香港圣德肋撒医院尊重患者权利的启示

香港圣德肋撒医院对患者的尊重给我们的启示是：我国离患者权利实现的价值目标尚远,患者权利得到保障的社会责任伦理意识迫切需要加强,责任需要落实,因为每个患者合法的诉求与博弈都诠释着社会伦理的要义,彰显着生命尊严。     

医学伦理审查对肿瘤学期刊质量的影响与对策

全文分析肿瘤医学研究类论文中常见伦理学问题及其对期刊质量的影响,学习国外肿瘤学优秀期刊在医学伦理方面的处理方法,以缩小我国肿瘤医学期刊与国外著名期刊在这方面的差距。     

本科护生人文关怀能力调查及相关因素分析

目的:了解本科护生人文关怀能力现状,分析其相关影响因素,为护理人文关怀教育提供依据。方法:采用人文关怀能力评价量表对3个年级480名本科护生进行便利整群抽样问卷调查。结果:护生人文关怀能力评分为180.31±23.60,护生年龄越小得分越高(P0.01);人文关怀能力自我评价较高者评分高于自我评价较低者(P0.01)。结论:部分本科护生的人文关怀能力仍需提高,学校应加强对护生的人文关怀引导和教育。     

“关怀伦理”的公民道德价值研究——基于女性志愿者服务经验的视角

采用质性研究方法,对“关怀伦理”在女性志愿者志愿服务动机与目的?志愿服务所遭遇的道德冲突与抉择?志愿服务的困难与坚持?志愿服务对其个人及社会带来的改变与影响中所扮演的角色进行实证分析?以期了解当前社会女性志愿者参与公共事务与公民道德体现的现状,以及影响女性志愿者“关怀伦理”道德思考发展与变化的社会文化因素;希望可提供“关怀伦理”在政治?社会方面公共运用的事实资料,并印证“关怀伦理”的相关理论,进而有助于肯定“关怀伦理”的公民道德价值,为政府有关部门决策提供建议?     

医院伦理委员会建设中的问题及对策

为了解决临床科研中的伦理问题,和谐医患关系,医院伦理委员会应运而生。本文通过回顾医院伦理委员会的发展历程,介绍其主要功能和职责,探讨和分析其运行中存在的问题,并提出相应的对策,以期对医院伦理委员会的普及和发展提供有益参考。     

作为伦理问题的幸福

善的追求总是内含着对幸福的向往 ,当理性从实践的层面关注整个人生时 ,便不能不涉及幸福的问题。以追求存在的完善为指向 ,道德与幸福的关系展开为一个不断扬弃对峙而走向统一的过程。康德试图通过赋予人的存在以道德的规定来担保幸福的合理导向 ,无疑看到了道德与幸福之间可能导致的紧张 ,但其将幸福加以德性化的思维趋向 ,却易于引向以道德消解幸福。相形之下 ,亚里士多德认为幸福即是善 ,则更多地肯定了幸福与道德之间的一致性 ,但若过分强调二者的一致 ,在逻辑上亦容易忽略幸福与道德之间可能出现的冲突 ;前者注意到了离开道德的制约 ,幸福将变得片面化 ,后者则有见于离开幸福 ,道德也将导向抽象化。扬弃道德与幸福关系中的这种片面性 ,意味着走向人自身的全面发展 ;二者在本质上呈现为同一个过程。     

Confidentiality or continuity? Family caregivers' experiences with care for HIV/AIDS patients in home-based care in Lesotho

In the context of poor access to antiretroviral therapies in sub-Saharan Africa, the minimum treatment package intended to treat opportunistic infections common with HIV infection is inadequate but appealing, since it presumes universal coverage of medical care for patients living with HIV and AIDS. The overall objective of this study was to analyse the challenges which family caregivers encountered in home-based care when they tried to access medical treatment for home-based AIDS patients in the context of confidentiality and limited medical care. A qualitative study using in-depth interviews with a sample of 21 family caregivers — 16 females and 5 males aged between 23 and 85 years was conducted with the assistance of health personnel in two hospitals in Lesotho. Using the concept of continuity of care, this article discusses the experiences of family caregivers about home care, including their experiences of adherence to confidentiality by health care professionals and non-disclosure of AIDS as the context of illness, the circumstances under which the caregivers initiated caregiving and sought medical care, and how these factors could be stressors in caregiving. There was continuity of care where the caregivers obtained hospital support. However, when confidentiality was adhered to the caregivers were frustrated by lack of information, disrupted treatment, exclusion of their perspectives in medical care, failure to secure hospitalisation, ambiguous goals and non-responsiveness, so that continuity of care was jeopardised. Thus it can be concluded that professional-assisted disclosure benefited the patients because it facilitated continuity of care through the caregivers.     

公立综合性医院在突发灾难事件医疗救援中的伦理实践

突发灾难中的医疗救援不同于常规的医疗救治，其具有显著的特殊性。而这种特殊性不仅体现在救援组织、医疗技术上．还体现在公立医院医疗救援应遵守的伦理原则上。突发灾难事件下公立综合性医院应突破因情况特殊性而带来的医疗救援伦理局限性，使其得到充分合理转化和运用。