临床伦理学推理在实践中是如何进行的? 对经验文献的审查
Sharon Feldman1,2, Lynn Gillam3,2, Rosalind J McDougall4
1Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia s.feldman@student.unimelb.edu.au.
Journal of medical ethics
|March 21, 2025
概括
在医疗保健中至关重要的临床伦理学推理缺乏明确的定义. 本综述确定了临床伦理学家用来在患者病例中应对伦理挑战的策略,强调了需要进一步研究的需要.
科学领域:
- 医疗保健道德 医疗保健道德
- 临床实践 临床实践
背景情况:
- 临床伦理学推理是临床伦理学家的核心能力.
- 临床伦理学推理的现象并未得到很好的定义或理解.
- 医师之间对临床伦理学推理的共享理解尚不清楚.
研究的目的:
- 在实践中探索和理解临床伦理学推理.
- 确定临床伦理学家如何在个别患者病例中进行或促进伦理推理.
主要方法:
- 进行了对经验文献的范围审查.
- 在2024年7月搜索了四个数据库.
- 使用了阿克西和奥马利框架.
主要成果:
- 审查中包括了16个出版物.
- 确定了促进道德思维发展的四种策略.
- 确定了解决临床伦理挑战的三种策略.
- 强调了对临床伦理学推理的其他影响.
结论:
- 临床伦理学推理文献的范围和细节有限.
- 需要进一步的研究才能充分理解这个复杂的现象.
- 本综述为实践中的临床伦理学推理提供了初步见解.
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