Guidelines for conscientious objection in Spain: a proposal involving prerequisites and protocolized procedure.

IF 1.7 4区 哲学 Q2 ETHICS
Benjamín Herreros, Venktesh R Ramnath, Andrés Santiago-Saez, Tamara Raquel Velasco Sanz, Pilar Pinto Pastor
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引用次数: 0

Abstract

Healthcare professionals often face ethical conflicts and challenges related to decision-making that have necessitated consideration of the use of conscientious objection (CO). No current guidelines exist within Spain's healthcare system regarding acceptable rationales for CO, the appropriate application of CO, or practical means to support healthcare professionals who wish to become conscientious objectors. As such, a procedural framework is needed that not only assures the appropriate use of CO by healthcare professionals but also demonstrates its ethical validity, legislative compliance through protection of moral freedoms and patients' rights to receive health care. Our proposal consists of prerequisites of eligibility for CO (individual reference, specific clinical context, ethical justification, assurance of non-discrimination, professional consistency, attitude of mutual respect, assurance of patient rights and safety) and a procedural process (notification and preparation, documentation and confidentiality, evaluation of prerequisites, non-abandonment, transparency, allowance for unforeseen objection, compensatory responsibilities, access to guidance and/or consultative advice, and organizational guarantee of professional substitution). We illustrate the real-world utility of the proposed framework through a case discussion in which our guidelines are applied.

西班牙出于良心拒服兵役的指导方针:涉及先决条件和协议程序的建议。
医疗保健专业人员经常面临与决策相关的伦理冲突和挑战,因此有必要考虑使用依良心拒服兵役(CO)。在西班牙的医疗保健系统中,目前还没有关于可接受的依良心拒服兵役的理由、依良心拒服兵役的适当应用或支持希望成为依良心拒服兵役者的医疗保健专业人员的实用方法的指导方针。因此,我们需要一个程序框架,它不仅能确保医护专业人员适当使用良心反对者,还能证明其道德有效性,并通过保护道德自由和患者接受医疗服务的权利来遵守法律。我们的建议包括有资格使用《公约》的先决条件(个人参考、特定的临床背景、伦理理由、非歧视保证、专业一致性、相互尊重的态度、患者权利和安全保证)和程序过程(通知和准备、文件和保密、先决条件评估、不放弃、透明度、允许意外反对、补偿责任、获得指导和/或咨询建议,以及专业替代的组织保证)。我们通过一个案例讨论来说明所提议的框架在现实世界中的实用性,并在其中应用了我们的指导方针。
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来源期刊
Philosophy Ethics and Humanities in Medicine
Philosophy Ethics and Humanities in Medicine Arts and Humanities-History and Philosophy of Science
CiteScore
2.70
自引率
0.00%
发文量
13
审稿时长
24 weeks
期刊介绍: Philosophy, Ethics, and Humanities in Medicine considers articles on the philosophy of medicine and biology, and on ethical aspects of clinical practice and research. Philosophy, Ethics, and Humanities in Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the philosophy of medicine and biology, and the ethical aspects of clinical practice and research. It also considers papers at the intersection of medicine and humanities, including the history of medicine, that are relevant to contemporary philosophy of medicine and bioethics. Philosophy, Ethics, and Humanities in Medicine is the official publication of the Pellegrino Center for Clinical Bioethics at Georgetown University Medical Center.
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