Features of the ethics of surgical activities


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The purpose of the article is to identify the features of the application of General medical ethics in surgical practice and to identify special moral and ethical problems of surgical activity, as well as to find ways to overcome particular ethical problems, both to improve communication with patients and within the medical team, where the surgeon remains the Central and responsible person. A special ethic of surgery is formed by non-trivial relationships between those who receive surgical care and those who conduct it. Understanding the nature of these features and the depth of these relationships allows us to understand the causes of vulnerability and vulnerability of our patients and, perhaps, to understand their own problems.

Full Text

Restricted Access

About the authors

E. A Piatenko

First Moscow State Medical University (Sechenov University)

A. A Vasin

First Moscow State Medical University (Sechenov University)

N. N Krylov

First Moscow State Medical University (Sechenov University)

Email: nnkrylov01@yandex.ru

References

  1. Awad E., Dsouza S., Kim R. et al. The Moral Machine experiment. Nature. 2018; 563: 59-64. doi: 10.1038/s41586-018-0637-6
  2. Frank D.-A., Chrysochou P., Mitkidis P. et al. Human decision-making biases in the moral dilemmas of autonomous vehicles. Scientific Reports. 2019; 9: 13080. https://doi.org/10.1038/s41598-019-49411-7
  3. Andrade G. «Medical ethics and the trolley» Problem. J Med Ethics Hist Med. 2019; 12: 3.
  4. Илтис А. Этика и политика Аристотеля: биоэтика в современном государстве. История медицины. 2015; 2 (4): 546-53 doi: 10.17720/2409-5834.v2.4.2015.42l
  5. Kassim P.N.J., Alias F. Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making. J Relig Health. 2016; 55 (1): 119-34. doi: 10.1007/s10943-014-9995-z
  6. Алекберзаде А.В., Пятенко А.В., Крылов Н.Н. Проблема принятия решений в хирургии. Хирургия. Журнал им. Н.И. Пирогова. 2018; 10: 87-91 https:// doi.org/10.17116/hirurgia201810187
  7. Crebbin W., Beasley S.W., Watters D.A.K. Clinical decision making: how surgeons do it. ANZ J. Surg. 2013; 83 (6): 422-8. doi: 10.1111/ans.12180
  8. Morris A.M. Rational vs. intuitive judgment in surgical decision making. Ann Surg. 2016; 264 (6): 887-8. doi: 10.1097/SLA.0000000000002073
  9. Kohler T.S., Schwartz B. Surgeons as Educators. A Guide for Academic Development and Teaching Excellence, 2018. doi: 10.1007/978-3-319-64728-9
  10. Sturgess J., Clapp J.T., Fleisher L.A. Shared decision-making in perioperative medicine: a narrative review. Anaesthesia. 2019; 74: 13-9. DOI: 10.1111/ anae.14504
  11. Ojuka D.K., Okutoyi L., Otieno F.C. Communication in Surgery for Patient Safety. In: Vignettes in Patient Safety - Vol. 4. IntechOpen, 2019. DOI: 10.5772/ intechopen.79740
  12. Barry M.J., Edgman-Levitan S. Shared decision making - The pinnacle of patient-centered care. N Engl J Med. 2012; 366 (9): 780-1. DOI: 10.1056/ NEJMp1109283
  13. Latifi R. Surgical decision-making process: More questions than answers. Scand J Surg. 2013; 102 (3): 139-40. doi: 10.1177/1457496913499836
  14. Cortez D., Maynard D.W., Campbell T.C. Creating space to discuss end-of-life issues in cancer care. Patient Educ Couns. 2019; 102 (2): 216-22. doi: 10.1016/j.pec.2018.07.002
  15. Brabers A.E.M., van Dijk L., Groenewegen P.P. et al. Do social norms play a role in explaining involvement in medical decision-making? Eur J Public Health. 2016; 26 (6): 901-5. doi: 10.1093/eurpub/ckw069
  16. Shaha K.K., Patra A.P., Chaudhari V.A. et al. A review on Applications of Principles of Medical Ethics in the Practice of Surgery. South-East Asian J Med Education. 2018; 12 (1): 13-8. http://doi.org/10.4038/seajme.v12i1.37
  17. de Mik S.M.L., Stubenrouch F.E., Balm R. et al. Systematic review of shared decision-making in surgery. Br J Surg. 2018; 105 (13): 1721-30. DOI: 10.1002/ bjs.11009
  18. Scarlet S., Johnson-Mann C., Red M. Hoffman and al. Respect for whose autonomy? Communicating with patients regarding trainee involvement. The Bulletin of the American College of surgeons, 2018. URL: https://bulletin.facs. org/2018/08/respect-for-whose-autonomy-communicating-with-patients-regarding-trainee-involvement/
  19. Cifrese L., Rincon F. Futility and Patients Who Insist on Medically Ineffective Therapy. Semin Neurol. 2018; 38 (5): 561-8. doi: 10.1055/s-0038-1667386
  20. Brogan P., Hasson F., McIlfatrick S. Shared decision-making at the end of life: A focus group study exploring the perceptions and experiences of multidisciplinary healthcare professionals working in the home setting. Palliat Med. 2018; 32 (1): 123-32. doi: 10.1177/0269216317734434
  21. Little M., Jordens C.F.C., Paul K. et al. Liminality: a major category of the experience of cancer illness. Soc Sci Med. 1998; 47 (10): 1485-94. DOI: 10.1016/ s0277-9536(98)00248-2
  22. Little M., Jordens C.F.C., Paul K. et al. Approval and disapproval in the narratives of colorectal cancer patients and their carers. Health. 1999; 3: 451-67.
  23. Little M., Jordens C.F.C., Paul K. et al. Face, honor and dignity in the context of colon cancer. J Med Human. 2000; 21: 229-43.
  24. Little M., Paul K., Jordens C.F.C. et al. Vulnerability in the narratives of patients and their carers: studies of colorectal cancer. Health. 2000; 4: 495-510. doi: 10.2307/26646512
  25. Johnstone F.R., Holubitsky I.B., Debas H.T. Post-gastrectomy problems in patients with personality defects: the «albatross» syndrome. CMAJ. 1967; 96 (24): 1559-64.
  26. Broyard A. Intoxicated by My Illness: and Other Writings on Life and Death. New York: C Potter, 1992; 156 р.
  27. Schut S., Driessen E. Setting decision-making criteria: is medical education ready for shared decision making? Med Educ. 2019; 53 (4): 324-6. DOI: 10.1111/ medu.13826
  28. Hall M. Patient Safety. In: Patient Transport: Principles and Practice. 5th ed., R. Holleran, A. Wolfe, and M. Frakes, Eds. St. Louis, Missouri: Elsevier Inc., 2018; pp. 83-92.
  29. Loftus T.J. et al. Artificial Intelligence and Surgical Decision-Making. JAMA Surg. 2020; 155 (2): 148-58. doi: 10.1001/jamasurg.2019.4917

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2020 Russkiy Vrach Publishing House

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies