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良心反对照顾跨性别者:道德权利还是歧视性态度?
Charalampos Milionis1, Aikaterini Toska2
1Department of Endocrinology, Diabetes and Metabolism, 'Elena Venizelou' General Hospital, Athens, Greece.
International journal of nursing practice
|July 12, 2023
概括
卫生专业人员的良心反对权受到保护,但不适用于专门中心的性别确认护理或常规/紧急护理. 临床医生的自由裁量权平衡道德诚信与跨性别患者获得基本医疗服务.
科学领域:
- 生物伦理学生物伦理学
- 医疗法 法律 医疗法
- 性别研究是性别研究.
背景情况:
- 卫生专业人员面临的道德困境,当被要求执行服务超出直接的疾病治疗.
- 良心异议允许提供者拒绝基于道德考虑的合法有效干预.
- 临床医生可能会援引伦理理由拒绝对跨性别人士提供护理,从而可能将这一群体边缘化.
研究的目的:
- 分析在医疗保健中的良心异议的概念和应用.
- 检查与跨性别者医疗保健相关的良心异议.
主要方法:
- 讨论论文分析道德和法律原则.
- 审查关于良心反对和跨性别护理的现有文献.
- 探讨提供者权利和患者获得护理之间的冲突.
主要成果:
- 卫生专业人员的良心反对权通常基于道德理由得到支持.
- 在专门的性别转换中心或在例行和紧急护理等非肯定性服务中,不允许有良心反对.
- 平衡提供者的诚信和跨性别患者的访问需要个人责任和谨慎.
结论:
- 保护临床医生的道德诚信是很重要的,但不能阻碍跨性别者获得医疗保健.
- 需要明确的指导方针来解决在跨性别护理中因良心异议而产生的冲突.
- 确保跨性别人士平等获得所有必要的卫生服务至关重要.
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