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Do Surgeons Experience Moral Dissonance When There Is Misalignment Between Evidence and Action? A Survey and Scenario-based Study.
Clinical Orthopaedics and Related Research ( IF 4.2 ) Pub Date : 2024-08-07 , DOI: 10.1097/corr.0000000000003220
Bandele Okelana 1 , Amin Razi , David Ring , Sina Ramtin ,
Affiliation  

Moral dissonance is the psychological discomfort associated with a mismatch between our moral values and potentially immoral actions. For instance, to limit moral dissonance, surgeons must develop a rationale that the potential for benefit from performing surgery is meaningfully greater than the inherent harm of surgery. Moral dissonance can also occur when a patient or one's surgeon peers encourage surgery for a given problem, even when the evidence suggests limited or no benefit over other options. Clinicians may not realize the degree to which moral dissonance can be a source of diminished joy in practice. Uncovering potential sources of moral dissonance can help inform efforts to help clinicians enjoy their work.

中文翻译:


当证据与行动不一致时,外科医生会经历道德失调吗?基于调查和情景的研究。



道德失调是指与我们的道德价值观和潜在的不道德行为不匹配相关的心理不适。例如,为了限制道德失调,外科医生必须提出一个理由,即进行手术的潜在益处明显大于手术的固有危害。当患者或外科医生的同事鼓励针对特定问题进行手术时,即使有证据表明与其他选择相比效果有限或没有益处,也可能会出现道德失调。临床医生可能没有意识到道德失调在多大程度上会导致实践中的快乐减少。发现道德失调的潜在根源有助于为临床医生享受工作提供信息。
更新日期:2024-08-07
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