raised new ethical conflicts to physicians. As a part of a doctorate thesis oriented to understand emerging tensions among ethical climate and ethical conflicts faced by physicians and nurses in three hospitals located in Bogota, it was proposed to identify and describe the ethical conflicts presented to physicians and the way they are faced. In order to achieve this goal, 23 interviews were carried out with physicians who worked in three hospitals located in Bogota: one private, one public and one with a special regime. The results suggest the presence of interest conflicts on the one hand, and commitment conflicts expressed as ethical dilemmas and moral distress on the other. Based on these results, recommendations to physicians education, research and committees of ethics are suggested. |
| format |
Artículo (Article) |
| author |
Arango Bayer, Gloria Lucía |
| author_facet |
Arango Bayer, Gloria Lucía |
| author_sort |
Arango Bayer, Gloria Lucía |
| title |
Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| title_short |
Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| title_full |
Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| title_fullStr |
Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| title_full_unstemmed |
Ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| title_sort |
ethical conflicts presented to doctors in three hospitals in bogotá, colombia |
| publisher |
Universidad Militar Nueva Granada |
| publishDate |
2014 |
| url |
http://hdl.handle.net/10654/34075 |
| _version_ |
1712102020207345664 |
| spelling |
ir-10654-340752020-01-08T19:31:27Z Ethical conflicts presented to doctors in three hospitals in bogotá, colombia Conflictos éticos que se presentan a médicos de tres centros hospitalarios de Bogotá, Colombia Conflitos éticos apresentados aos médicos de três centros hospitalares de bogotá, colômbia Arango Bayer, Gloria Lucía Ethical conflicts ethical dilemma moral distress bioethics and medicine ethics. Conflicto ético dilema ético angustia moral bioética ética médica Conflito ético dilema ético sofrimento moral bioética ética médica. The transformation of the Colombian health system from the 100/1993 law raised new ethical conflicts to physicians. As a part of a doctorate thesis oriented to understand emerging tensions among ethical climate and ethical conflicts faced by physicians and nurses in three hospitals located in Bogota, it was proposed to identify and describe the ethical conflicts presented to physicians and the way they are faced. In order to achieve this goal, 23 interviews were carried out with physicians who worked in three hospitals located in Bogota: one private, one public and one with a special regime. The results suggest the presence of interest conflicts on the one hand, and commitment conflicts expressed as ethical dilemmas and moral distress on the other. Based on these results, recommendations to physicians education, research and committees of ethics are suggested. La transformación del sistema de salud colombiano a partir de la Ley 100/1993 planteó nuevos conflictos éticos a los médicos. Como parte de una tesis doctoral cuyo objetivo general era comprender las tensiones que emergen entre los tipos de clima ético organizacional y los conflictos éticos que se presentan a médicos y enfermeros en tres instituciones prestadoras de salud (IPS) de Bogotá, se propuso identificar y describir los conflictos éticos que se presentan a los médicos y la manera como los resuelven, para que fuera posible indagar si desde los comités de ética pueden resolverse estos conflictos, como ha sido sugerido por algunos bioeticistas. Para ello se realizaron 23 entrevistas a médicos que laboraban en tres centros hospitalarios con servicios de alta complejidad de Bogotá: uno público, uno privado y uno de un régimen especial. Los resultados sugieren la presencia de conflictos de interés, por una parte, y conflictos de obligación que se expresan como dilemas éticos y angustia moral, por otra. Con base en ello, se formulan recomendaciones para la formación profesional, la investigación y los comités de ética hospitalarios. A transformação do sistema de saúde colombiano a partir da Lei 100/1993 levantou novos conflitos éticos para os médicos. Como parte de uma tese de doutorado cujo objetivo geral foi compreender as tensões que surgem entre os tipos de clima ético organizacional e os conflitos éticos apresentados aos médicos e enfermeiros em três instituições de saúde (IPS) em Bogotá, propôs-se a identificar e descrever os conflitos éticos apresentados aos médicos e como eles os resolvem, para que seja possível pesquisar si a partir dos comitês de ética esses conflitos podem se resolver, como foi sugerido por alguns bioeticistas. Para isso foram realizadas 23 entrevistas com médicos que trabalhavam em três centros hospitalares com serviços de alta complexidade de Bogotá: um público, um privado e um de regime especial. Os resultados sugerem da presença de conflitos de interesses, por um lado, e conflitos de obrigação que são expressos como dilemas éticos e sofrimento moral, do outro lado. Com base nisso, são formuladas recomendações para a formação profissional, a investigação e os comitês de ética hospitalares. 