Marmara University, 34668 Uskudar, Istanbul, Turkey.
Nurs Ethics. 2010 Mar;17(2):159-66. doi: 10.1177/0969733009352046.
This article aims to examine critically the 'cultural incompatibility' argument, which asserts that disclosure of cancer-related information to patients is incompatible with Turkey's cultural context. For this purpose, a brief overview of the approach to truth-telling in Turkey will first be provided, followed by the claims of two different Turkish authors on the issue and a critical analysis of their approach. It will be contended that this argument has actually been formulated with paternalistic concerns and it may be playing an important role in shaping the approach of Turkish health care professionals to the issue. The article will then examine, in the light of study findings and case reports from Turkey, the concept of patient autonomy as it applies to truth-telling issues. It will be concluded that truth-telling can be compatible with Turkey's cultural context, provided that health care professionals place more emphasis on good communication with their patients.
本文旨在批判性地审视“文化不相容性”论点，该论点认为向患者披露与癌症相关的信息与土耳其的文化背景不相容。为此，首先将简要概述土耳其在坦诚告知方面的方法，然后介绍两位土耳其作者对该问题的主张，并对其方法进行批判性分析。本文认为，该论点实际上是出于家长式关切而提出的，它可能在塑造土耳其医疗保健专业人员对该问题的处理方式方面发挥了重要作用。本文随后将根据土耳其的研究结果和病例报告，从患者自主权的角度来审视适用于坦诚告知问题的概念。结论是，只要医疗保健专业人员更加注重与患者的良好沟通，坦诚告知就可以与土耳其的文化背景相兼容。
