Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA.
Texas Childrens Hospital, Houston, TX, USA.
Health Care Anal. 2023 Dec;31(3-4):186-195. doi: 10.1007/s10728-023-00458-8. Epub 2023 Aug 3.
Respecting patient autonomy through the process of soliciting informed consent is a cornerstone of clinical ethics. In pediatrics, until a child becomes an adult or legally emancipated, that ethical tenet takes the form of respect for parental decision-making authority. In instances of respecting religious beliefs, doing so is not always apparent and sometimes the challenge lies not only in the healthcare provider's familiarity of religious restrictions but also their knowledge of medical interventions themselves which might conflict with those restrictions. We examine a case of a newborn receiving animal-derived surfactant, a common scenario in neonatology, and present considerations for providers to weigh when confronting when such an intervention might conflict with parent's religious beliefs. We end with strategizing ways to address this issue as a medical community.
通过征求知情同意的过程尊重患者自主权是临床伦理学的基石。在儿科领域，直到儿童成年或合法获得解放之前，这一道德原则表现为尊重父母的决策权威。在尊重宗教信仰的情况下，情况并非总是如此明显，有时挑战不仅在于医疗保健提供者对宗教限制的熟悉程度，还在于他们对可能与这些限制冲突的医疗干预措施的了解。我们检查了一个新生儿接受动物源性表面活性剂的案例，这是新生儿学中的常见情况，并为提供者提出了在干预措施可能与父母的宗教信仰冲突时需要权衡的考虑因素。最后，我们制定了作为医疗界解决这个问题的策略。
