Ethical Analysis of Taiwanese Psychiatric Patient’s Autonomy: By Jonsen’s Decision Making Model and Confucianism
نویسنده
چکیده
The autonomy of psychiatric patients has been a popular issue worthy of debate. Because of the cultural background of Taiwan, families often become involved in the autonomous implementation of psychiatric patients, resulting in ethical dilemmas. Regarding medical indications, psychiatric patients can implement autonomy when their decisions do not violate the goals of medical care. The implementation of patient autonomy is respectful not only to patient preferences but also their humanity. For patients, quality of life is subjective; respecting quality of life from patient preferences conforms to the principles of beneficence, nonmaleficence and autonomy. Regarding medical decision making, treatment decisions can affect the interest of families. Taiwanese are affected by Confucianism, which emphasizes the importance of family relations and the intimacy between patients and their families. Therefore, families play an essential role in clinical decision making. This study explores the ethical autonomy of Taiwanese psychiatric patients via Jonsen’s decision making model and the perspective of Confucianism to determine whether Jonsen’s ethical decision making model is adaptive in Taiwanese society. Journal of Clinical Research & Bioethics J o u r n a l o f C lin ical Resrch& Bioe t h i c s
منابع مشابه
Relational Autonomy: Moving Beyond the Limits of Isolated Individualism
Although clinicians may value respecting a patient’s or surrogate’s autonomy in decision-making, it is not always clear how to proceed in clinical practice. The confusion results, in part, from which conception of autonomy is used to guide ethical practice. Reliance on an individualistic conception such as the “in-control agent” model prioritizes self-sufficiency in decision-making and highligh...
متن کاملManaging Ethical Dilemmas in End-Stage Neurodegenerative Diseases
Neurodegenerative diseases are chronic, progressive and incurable illnesses that ultimately lead to death. The patient deteriorates inexorably towards the terminal phase of the disease when he becomes mentally and physically incapacitated. This article discusses the many ethical and moral dilemmas faced by the clinician and family members as they care for patients with neurodegenerative illness...
متن کاملModifying autonomy--a concept grounded in nurses' experiences of moral decision-making in psychiatric practice.
Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autonomy' and its dimensions, such as being aware of the patient's vulnerability, ca...
متن کاملClinical Decision-Making among Critical Care Nurses: A Qualitative Study
The purposes of this study were to describe the decision making process and decision activities of critical care nurses in natural clinical settings. An exploratory descriptive approach utilizing both interview and observation methods, was used for data collection. The study involved twenty four critical care nurses from three hospitals in Jordan. Participant observation was performed to unders...
متن کاملThe “Autonomy Principle” in Islamic Medical Ethics, with an Emphasis on the Qur’ānic Views
One of the important issues in medical ethics is the way of treating and making decision on a patient’s treatment, especially if a physician encounters with some limitations to make a decision. In new medical ethics, the “Autonomy Principle” (respect for patient’s autonomy and individual autonomy) is used to solve the problem; that is, physicians decide on whether to treat a patient or not afte...
متن کامل