价值偏见和民族中心主义及其对事先护理计划的影响:注意差距
Jeffrey T Berger1, Dana Ribeiro Miller2
1NYU Langone Health, and NYU Grossman Long Island School of Medicine, Mineola, NY, USA. Jeffreyt.berger@nyulangone.org.
Journal of general internal medicine
|November 17, 2025
概括
由于医疗保健偏见,事先的护理计划未得到充分利用,且无效. 解决民族中心主义问题可以提高提前指令的有效性和患者护理.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 尽管有数十年的推广,但事先护理规划 (ACP) 正式执行的不到一半的美国成年人.
- 现有的预先指令对完成预先指令的患者生命终端护理的影响有限.
研究的目的:
- 探讨医疗保健偏见,如民族中心主义,如何促进公众对非洲和非洲国家/地区的矛盾.
- 提出一个更具包容性的观点,以提高预先指示对所有患者的有效性.
主要方法:
- 文献综述和对现有关于ACP和医疗保健偏见的研究进行概念分析.
- 讨论医疗保健系统中的民族中心主义及其对患者参与预先指示的影响.
主要成果:
- 医疗保健系统经常表现出民族中心主义,优先考虑主流的文化规范.
- 这种偏见可能导致公众不信任,减少对预先护理计划的坚持,从而降低其有效性.
结论:
- 医疗保健中的民族中心主义是有效预先医疗计划的重要障碍.
- 采用更广和文化敏感的方法对于改善非洲和非洲国家和地区并有效地为多样化的患者群体提供服务至关重要.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.7K
06:58Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
Published on: January 24, 2020
7.7K
相关概念视频
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Ethics and Bioethics
2.7K
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...
2.7K
Ethical Dilemmas I
1.8K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.8K
Motivational Bias
299
Cognitive bias results from limitations in thinking and information processing, leading to systematic errors in judgment. Conversely, motivational bias stems from personal desires or emotions, causing distortions in perception to align with self-interest. Motivational bias influences how individuals perceive and attribute causes to events, often shaped by personal needs, goals, and self-esteem preservation. This bias can distort judgment, leading to inaccurate assessments of success, failure,...
299
