Key Roles of Epistemic Humility in OB/GYN Care of Patients in Acute Non-Labor and Delivery Pain Care.

Q2 Social Sciences AMA journal of ethics Pub Date : 2025-02-01 DOI:10.1001/amajethics.2025.117
Kelly K Gillespie
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Abstract

This article considers ethical, epistemic, and clinical harms of normalizing, discounting, or dismissing patients' experiences of acute pain in non-labor and delivery obstetrics and gynecology (OB/GYN) settings. Discrediting patients' accounts undermines the therapeutic capacity of patient-clinician relationships, causes unjustified suffering, and may even contribute to life-threatening delays in recognizing and treating complications. This article urges OB/GYN practitioners to consider the ways in which structural and individual factors predispose them to discredit patients' testimonies and thereby contribute to epistemic and other harms. OB/GYN practitioners are encouraged to cultivate the virtue of epistemic humility and consider the role of patient satisfaction scores in evaluating care.

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认知谦卑在妇产科患者急性非产程和分娩疼痛护理中的关键作用。
这篇文章考虑了在妇产科(OB/GYN)设置中,对非分娩和分娩患者急性疼痛的经历进行规范化、贬低或忽视的伦理、认知和临床危害。不可信的患者陈述会破坏医患关系的治疗能力,造成不合理的痛苦,甚至可能导致在识别和治疗并发症方面出现危及生命的延误。这篇文章敦促妇产科医生考虑结构和个人因素使他们倾向于怀疑病人的证词,从而导致认知和其他危害的方式。鼓励妇产科医生培养谦逊的认知美德,并考虑患者满意度评分在评估护理中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
AMA journal of ethics
AMA journal of ethics Social Sciences-Health (social science)
CiteScore
1.90
自引率
0.00%
发文量
146
期刊介绍: The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.
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