建立信任:为什么虚拟格式威胁到手术知情同意的道德目的
John H Lee1, Katherine E Neff1, Christian J Vercler2,3
1Medical School, University of Michigan, Ann Arbor, MI.
Annals of surgery
|February 26, 2024
概括
由于COVID-19所必需的虚拟知情同意,尽管存在大流行,但仍在继续. 这项研究提出了一个"建立信任"的模型,而不是当前的"信息传输"方法,以便在虚拟医疗同意中更好地进行伦理实践.
科学领域:
- 医学伦理 医学伦理
- 医疗信息学 医疗信息学
- 患者沟通 患者沟通
背景情况:
- 由于COVID-19的流行,医疗实践迅速转移到虚拟格式.
- 术前知情同意转向虚拟平台,这种做法在流行后仍然存在.
- 当前的虚拟同意模型往往依赖于不充分的"信息传输"框架.
研究的目的:
- 批评现有的虚拟知情同意的"信息传输"模式.
- 为虚拟手术前同意提出一个更有效的"建立信任"模型.
- 为导航虚拟同意过程的医生提供道德框架.
主要方法:
- 对知情同意模型的概念分析.
- 在医疗保健中对虚拟通信的伦理评估.
- 审查有关患者同意和远程医疗的现有文献.
主要成果:
- "信息传输"模型对于虚拟的知情同意是不够的.
- 一个"建立信任"的模型更好地反映了虚拟患者与医生互动的细微差别.
- 虚拟格式对全面的知情同意提出了人际关系和系统性挑战.
结论:
- 医生需要指导,以在虚拟环境中道德地进行知情同意.
- 转向建立信任的范式对于有效的虚拟患者同意至关重要.
- 解决虚拟同意的局限性对于患者的自主权和护理质量至关重要.
相关概念视频
Psychosurgery
55
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
55
Ethics and Bioethics
1.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.4K
Nurses' Legal Responsibilities I
745
In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
The legal responsibilities of a nurse regarding informed consent include the following:
745
Ethical Standards II
676
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
676
Guidelines and Strategies for Safe Computer Charting
806
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
806


