说出真相和破坏性披露 在沙特阿拉伯,在道德和文化义务之间的紧张关系中航行
Ruaim A Muaygil1, Noura A Abouammoh2, Abdossalam M Madkhali3
1Department of Medical Education, College of Medicine, King Saud University, PO Box 7805, Riyadh, 11472, Saudi Arabia. rmuaygil@ksu.edu.sa.
BMC medical ethics
|November 14, 2025
概括
沙特医生面临着道德挑战,平衡患者的诚实与家人的隐要求. 许多人通过寻求文化规范和职业职责之间的妥协来解决这些困境.
科学领域:
- 医学伦理 医学伦理
- 患者的自主权患者的自主权
- 跨文化医疗保健 跨文化医疗保健
背景情况:
- 说实话对于知情同意,患者自决和对医疗保健的信任至关重要.
- 沙特患者通常支持说实话和共享决策,即使是在终身护理中.
- 沙特阿拉伯的家庭成员可能更喜欢隐信息以保护患者,从而与患者的偏好产生冲突.
研究的目的:
- 探讨沙特医生面对真相说话困境的经验.
- 了解当家庭反对说实话时,从业者面临的挑战.
主要方法:
- 定性现象学研究设计. 定性现象学研究设计.
- 与7名沙特高级医生进行了半结构化采访.
- 对面试数据进行主题分析.
主要成果:
- 医生认为,家人要求隐的行为是一个重大的伦理挑战.
- 参与者在说实话的义务和倾向于隐的文化规范之间经历了道德冲突.
- 医生报告说,他们利用个人经验和专业判断来解决这些冲突.
结论:
- 医生们对讲真相的做法各不相同,有些人严格坚持披露,有些人同意隐信息.
- 大多数医生试图在道德义务和文化期望之间找到平衡.
- 这项研究强调了沙特阿拉伯医生所面临的复杂的伦理格局.
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