Audu Aishat, Hartsock Jane, Wocial Lucia
J Clin Ethics. 2023 Spring;34(1):40-50. doi: 10.1086/723318.
AbstractEthics consultation is a service provided to patients, families, and clinicians to support decisions during ethical dilemmas. This study is a secondary qualitative analysis of 48 interviews from clinicians involved in an ethics consultation at a large academic health center. An inductive secondary analysis of this data set led to the emergence of one key theme, the apparent perspective the clinicians adopted as they recalled a specific ethics case. This article presents a qualitative analysis of the propensity of clinicians involved in an ethics consultation to adopt the subjective viewpoints of their team, their patient, or both simultaneously. Clinicians demonstrated an ability to take the patient perspective (42%), the clinician perspective (31%), or the clinician-patient perspective (25%). Our analysis suggests the potential for narrative medicine to build the empathy and moral imagination necessary to bridge the gap in perspectives between key stakeholders.
摘要
伦理咨询是一项为患者、家属和临床医生提供的服务，旨在支持他们在伦理困境中做出决策。本研究是对一家大型学术健康中心参与伦理咨询的临床医生进行的48次访谈的二次定性分析。对该数据集进行归纳性二次分析后，出现了一个关键主题，即临床医生在回忆一个具体伦理案例时所采用的明显视角。本文对参与伦理咨询的临床医生采用其团队、患者或两者同时的主观观点的倾向进行了定性分析。临床医生表现出能够采取患者视角（42%）、临床医生视角（31%）或临床医生 - 患者视角（25%）。我们的分析表明，叙事医学有潜力培养同理心和道德想象力，以弥合关键利益相关者之间的视角差距。
