西方生物伦理在纳瓦霍人保留地. 有益或有害?
1Department of Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
JAMA
|September 13, 1995
概括
纳瓦霍文化强调积极的思维,认为讨论负面信息,如事先的护理计划,是有害的. 这与西方的生物伦理学方法相冲突,需要对纳瓦霍患者的医疗保健政策进行重新评估.
科学领域:
- 生物伦理学生物伦理学
- 文化人类学 文化人类学
- 土著健康土著健康
背景情况:
- 主导的西方生物伦理框架往往忽视了多样化的文化视角.
- 了解文化细微差别对于有效的以患者为中心的护理至关重要.
研究的目的:
- 探索纳瓦霍人关于讨论负面健康信息的观点.
- 在纳瓦霍人价值观的背景下,检查西方生物伦理学的局限性.
主要方法:
- 在亚利桑那州东北部的纳瓦霍印第安人保留地进行了专注的民族学.
- 涉及34名纳瓦霍族参与者,包括患者,医疗保健提供者和传统治疗师.
主要成果:
- 纳瓦霍族的信息人主张积极的沟通,避免负面的讨论.
- 86%的人认为提前护理计划违反了纳瓦霍传统价值观,与 hózhó (和,平衡) 相冲突.
结论:
- 讨论负面信息与纳瓦霍人对 hózhó 的概念相矛盾,可能会造成潜在的伤害.
- 医疗保健政策,包括患者自决权法案,需要重新评估,以符合纳瓦霍文化价值观的道德准则.
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