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Barriers and facilitators to the implementation of an ethical environment in a traumatology service

ABSTRACT

Objective

Identify the main barriers and facilitators to multi-professional practice to promote an ethical environment in a traumatology service.

Method

this exploratory-descriptive study with a qualitative approach addressed ten professionals from the multidisciplinary team of a traumatology service at a University Hospital located in southern Brazil. Three doctors, three resident doctors, two nurses, and two nursing technicians participated in the study. Data were collected from September to October 2019 through a Focus Group and analyzed through Discursive Textual Analysis.

Results

Two main categories emerged: barriers and facilitators to building an ethical environment in a traumatology service.

Conclusion and implications for practic

e: The main barriers hindering the construction of an ethical workplace environment included the presence of different employment contracts, restricted physical space, and bureaucracy, while facilitators included existing protocols and effective communication, which have the potential to promote an ethical workplace environment to fulfill the service’s goals, i.e., the humanization of care and patient safety.

Keywords:
Ethics; Traumatology; Nursing; Physicians; Ethical Environment; Health

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