10 在医疗保健中宽恕的界限
1University of Auckland, Auckland, New Zealand. s.buetow@auckland.ac.nz.
概括
了解宽恕的局限性对于医疗保健提供者和患者来说至关重要. 本框架探讨了10个取决于背景的宽恕限制,指导道德实践和患者治愈.
科学领域:
- 医学伦理 医学伦理
- 患者与医疗服务提供者的关系
- 宽恕的心理学 宽恕的心理学
背景情况:
- 监管机构鼓励医疗保健提供者对错误行为道歉.
- 患者可能会在被认为是错误的行为后,感到有压力去原谅.
- 宽恕的后果和局限性在医疗保健环境中并未得到充分理解.
研究的目的:
- 探索在医疗保健环境中对宽恕的上下文依赖的限制.
- 为医疗保健提供者在宽恕的过程中提供道德框架.
- 了解什么时候原谅可能不合适或增加患者的创伤.
主要方法:
- 探索10个取决于背景的宽恕限制.
- 界限的分类为概念,道德/道德,关系/社会和时间/过程相关的.
- 开发一个以人为中心的框架,平衡同理心和问责制.
主要成果:
- 确定的概念界限:并非所有伤害都需要原谅;有些行为可能无法原谅;责备可能与原谅相冲突.
- 突出道德/道德界限:问责制压迫了宽恕;道德绝对主义阻碍了它;代理宽恕缺乏合法性.
- 讨论的关系/社会界限:强迫和解,由于系统疏忽造成的分散罪责,以及时间/过程界限:持续的伤害,各种愈合轨迹.
结论:
- 一个10个限制的框架提供了洞察力,当宽恕可能是不合适的医疗保健.
- 该框架为提供者提供道德指导,强调以人为中心的方法.
- 目标是为患者和提供者促进愈合,而不管宽恕.
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