The Application and Understanding of Default Autonomy in Ethically Dilemmatic Cases Presented by Czech Medical Doctors: an Empirical Study
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F21%3A73608606" target="_blank" >RIV/61989592:15110/21:73608606 - isvavai.cz</a>
Result on the web
<a href="https://zenodo.org/record/5817480#.YjhCF-rMKUk" target="_blank" >https://zenodo.org/record/5817480#.YjhCF-rMKUk</a>
DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
The Application and Understanding of Default Autonomy in Ethically Dilemmatic Cases Presented by Czech Medical Doctors: an Empirical Study
Original language description
Beauchamp and Childress proposed a theory of autonomous action that is currently considered the default concept of autonomy in bioethics. According to their theory, the following conditions need to by met for action to by truly autonomous: (i) the agent acts intentionally, (ii) with understanding, and (iii) without any controlling influences that determine their action. It has been established that the concept of default autonomy (DA) should be the basis of the doctor-patient relationship. The presented empirical study aims to assess the ability of Czech medical doctors to meet the concept of DA in ethically dilemmatic cases. Fifty-two out of sixty-nine cases were evaluated utilizing an interpretative phenomenological analysis and the Four Boxes model to determine whether (i) all cases met the criteria of default autonomy; (ii) if not, which criteria were omitted; and (iii) what was the most commonly omitted criterion of DA. Then we classified the cases into three categories based on the number of criteria fulfilled. We found that only 21% of cases met all tree criteria of DA. The criteria omitted most frequently included intentionality (35%), understanding (26%), and voluntariness (25%). Twenty-one percet of cases were classified as a "white zone", meaning that all criteria of DA were met; sixty percent of cases were classified as a "black zone", where at least one criterion was not met; and nineteen percent of cases were classified as a "grey zone", where we could not determine whether all criteria had been met or not.
Czech name
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Czech description
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Classification
Type
C - Chapter in a specialist book
CEP classification
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OECD FORD branch
30502 - Other medical science
Result continuities
Project
<a href="/en/project/TL05000114" target="_blank" >TL05000114: The Enhancement of Moral Competence in Medicine</a><br>
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Book/collection name
The Blurring of Boundaries in Bioscientific Discourse
ISBN
978-3-8325-5422-4
Number of pages of the result
19
Pages from-to
85-108
Number of pages of the book
170
Publisher name
Logos Verlag GmBh
Place of publication
Berlin
UT code for WoS chapter
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