Zahedi Ladannaz, Larijani Bagher, Javadi Mohsen, Aawani Shahin, Jafari Seyed Abdosaleh, Joodaki Kobra, Rashidpouraie Roya, Saeedi Tehrani Saeedeh
PhD Candidate in Medical Ethics, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; Faculty Member of Iranian Academy of Medical Sciences, Tehran, Iran.
Professor, Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
J Med Ethics Hist Med. 2023 Jun 19;16:3. doi: 10.18502/jmehm.v16i3.12972. eCollection 2023.
The concept of common morality is fundamental in medical ethics, and lack of universal content and characteristics of common morality is a product of its multifaceted nature. This study aimed to identify the ideas and experiences of academic faculties regarding common morality in a pluralistic setting to promote conceptual knowledge and strengthen moral reasoning and ethical decision-making. The study was conducted using a qualitative method, employing semi-structured in-depth interviews with thirteen faculty members who were selected purposively. In order to assess their ideas and experiences, the transcripts of the interviews were analyzed using the content analysis method through directed and conventional approaches. The interviews were coded manually. Two themes were reflected in the interviews: ontology and epistemology of common morality. The study indicates that the debate about the subjective or objective dependence of common morality questions the coherence of Beauchamp and Childress' common morality (CM) theory, as common morality is the result of various individual and social factor that influence moral and decision -making in pluralistic environments. Additional studies are needed in order to investigate the effect of cultural, social, theoretical, ideological and individual factors on promoting clinical ethical reasoning and decision-making skills.
共同道德的概念在医学伦理学中至关重要,而共同道德缺乏普遍内容和特征是其多面性的产物。本研究旨在确定学术教员在多元环境中对共同道德的看法和经验,以促进概念性知识,并加强道德推理和伦理决策。该研究采用定性方法,对13名有目的地挑选出的教员进行了半结构化深度访谈。为了评估他们的看法和经验,通过定向和常规方法,使用内容分析法对访谈记录进行了分析。访谈进行了手动编码。访谈中反映出两个主题:共同道德的本体论和认识论。该研究表明,关于共同道德主观或客观依赖性的争论对博尚和蔡尔德雷斯的共同道德(CM)理论的连贯性提出了质疑,因为共同道德是影响多元环境中道德和决策的各种个人和社会因素的结果。为了调查文化、社会、理论、意识形态和个人因素对促进临床伦理推理和决策技能的影响,还需要进行更多研究。