여성주의 윤리적 접근에 따른 임상에서의 설명동의

Abstract

Informed consent is widely seen as fundamental to clinical ethics. Informed consent ensures that patient can decide autonomously whether to permit or refuse medical treatment that affect them. From the clinical aspect of consent in health care, healthcare professionals inform patients of the risk, benefits, and alternatives of all proposed treatments and then allow the patient to choose among acceptable therapeutic alternatives. But ethically appropriate informed consent has not been achieved in the clinical practice. For the reason, successfully informed consent must involve a truly shared decision making and a dialogue throughout the course of the patient's relationship with health care professionals, as well as caring for the vulnerable patient. The personal dignity of patient is then respected and protected only by ensuring that they give truly informed consent. Feminist ethics approach can provide the critical aspect of the clinical practice of informed consent from the aspect of the communicative ethics, namely a feminist practical discourse and care ethics. Feminist ethics points out the critical aspect of the bureaucratic medical institution and authoritarian attitudes of physicians and medical paternalism and patriarchal family culture which interrupt the achievement of the ethical informed consent in clinical practice. Also, patient-centered feminist practical discourse aims to facilitate him participation in the communicative process between the healthcare professionals and patient and family members. And feminine ethics of care provides the ethical aspect for the responsibility and advocacy for vulnerable patient by offering support, trust, promotion of autonomy, and preserving the personal dignity.