2014-12-11 2020-01-08T19:31:27Z 2020-01-08T19:31:27Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://revistas.unimilitar.edu.co/index.php/rlbi/article/view/527 10.18359/rlbi.527 http://hdl.handle.net/10654/34075 spa http://revistas.unimilitar.edu.co/index.php/rlbi/article/view/527/1096 /*ref*/•Blumenthal, D. y Hsiao, W. (2005). Privatization and its discontents. The evolving chinese healthcare system. New England Journal of Medicine, 353(11), 1165-1170. /*ref*/•Celik, S., Celik, Y., Agirbas, I. y Ugurluoglu, Ö. (2007).Verbal and physical abuse against nurses in Turkey. International Nursing Review, 54(4), 359-366. /*ref*/•Charmaz, K. (2010). Constructing Grounded Theory, A practical guide through Qualitative Analysis. Washington: Sage Publications. /*ref*/•Coirley, M., Minick, P.,Elswick, R. K. y Jacobs, M. (2005). Nurse, moral distress and ethical work environment. Nursing Ethics,12(4), 381-390. /*ref*/•Drane, J. (2000, mayo). El desafío de la equidad: una perspectiva. Bioética y cuidado de la salud. Segunda reunión del comité asesor internacional en bioética OPS-OMS, Panamá. Fry, S.T., Harvey, R.M., Hurley, A.C. y Foley, B.J. (2002). Development of a model of moral distress in military nursing. Nursing Ethics, 9(4), 373-387. /*ref*/•Galambos, C. (1999). Resolving ethical conflicts in a managed health care environment. Health & Social Work, 24(3), 191-197. /*ref*/•Gaudine A.P. y Beaton M.R. (2002). Employed to go against one’s values: nurse managers’ accounts of ethical conflict with their organizations.Can J Nurs Res, 34(2), 17-34. /*ref*/•Hamric, A., Davis, W. y Childress, M. (2006). Moral distress in health care professionals. ¿What is it and what can we do about it? Se entiende como propiedades “las características de una categoría, cuya delineación la define y le da significado”. (StraussyCorbin, 2002, p. 111). /*ref*/•Hsiao, W. (2008).When incentives and professionalism collide. Health Aff (Millwood).27(4), 949-951. /*ref*/•Kaur, S., Sharma, R., Talwar, R., Verma, A. y Singh, S. (2009). A study of job satisfaction and work environment perception among doctors in a tertiary hospital in Delhi. Indian Journal of Medical Sciences.63(4), 139-144. /*ref*/•Lützen, K. y Schreiber, R. (1998).Moral survival in a non-therapeutic environment. Issues in Mental Health Nursing, 19(4), 303-315. /*ref*/•Penticuff, J.H. y Walden, M. (2000). Influence of practice environment and nurse characteristics on perinatal nurses’ responses to ethical dilemmas. Nursing Research. 49(2), 64-72. /*ref*/•Plastow, M. (2010).The intrusion of the discourse of economics into the clinical space I: from patient to consumer. Australasian Psychiatry, 18(4), 298-302. /*ref*/•Redman, B.K. y Fry, S.T. (2000). Nurses’ ethical conflicts: what is really known about them? Nursing Ethics, 7(4), 360-366. /*ref*/•Robertson, C, Rose, S. y Kesselheim, A. (2012). Effect of financial relationships on the behaviors of healthcare professionals: a review of the evidence. Journal of Law, Medicine&Ethics, 40(3), 452-466. /*ref*/•Rodney, P. y Varcoe, C. (2001). Towards ethical inquiry in the economics evaluation of nursing practice. Can J Nurs Res, 33(1), 35-57. /*ref*/•Strauss, A. y Corbin, J. (2002). Bases de la Investigación cualitativa. Medellín: Universidad de Antioquia. /*ref*/•Timmermans, S y Oh, H. (2010). Thecontinued social transformation of the medical profession. Journal of Health and Social Behavior, 51, S94-S106. /*ref*/•Tyssen, R. y Vaglum, P. (2002). Mental health problems among young doctor’s: an updated review of prospective studies. Harvard Review of Psychiatry, 10(3), 154-165. /*ref*/•Ulrich, C., Soeken, K.L. y Miller, N. (2003).Ethical conflict associated with managed care: views of nurse practitioners. Nursing Research, 52(3), 168-175. /*ref*/•Winkler, E.C. y Gruen, R. (2005). First principles: substantive ethics for healthcare organizations.Journal of Healthcare Management, 50(2), 109-120. Derechos de autor 2016 Revista Latinoamericana de Bioética https://creativecommons.org/licenses/by-nc-nd/4.0 application/pdf Universidad Militar Nueva Granada Revista Latinoamericana de Bioética; Vol. 15 Núm. 28-1 (2015): Bioética y ecoética: entre ciencia, naturaleza y realidad social; 108-119 2462-859X 1657-4702 |
| score |
12,131701 |