The Application and Understanding of Default Autonomy in Ethically Dilemmatic Cases Presented by Czech Medical Doctors: an Empirical Study

Kód výsledku v 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>

Výsledek na webu

<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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Jazyk výsledku

angličtina

Název v původním jazyce

The Application and Understanding of Default Autonomy in Ethically Dilemmatic Cases Presented by Czech Medical Doctors: an Empirical Study

Popis výsledku v původním jazyce

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 &quot;white zone&quot;, meaning that all criteria of DA were met; sixty percent of cases were classified as a &quot;black zone&quot;, where at least one criterion was not met; and nineteen percent of cases were classified as a &quot;grey zone&quot;, where we could not determine whether all criteria had been met or not.

Název v anglickém jazyce

The Application and Understanding of Default Autonomy in Ethically Dilemmatic Cases Presented by Czech Medical Doctors: an Empirical Study

Popis výsledku anglicky

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 &quot;white zone&quot;, meaning that all criteria of DA were met; sixty percent of cases were classified as a &quot;black zone&quot;, where at least one criterion was not met; and nineteen percent of cases were classified as a &quot;grey zone&quot;, where we could not determine whether all criteria had been met or not.

Druh

C - Kapitola v odborné knize

CEP obor

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OECD FORD obor

30502 - Other medical science

Projekt

<a href="/cs/project/TL05000114" target="_blank" >TL05000114: Zvyšování morální kompetence v medicíně</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název knihy nebo sborníku

The Blurring of Boundaries in Bioscientific Discourse

ISBN

978-3-8325-5422-4

Počet stran výsledku

19

Strana od-do

85-108

Počet stran knihy

170

Název nakladatele

Logos Verlag GmBh

Místo vydání

Berlin

Kód UT WoS kapitoly

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