Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2021.62.120
How health care professionals confront and solve ethical dilemmas – a tale of two countries: Slovenia and Croatia
Štefan Grosek
; Neonatology Section, Department of Perinatology, Division of Obstetrics and Gynecology, University Medical Centre Ljubljana, Slovenia
Rok Kučan
; University Children’s Hospital, University Medical Centre Ljubljana, Slovenia
Jon Grošelj
; Faculty of Theology, University of Ljubljana, Ljubljana, Slovenia
Miha Oražem
; Department of Radiation Oncology, Institute of Oncology Ljubljana, Ljubljana, Slovenia
Urh Grošelj
; Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Children’s Hospital, UMC Ljubljana, Ljubljana, Slovenia
Vanja Erčulj
; Rho Sigma Research & Statistics, Ljubljana, Slovenia
Jaro Lajovic
; Rho Sigma Research & Statistics, Ljubljana, Slovenia
Blaž Ivanc
; Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
Milivoje Novak
; University Hospital Centre Zagreb, Zagreb, Croatia
Larisa Prpić Massari
; Clinical Hospital Center Rijeka, Rijeka, Croatia
Suzana Mimica Matanović
; Clinical Medical Centre Osijek, Osijek, Croatia
Vesna Čerfalvi
; Sisters of Charity Clinical Hospital Centre Zagreb, Croatia
Julije Meštrović
; University Hospital Split, Split, Croatia
Ana Borovečki
; Andrija Štampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
Aim To assess the differences in the way how Slovenian
and Croatian health care professionals (HCPs) confront ethical dilemmas and perceive the role of hospital ethics committees (HECs).
Methods This cross-sectional, survey-based study involved HCPs from three Slovenian and five Croatian university medical centers (UMC). The final sample sizes were
308 (244 or 79.2% women) for Slovenia and 485 (398 or
82.1% women) for Croatia.
Results Compared with Croatian physicians, Slovenian
physicians reported a higher share of ethical dilemmas regarding waiting periods for diagnostics or treatment, suboptimal working conditions due to interpersonal relationships in the ward, and end-of-life treatment withdrawal,
and a lower share regarding access to palliative care and
patient information protection. Compared with Croatian
nurses, Slovenian nurses reported a lower share of ethical
dilemmas regarding the distribution of limited resources,
recognizing the patient’s best interests, and access to palliative care. Compared with Croatian other HCPs, Slovenian
other HCPs reported a lower burden of ethical dilemmas
regarding waiting periods for diagnostics or treatment, distribution of limited resources, and access to palliative care.
When encountering an ethical dilemma, all HCPs in both
countries would first consult their colleagues. Slovenian
and Croatian HCPs recognized the importance of the HECs
to a similar extent, but viewed their role differently.
Conclusion Croatian and Slovenian HCPs are confronted
with different ethical dilemmas and perceive the role of
HECs differently
Ključne riječi
Hrčak ID:
278053
URI
Datum izdavanja:
29.4.2021.
Posjeta: 434 *