Catholic University of Leuven, Centre for Biomedical Ethics and Law, Kapucijnenvoer 35, Box 7001, 3000 Leuven, Belgium.
Soc Sci Med. 2013 Sep;93:38-46. doi: 10.1016/j.socscimed.2013.03.045. Epub 2013 Jun 12.
In our globalizing world, health care professionals and organizations increasingly experience cross-cultural challenges in care relationships, which give rise to ethical questions regarding "the right thing to do" in such situations. For the time being, the international literature lacks examples of elaborated ethical guidelines for cross-cultural healthcare on the organizational level. As such, the ethical responsibility of healthcare organizations in realizing cross-cultural care remains underexposed. This paper aims to fill this gap by offering a case-study that illustrates the bioethical practice on a large-scale organizational level by presenting the ethical guideline developed in the period 2007-2011 by the Ethics Committee of Zorgnet Vlaanderen, a Christian-inspired umbrella organization for over 500 social profit healthcare organizations in Flanders, Belgium. The guideline offers an ethical framework within which fundamental ethical values are being analyzed within the context of cross-cultural care. The case study concludes with implications for healthcare practice on four different levels: (1) the level of the healthcare organization, (2) staff, (3) care receivers, and (4) the level of care supply. The study combines content-based ethics with process-based benchmarks.
在全球化的世界中，医疗保健专业人员和组织在护理关系中越来越多地面临跨文化挑战，这引发了关于在这种情况下“做正确的事情”的伦理问题。目前，国际文献缺乏关于组织层面跨文化医疗保健的详细伦理准则的例子。因此，医疗保健组织在实现跨文化护理方面的道德责任仍未得到充分体现。本文旨在通过提供一个案例研究来填补这一空白，该案例研究通过展示 2007 年至 2011 年期间由比利时佛兰德斯基督教启发的社会福利医疗保健组织联盟 Zorgnet Vlaanderen 伦理委员会制定的道德准则，说明了在大规模组织层面上的生物伦理实践。该准则提供了一个伦理框架，在这个框架内，基本的伦理价值观在跨文化护理的背景下进行了分析。案例研究最后提出了在四个不同层面上对医疗保健实践的影响：（1）医疗保健组织层面，（2）员工层面，（3）护理接收者层面，（4）护理供应层面。该研究将基于内容的伦理学与基于过程的基准相结合。
