Department of Philosophy, Ben-Gurion University of the Negev, POB 653, Beer-Sheva 84105, Israel.
J Med Ethics. 2010 Dec;36(12):802-5. doi: 10.1136/jme.2010.036046. Epub 2010 Oct 8.
This article presents a study on the ethical dilemma of whistleblowing in physical therapy, and suggests some lines for further research on this topic as well as ways for integrating it in the physical therapy curriculum. The study examines the self-reported willingness of physical therapy students to report misconduct, whether internally or externally, to protect the patient's interests. Internal disclosure entails reporting the wrongdoing to an authority within the organisation. External disclosure entails reporting the offence to an outside agency, such as the police, professional organisation, or press. The findings indicate that the students view the acts that are detrimental or cause injustice to the patient in a very serious light. In dilemma situations such as these, the students reported a willingness to act. The students also report considerably greater likelihood of whistleblowing internally than externally. The pattern reveals a desire to correct the misconduct coupled with a marked decline in the willingness to blow the whistle as this act moved from the workplace to an external authority.
本文研究了物理治疗中的揭发道德困境,并就该主题的进一步研究提出了一些思路,以及将其纳入物理治疗课程的方法。该研究考察了物理治疗专业学生是否愿意报告内部或外部的不当行为,以保护患者的利益。内部揭发是指向组织内的权威机构报告不当行为。外部揭发是指向外部机构(如警察、专业组织或媒体)报告违法行为。研究结果表明,学生非常重视对患者有害或不公正的行为。在这种困境下,学生们表示愿意采取行动。学生们也报告说,他们更愿意内部揭发,而不是外部揭发。这种模式反映了纠正不当行为的愿望,同时随着这一行为从工作场所转移到外部权威机构,揭发的意愿明显下降。