对教导医生辅助死亡的良心异议的道德
Noah Berens1, Margaret M Mahon2, Katalin Roth3
1Department of Bioethics, NIH Clinical Center, Bethesda, MD, USA.
The American journal of hospice & palliative care
|October 17, 2023
概括
医生教育者可以选择不教授如何提供医生辅助死亡 (PAD),以保持道德诚信. 这种方法保护学员的教育,同时尊重教育工作者对教学PAD的伦理异议.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理教育 抚慰性护理教育
- 为良心反对而参军.
背景情况:
- 现有的关于 conscientious objection 的文献主要涉及参与道德上有争议的做法.
- 人们对良心反对教导这种做法给予的关注较少,特别是在医学教育中.
- 对于教育工作者和实习生来说,关于教医辅助死亡 (PAD) 的道德含义仍然未得到充分研究.
研究的目的:
- 检查美国息护理计划中教医辅助死亡 (PAD) 的良心异议的伦理.
- 评估PAD教学对反对教育工作者的道德诚信的潜在影响.
- 提出在PAD教育中管理良心异议的政策.
主要方法:
- 对教医辅助死亡 (PAD) 的伦理组成部分的分析:历史/背景,响应请求,并提供PAD.
- 对教育工作者提出反对每个教学组成部分的道德诚信妥协的可能性的评估.
- 考虑如果教育工作者选择退出特定的教学组成部分,对实习生教育的影响.
主要成果:
- 教学历史,背景和对PAD请求的响应,对教育工作者的道德诚信有极小的潜在损害.
- 允许教育工作者选择退出教学PAD的提供对于保持他们的道德诚信至关重要.
- 选择退出教学 PAD 提供不太可能对实习生教育产生负面影响.
结论:
- 应该允许教育工作者选择退出教医辅助死亡 (PAD) 的实践提供.
- 培训计划应实施政策,以适应教育工作者对PAD提供的良心异议.
- 在伦理敏感的医学话题中,平衡教育工作者的道德诚信与全面的实习生教育是必不可少的.
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