意识到良心:道德上的痛苦是对伤害的深入反思的触发
Joyce Meza-Venegas1, Ryan Slauer1,2, Joshua Briscoe1,2,3
1Department of Psychiatry & Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
The Linacre quarterly
|July 21, 2025
概括
经历道德困扰的临床医生可以通过采用医学之路 (WoM) 框架来获得缓解,该框架强调合作型患者护理,而不是服务提供者模型 (PSM). 这种方法对患者和临床医生都有好处.
科学领域:
- 医学伦理 医学伦理
- 临床实践 临床实践
- 医疗保健系统 医疗保健系统
背景情况:
- 患者和临床医生的治疗益处和危害的分歧可能会导致冲突.
- 当临床医生被迫违背自己的良心时,他们可能会经历道德上的痛苦.
研究的目的:
- 为了探索一个临床医生经历的道德困境的案例.
- 引入服务提供者模型 (PSM) 和医疗方式 (WoM) 框架.
- 论证WoM的实用性和美德伦理在减轻道德困境.
主要方法:
- 案例报告分析.案例报告分析.
- 应用Curlin和Tollefsen的伦理框架 (PSM与WoM对比).
- 在临床困境中讨论美德伦理.
主要成果:
- 临床医生由于在PSM中工作而经历了道德困扰.
- WoM框架被认为是防止道德困境的保护措施.
- 一种美德伦理方法可以帮助临床医生管理道德挑战.
结论:
- 医学之路 (WoM) 框架与服务提供者模式 (PSM) 相比,提供了一条减少临床医生的道德困境的途径.
- 采用美德伦理观点可以增强临床医生的福祉和遵守"不伤害"原则.
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