Feldman Cassondra L, Spence Nicole Z
College of Psychology, Nova Southeastern University, Ft. Lauderdale, FL, USA.
Department of Anesthesiology, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
J Gen Intern Med. 2025 Apr;40(5):1169-1174. doi: 10.1007/s11606-024-09189-5. Epub 2024 Nov 18.
The ethical responsibilities of healthcare professionals amidst geopolitical conflict, particularly regarding their impact on patient care and healthcare delivery, present a significant challenge, especially during current strife. With the rise of national and international discord and debate, and the close relationship between war and healthcare, healthcare organizations are increasingly pressured to comment, which can reflect societal engagement, but also pose demands for maintaining professionalism. This article discusses the need for healthcare practitioners to navigate their roles in advocacy without compromising patient care, emphasizing the importance of self-reflection, adherence to ethical standards, and effective communication. We also address the implications of politicization within healthcare settings, offering strategies to uphold professional integrity and prioritize patient-centered care amidst the complexities of geopolitical tensions. While the premise of this paper was prompted by geopolitical conflict, the principles emphasized are broadly applicable to an array of controversial issues. By fostering a culture of inclusivity and respect, healthcare professionals can mitigate the risks associated with politicization and ensure a commitment to the fundamental principle of "do no harm."
在地缘政治冲突中,医疗保健专业人员的道德责任,尤其是其对患者护理和医疗服务提供的影响,构成了重大挑战,在当前冲突期间尤为如此。随着国家和国际间不和与辩论的增加,以及战争与医疗保健之间的紧密关系,医疗保健组织面临越来越大的发表评论的压力,这既能反映社会参与度,但也对保持专业精神提出了要求。本文讨论了医疗从业者在不损害患者护理的前提下履行其倡导角色的必要性,强调了自我反思、遵守道德标准和有效沟通的重要性。我们还探讨了医疗环境中政治化的影响,提出了在复杂的地缘政治紧张局势中维护职业操守和将以患者为中心的护理放在首位的策略。虽然本文的前提是由地缘政治冲突引发的,但所强调的原则广泛适用于一系列有争议的问题。通过营造包容和尊重的文化,医疗保健专业人员可以降低与政治化相关的风险,并确保对“不伤害”这一基本原则的承诺。