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肿瘤医护人员的伦理与道德原则:生物伦理联盟的简要报告,强调教育的必要性。

Ethical and moral principles for oncology healthcare workers: A brief report from a Bioethics consortium emphasizing on need for education.

作者信息

Baliga Manjeshwar S, Marakala Vijaya, Madathil Lal P, George Thomas, D'souza Russell F, Palatty Princy L

机构信息

Department of Education, International Program, International Chair in Bioethics, World Medical Association Cooperating Centre (Formerly UNESCO Chair in Bioethics University of Haifa), Melbourne, Australia.

The Bioethics SAARC Nodal Centre, International Network Bioethics, Amrita Institute of Medical Sciences, Kochi, Ernakulam, Kerala, India.

出版信息

J Educ Health Promot. 2024 Apr 29;13:145. doi: 10.4103/jehp.jehp_1048_23. eCollection 2024.

Abstract

The medical sub-specialty of Oncology presents diverse ethical dilemmas, often challenging cancer healthcare workers with difficult-to-handle clinical scenarios that are tough from a personal and professional perspective. Making decisions on patient care in various circumstances is a defining obligation of an oncologist and those duty-based judgments entail more than just selecting the best treatment or solution. Ethics is an essential and inseparable aspect of clinical medicine and the oncologists as well as the allied health care workers are ethically committed to helping the patient, avoiding or minimizing harm, and respecting the patient's values and choices. This review provides an overview of ethics and clinical ethics and the four main ethical principles of autonomy, beneficence, non-maleficence, and justice are stated and explained. At times there are frequently contradictions between ethical principles in patient care scenarios, especially between beneficence and autonomy. In addition, truth-telling, professionalism, empathy, and cultural competence; which are recently considered important in cancer care, are also addressed from an Indian perspective.

摘要

肿瘤学这一医学亚专业存在各种伦理困境,常常使癌症医护人员面临难以处理的临床情况,这些情况从个人和职业角度来看都很棘手。在各种情况下对患者护理做出决策是肿瘤学家的一项决定性义务,而那些基于职责的判断不仅仅是选择最佳治疗方法或解决方案。伦理学是临床医学的一个重要且不可分割的方面,肿瘤学家以及相关医护人员在伦理上致力于帮助患者、避免或减少伤害,并尊重患者的价值观和选择。本综述概述了伦理学和临床伦理学,并阐述和解释了自主、行善、不伤害和公正这四项主要伦理原则。在患者护理场景中,伦理原则之间有时经常存在矛盾,尤其是行善和自主之间。此外,还从印度的角度探讨了如实告知、专业精神、同理心和文化能力,这些在癌症护理中最近被认为很重要。

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