Mathiesen Tiit I, Balak Naci, Samprón Nicolás, Broekman Marike, Bolger Ciarán
Department of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Brain Spine. 2022 Jun 14;2:100899. doi: 10.1016/j.bas.2022.100899. eCollection 2022.
Professionalism entails expert knowledge, self-regulation, accountability, and professional ethics. These factors are influenced by culture, political observance, professional maturity, education, and occupation; ethical practices may thus vary between countries and affect how neurosurgery is practiced.
This paper aims to conduct a survey that addresses whether ethico-legal practices differ in European countries and whether existing ethical guidelines have been implemented.
A questionnaire survey was used to examine the ethico-legal situation in 29 European countries or regions. The reports were validated by representatives of each nation.
Existing guidelines had been implemented to a minimal extent. Major regional and national differences were found in attitudes toward life and death, prioritization, and issues related to professional conduct.
The results of this survey reveal inadequacies and weaknesses of policies and resources, which should spark national discussions to improve the conditions that influence professional ethics. Unfortunately, only a minority of neurosurgeons know the neurosurgical ethics guidelines and apply them in their decision making. Our findings highlight the importance of values and professional ethics in decision making.
专业素养包括专业知识、自我约束、问责制和职业道德。这些因素受到文化、政治遵守情况、职业成熟度、教育和职业的影响；因此，道德实践在不同国家可能会有所不同，并影响神经外科的实践方式。
本文旨在开展一项调查，以探讨欧洲国家在伦理法律实践方面是否存在差异，以及现有的伦理准则是否得到实施。
采用问卷调查的方式，对29个欧洲国家或地区的伦理法律状况进行调查。各国代表对报告进行了验证。
现有准则的实施程度极低。在对生死的态度、优先级以及与职业行为相关的问题上，发现了主要的地区和国家差异。
本次调查结果揭示了政策和资源的不足与薄弱之处，这应引发各国进行讨论，以改善影响职业道德的条件。遗憾的是，只有少数神经外科医生了解神经外科伦理准则并将其应用于决策过程中。我们的研究结果凸显了价值观和职业道德在决策中的重要性。
