Turkiye Klinikleri Journal of Medical Ethics-Law and History

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Afet Triajında Etik İkilemlerin Değerlendirilmesi-İzmir İli Örneği
Evaluation of Ethical Dilemmas in Disaster Triage Example of İzmir
Ali EKŞİa, Gülhan ŞENb, Semra ÇELİKLİc
aEge Üniversitesi Atatürk Sağlık Hizmetleri Meslek Yüksekokulu, İzmir, TÜRKİYE
bMehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Fakültesi, Burdur, TÜRKİYE
cHasan Kalyoncu Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Gaziantep, TÜRKİYE
Turkiye Klinikleri J Med Ethics. 2019;27(1):30-9
doi: 10.5336/mdethic.2018-62914
Article Language: TR
Full Text
ÖZET
 Afet yönetiminde triaj uygulamaları, afetlere müdahalenin etkinliğini artırmak adına son yıllarda sıkça tartışma konusu olmaktadır. Birçok farklı değişkenle birlikte, triaj uygulamalarında etik ikilemlerin etkisi önemli bir tartışma konusudur. Bu çalışmada, etik ikilemlerin afet triajı üzerindeki olumsuz etkisinin değerlendirilmesi amaçlanmıştır. Çalışmada, afet triajı uygulamalarında etik ikilemlerin değerlendirilmesi adına, 173 katılımcı ile bir anket çalışması yapılmıştır. Anket çalışmasında, İzmir ili müdahale kurumları evren olarak belirlenmiş, örneklem bu kurumların personeli içerisinden basit rastgele örnekleme yöntemi ile seçilmiştir. Çalışmada yer alan katılımcıların %63,6'sı erkek ve yaş ortalaması 31,77±8,245 (yaş aralığı 18-57 yıl) yıldır. Katılımcıların %80,3'ü triaj eğitimi almıştır ve katılımcıların triaj ile ilgili en fazla yaşamış oldukları etik ikilemler, kıt kaynak kullanımı ve resüsitasyon kısıtlamaları ile ilgili olanlardır. Triaj uygulamalarında etik ikilem yaşama ile meslek grubu, görev yapılan kurum ve mesleki deneyim gibi değişkenler arasında istatistiksel açıdan anlamlı fark bulunmamaktadır. Çalışmada, triaj uygulamalarında müdahale personelinin yaşadığı etik ikilemlerin kıt kaynak kullanımı ve resüsitasyon kısıtlamaları çerçevesinde şekillendiği sonucuna ulaşılmıştır.

Anahtar Kelimeler: Afet triajı; etik ikilem; kıt kaynak kullanımı; triaj protokolleri
ABSTRACT
 In recent years, triage practices in disaster management have been frequently discussed in order to increase the effectiveness of the disaster response. Together with many different variables, the effect of ethical dilemmas on triage practices is an important debate. In this study, it is aimed to investigate the negative effect of ethical dilemmas on disaster triage. A questionnaire study was conducted with 173 participants in order to evaluate ethical dilemmas in triage practices. In the questionnaire study, population is Izmir provincial response agencies. The sample consists of the staff of these institutions and is selected by simple random sampling method. Of the participants in the study, 63.6% were men, and the mean age of them was 31.77±8.245 years (ranging 18-57 years). 80.3% of the participants were trained in triage and participants had the most ethical dilemma about scarce resource use and resuscitation restrictions. There is no statistically significant difference between variables of ethical dilemma and occupational group, duty institution and professional experience in triage practices. In this study it is concluded that the ethical dilemmas experienced by the intervention personnel in triage applications were shaped within the framework of scarce resource utilization and resuscitation restrictions.

Keywords: Disaster triage; ethical dilemma; scarce resource usage; triage protocols
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