ABSTRACT
The next project was based on the design on the creation of a medical ethical Committee at a hospital. It was developed at the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama, in 2013. Insomuch as the creation of social projects requires unified international parameters, format is taken from the Unesco's guides for the establishing and working of bioethics committees; adapted to the socio-economic, political and cultural context of the San Miguelito District, Panama Province. Furthermore to adapting to socio-ecological aspect where the research project is carried out, the theoretical aspect includes from the ontological personalistic bioethics, where the cornerstone is the dignity of the human person. A study of perceptions of medical staff and nursing was developed on the management of the most common ethical dilemmas in the Hospital San Miguel Arcángel. The instrument used was a previously validated perception survey through a pilot test. Reliability was measured using Cronbach's alpha coefficient, and validity was obtained from the content. Satisfactory statistical results, that verify the working hypotheses on the recognition of the importance of autonomy, confidentiality, protection of vulnerable population, occupational health staff welfare and integration of bioethics at the institutional agenda, were obtained. However, there were particular aspects that indicate some doubt as to the management of some realities that are presented in the context of health care.
Subject(s)
Ethics Committees, Clinical/organization & administration , Ethics Committees, Research/organization & administration , Hospitals, Public/organization & administration , Hospitals, Urban/organization & administration , Attitude of Health Personnel , Bioethical Issues , Catchment Area, Health , Cross-Sectional Studies , Humans , Models, Theoretical , Negotiating , Panama , Patient Rights , Personnel, Hospital/psychology , Poverty Areas , Socioeconomic Factors , Surveys and Questionnaires , Vulnerable PopulationsABSTRACT
El siguiente proyecto se basa en el diseño para la creación de un comité de ética médica asistencial a nivel hospitalario. Se elaboró en el Hospital San Miguel Arcángel, Distrito de San Miguelito, Provincia de Panamá, durante el año 2013. Dado que la creación de proyectos sociales requiere parámetros unificados a nivel internacional, se toma como formato las guías de creación y funcionamiento de los comités de bioética de la Unesco, adaptadas al contexto socioeconómico, político y cultural del Distrito de San Miguelito, Provincia de Panamá. Además de adaptarlo al aspecto socio-ecológico donde se realiza el proyecto de investigación, se abarca el aspecto teórico desde la bioética ontológica personalista, donde el eje fundamental es la dignidad de la persona humana. Se elaboró un estudio de percepción del personal médico y de enfermería, sobre el manejo de los dilemas éticos más frecuentes en el Hospital San Miguel Arcángel. El instrumento de medición utilizado fue una encuesta de percepción previamente validada a través de una prueba piloto. La confiabilidad se midió con el coeficiente alfa de Cronbach y la validez se obtuvo del contenido. Se obtiene resultados estadísticos satisfactorios que comprueban las hipótesis de trabajo sobre el reconocimiento de la importancia de la autonomía, confidencialidad, protección a la población vulnerada, bienestar laboral del personal de salud e integración de la bioética en la agenda institucional. Sin embargo, hubo aspectos particulares que indican algunas dudas en cuanto al manejo de algunas realidades que se presentan en el contexto de la atención sanitaria
The next project was based on the design on the creation of a medical ethical Committee at a hospital. It was developed at the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama, in 2013. Insomuch as the creation of social projects requires unified international parameters, format is taken from the Unescos guides for the establishing and working of bioethics committees; adapted to the socio-economic, political and cultural context of the San Miguelito District, Panama Province. Furthermore to adapting to socioecological aspect where the research project is carried out, the theoretical aspect includes from the ontological personalistic bioethics, where the cornerstone is the dignity of the human person. A study of perceptions of medical staff and nursing was developed on the management of the most common ethical dilemmas in the Hospital San Miguel Arcángel. The instrument used was a previously validated perception survey through a pilot test. Reliability was measured using Cronbachs alpha coefficient, and validity was obtained from the content. Satisfactory statistical results, that verify the working hypotheses on the recognition of the importance of autonomy, confidentiality, protection of vulnerable population, occupational health staff welfare and integration of bioethics at the institutional agenda, were obtained. However, there were particular aspects that indicate some doubt as to the management of some realities that are presented in the context of health care
