Estudios originales
Published on 22 de mayo de 2023 | http://doi.org/10.5867/medwave.2023.04.2610
Cross-sectional study on the application and perception of acquired bioethical knowledge in health professionals from pediatric emergency departments
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Number and percentage of professionals' answers on Beauchamp and Childress' principles in the described clinical cases.
| N° | Clinical case | Autónoma | Justice | Non-maleficence | Beneficence | Other | NR | ||||||
| 1 | An 11-year-old Jehovah’s Witness schoolboy, accompanied by his parents, consulted for mild to moderate acute gastrointestinal bleeding. A whole blood transfusion was administered without informed consent. | - | 24 | 48 | - | 1 | 2 | ||||||
| 2 | A 7-year-old boy with acute lymphoblastic leukemia in its third re-aggravation, considered out of therapeutic range by the treating team, which was informed to the parents, performing palliative therapy, consulted in an emergency due to intense pallor and pulmonary hemorrhage, mechanical ventilation was started and lung CT was requested. | - | - | 3 | 6 | 2 | 4 | ||||||
| 3 | A 6-month-old infant with a 2-day history of nasal discharge, mild fever (38°C) and productive cough. Diagnosis: acute respiratory infection. Prednisone 1mg/k/d every 12 hours for 5 days, paracetamol 2 drops per kg every 8 hours and diclofenac 1 drop/kg every 12 hours for 3 days. | 5 | 10 | - | - | 37 | 74 | - | 1 | 2 | |||
| 4 | A 3-year-old patient consulted for a febrile condition of 2 days of evolution and general condition compromise, evaluated with complete physical examination, vital signs monitoring (heart rate, respiratory rate, blood pressure, temperature, O2 saturation), who was given a venous line, and with previous conversation with the pediatric resident, was immediately admitted to the PCU for tests and therapy with the informed consent of the responsible family member. | 12 | 24 | - | - | - | 5 | 10 | 4 | 8 | |||
| 5 | A 5-year-old preschooler with no personal or family history of morbidity consulted for right otalgia of one day’s evolution, watery nasal discharge, and febrile sensation. A complete blood count, PCR, PA and lateral chest X-ray, and Film array were requested and the patient was prescribed: salbutamol 2 puff every 4 hours for 5 days, cefuroxime 250 mg every 12 hours for 10 days, diclofenac 25 mg every 8 h for 3 days, levocetirizine 10 drops daily, montelukast 4 mg in a chewable tablet for 1 month, probiotic 1 sachet daily for 30 days and poly vitamin syrup 2.5 ml daily 1 bottle. | 4 | 8 | - | - | 7 | 14 | 3 | 6 | ||||
CPU, critical patient unit. CRP, C-reactive protein. CT, computed tomography. NR, no response. O2, oxygen. PA, posteroanterior.
Notes: The professionals surveyed are physicians and nurses from pediatric emergency units.