Zolkefli Yusrita
PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam.
School of Health in Social Science, The University of Edinburgh, Edinburgh, United Kingdom.
Malays J Med Sci. 2024 Aug;31(4):223-227. doi: 10.21315/mjms2024.31.4.19. Epub 2024 Aug 27.
Healthcare disagreements are common, but recognising the causes is essential to reaching a moral consensus. The article describes the challenges associated with resolving the disagreements. Therefore, a systematic and timely team-based discussion, ethics consultation with ethicists and the hospital ethics committee, active participation of all members' discussions, and scheduled debriefings are pragmatic ways to find balance when healthcare professionals disagree. Teams need these attempts to build consensus and make moral decisions. It also fosters harmony, prioritises patient and team interests and, most importantly, keeps the team intact.
医疗保健方面的分歧很常见,但认识到其原因对于达成道德共识至关重要。本文描述了在解决这些分歧时所面临的挑战。因此,进行系统且及时的基于团队的讨论、与伦理学家及医院伦理委员会进行伦理咨询、所有成员积极参与讨论以及定期进行情况汇报,是医疗保健专业人员出现分歧时寻求平衡的务实方法。团队需要通过这些努力来建立共识并做出道德决策。这也有助于促进和谐、优先考虑患者和团队的利益,最重要的是,保持团队的完整。