Jones-Nosacek Cynthia
Independent Author, WI, USA.
Linacre Q. 2021 Aug;88(3):242-246. doi: 10.1177/00243639211008271. Epub 2021 Apr 19.
Conscientious objection (CO) in medicine grew out of the need to protect healthcare providers who objected to performing abortions after the decision in the 1970s which has since over time expanded to include sterilization, contraception, in vitro fertilization, stem cell research, and end-of-life issues. Since 2006, there has been a growing amount of published literature arguing for the denial of CO. Over the last three years, there has also been an increase in calling this conscientious refusal. This article will argue that the term conscientious objection is more accurate than conscientious refusal because those who object are not refusing to provide care. CO also emphasizes that there are reasoned arguments behind one's decision not to perform certain actions because of one's own principles and values.
How something is presented matters. Objection emphasizes the thought behind the action while refusal gives the impression that medical care is not given.
医学中的良心拒斥（CO）源于保护那些反对在20世纪70年代的裁决后进行堕胎的医疗服务提供者的需求，此后随着时间的推移，其范围已扩大到包括绝育、避孕、体外受精、干细胞研究和临终问题。自2006年以来，越来越多的已发表文献主张拒绝良心拒斥。在过去三年中，将这种良心拒绝称为良心拒斥的情况也有所增加。本文将论证，良心拒斥这一术语比良心拒绝更准确，因为那些提出反对的人并非拒绝提供护理。良心拒斥还强调，由于个人的原则和价值观，某人决定不采取某些行动背后存在合理的论据。
事物的呈现方式很重要。拒斥强调行动背后的思考，而拒绝给人一种未提供医疗护理的印象。
