Abstract | Uvod: Nekada prihvaćeno stajalište da je poznavanje medicinskih znanja i vještina dovoljna
garancija da će konačna odluka o liječenju u najboljem interesu pacijenta biti ispravna, danas
traži i znanstvenu i stručnu procjenu, jer svaka medicinska procjena sadrži skup vrijednosti ili
normi koji su izvan raspona medicinskih vrijednosti.
Postupci: Podatci koji su korišteni za pisanje završnoga rada prikupljeni su pretraživanjem
internetskih baza podataka. Korišteni su članci na hrvatskom i engleskom jeziku.
Rasprava: Medicinska kompetencija više nije jedina kompetencija za donošenje medicinski
ispravne odluke jer sve medicinske odluke sadrže i medicinsko tehničke i moralne komponente.
Bioetika, kao multidisciplinarna znanost, pruža zdravstvenim radnicima, pacijentima i svima
drugima koji sudjeluju u donošenju odluka adekvatan okvir za donošenje ispravnih medicinskih
i etičkih odluka. Postoje četiri osnovna principa biomedicinske etike: princip poštivanja
autonomije, princip neškodljivosti, princip dobročinstva i princip pravednosti. Principi se
primjenjuju na sve pacijente neovisno o njihovoj rasi, spolu, vjerskoj ili političkoj pripadnosti.
Premda je još u Hipokratovoj zakletvi zapisano Primum non nocere – prvo ne učini štetu, kroz
povijest se provodilo mnoštvo medicinskih eksperimenata u kojima su se znatno kršila upravo
ova osnovna načela. Nakon suđenja u Nürnbergu, gdje su otkriveni najokrutniji eksperimenti,
počela se posvećivati pažnja reguliranju istraživanja na ljudima pa je 1949. godine donesen
Nürnberški kodeks.
Zaključak: Razvojem znanosti javila se potreba za obnovom i nadopunom Nürnberškog
kodeksa, što je rezultiralo usvajanjem Helsinške deklaracije 1964. godine. Oba dokumenta
fokus stavljaju na informirani pristanak i ističu da bi u ljudskim medicinskim istraživanjima
trebalo dati prednost zaštiti sudionika koji sudjeluju u istraživanju, a ne interesima znanosti i
društva. |
Abstract (english) | Introduction: The once accepted view that having medical knowledge and skills is a sufficient
guarantee that the final decision on treatment in the best interest of the patient will be correct,
requires both scientific and professional assessment nowadays, because each medical
assessment contains a set of values or norms beyond medical values.
Procedures: The data used for writing the dissertation were collected by searching online
databases. Both articles in Croatian and English were used.
Discussion: Medical competence is no longer the only competence that leads to a medically
correct decision, as all medical decisions contain both medical technical and moral components.
Bioethics, as a multidisciplinary science, provides healthcare professionals, patients and all
others involved in decision-making with an adequate framework for making the right medical
and ethical decisions. Bioethics is defined as "an interdisciplinary science that governs human
behaviour in the field of life and health in the light of moral rational values and principles, as
well as their legal and social standardization." It is based on the book “Principles of Biomedical
Ethics” written by Tom L. Beauchamp and James Childress in the mid-1970s. There are four
basic principles of biomedical ethics: the principle of respect for autonomy, the principle of
beneficence, the principle of non-maleficence, and the principle of justice. The principles apply
to all patients regardless of their race, gender, religion, or political affiliation. Although the
Hippocratic Oath states Primum non nocere - do no harm in the first place, throughout history
many medical experiments have been conducted in which these basic principles have been
significantly violated. After the trial in Nuremberg, where the cruellest experiments were
discovered, attention began to be paid to the regulation of research on humans, consequently,
in 1949 the Nuremberg Code was adopted.
Conclusion: With the development of science, a need to renew and amend the Nuremberg Code
appeared, which resulted in the adoption of the 1964 Declaration of Helsinki. Both documents
focus on informed consent and emphasize that human medical research should prioritize the
protection of research participants over the interests of science and society. |