11名医院心理测量师伦理实践现状的访谈

Interview about ethical issues from 11 psychological test users in hospital

目的:了解心理测量在医院的应用现状和可能存在的伦理问题。方法:来自6所专科医院,5所综合医院的11名心理测量师接受了半结构化访谈,受访者平均从业年限为(10.8±8.8)年,平均日测量人数为2~30人。采用内容分析法,从测验工作者的资质、测验的使用、知情同意、计分与解释、保存等方面,对访谈誊录稿进行编码分析。结果:医院专职心理测量师以1~4人为主。受访者中有2名不具备心理测量资质;有3名指出医生在选择测验项目上有错选、多选等现象;有6名反映测验的常模陈旧;有8名认为测验收费过低,影响测验解释的主动性。结论:医院心理测量的规范使用有待提高,需要进一步加强测量过程中决策、执行主体的伦理意识,提升相关人员的专业胜任力。

Objective：To investigate the use of psychological testing in hospital and its potential existent ethical issues.Methods：Eleven psychometricians from 6 specialized and 5 general hospitals accepted a semi-structural interview.With（10.8±8.8） years of experiences on average in this field,they tested 2 to 30 patients each day.Content analysis was used to investigate the psychometricians＇ qualification,usage of tests,informed consent,scoring,explanation and preservation.Results：Normally,the number of psychometricians in one hospital varied from 1 to 4.Out of 11 interviewees,2 were unqualified.Three of the interviewees pointed out there were non-standard circumstances when some doctors choosing the tests.Six of them thought that the frequently used tests＇ norms were obsolete.Eight interviewees considered that comparatively low psychometric fee influenced their devotion of explaining the results.Conclusion：In hospital,it＇s necessary to strength the ethical awareness of decision-makers and executors in psychological testing.