Abstract
According to their religious dogma, Jehovah's Witnesses (JW) are unwilling to accept blood transfusions, even if their own lives are at stake. This belief puts physicians, who have no consistent legal norms to guide their behavior, in an ambiguous situation. To examine the socialization process regarding the development of norms under legal uncertainty, we asked medical students, house staff and faculty physicians to discuss their actions regarding each of four case simulations (one minor child, one incompetent adult, and two competent adults). In our sample, 84% of faculty and half of the respondents overall report having had personal experience with JWs. Despite patient or parental requests to the contrary, physicians were most likely to transfuse the child (80%), followed by the imcompetent adult (63%) and the two competent adults (25 and 15%). This ordering reflects the consistency of court decisions. In addition, the physicians' decisions regarding whether or not to transfuse did not vary with either their experience with JWs or level of training; however, experienced physicians appeared to learn to take precautions to protect themselves and their hospital from legal action. The study also indicates lack of formal medical education as an information source from which medical students learn about this ethical problem.
| Original language | English |
|---|---|
| Pages (from-to) | 1719-1723 |
| Number of pages | 5 |
| Journal | Social Science and Medicine |
| Volume | 16 |
| Issue number | 19 |
| DOIs | |
| State | Published - 1982 |
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ASJC Scopus subject areas
- Economics and Econometrics
- Public Health, Environmental and Occupational Health
- Social Psychology
- Development
- Health(social science)
Cite this
The treatment of Jehovah's Witness patients. / Weinberger, Morris; Tierney, William M.; Greene, James Y.; Studdard, P. Albert.
In: Social Science and Medicine, Vol. 16, No. 19, 1982, p. 1719-1723.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The treatment of Jehovah's Witness patients
AU - Weinberger, Morris
AU - Tierney, William M.
AU - Greene, James Y.
AU - Studdard, P. Albert
PY - 1982
Y1 - 1982
N2 - According to their religious dogma, Jehovah's Witnesses (JW) are unwilling to accept blood transfusions, even if their own lives are at stake. This belief puts physicians, who have no consistent legal norms to guide their behavior, in an ambiguous situation. To examine the socialization process regarding the development of norms under legal uncertainty, we asked medical students, house staff and faculty physicians to discuss their actions regarding each of four case simulations (one minor child, one incompetent adult, and two competent adults). In our sample, 84% of faculty and half of the respondents overall report having had personal experience with JWs. Despite patient or parental requests to the contrary, physicians were most likely to transfuse the child (80%), followed by the imcompetent adult (63%) and the two competent adults (25 and 15%). This ordering reflects the consistency of court decisions. In addition, the physicians' decisions regarding whether or not to transfuse did not vary with either their experience with JWs or level of training; however, experienced physicians appeared to learn to take precautions to protect themselves and their hospital from legal action. The study also indicates lack of formal medical education as an information source from which medical students learn about this ethical problem.
AB - According to their religious dogma, Jehovah's Witnesses (JW) are unwilling to accept blood transfusions, even if their own lives are at stake. This belief puts physicians, who have no consistent legal norms to guide their behavior, in an ambiguous situation. To examine the socialization process regarding the development of norms under legal uncertainty, we asked medical students, house staff and faculty physicians to discuss their actions regarding each of four case simulations (one minor child, one incompetent adult, and two competent adults). In our sample, 84% of faculty and half of the respondents overall report having had personal experience with JWs. Despite patient or parental requests to the contrary, physicians were most likely to transfuse the child (80%), followed by the imcompetent adult (63%) and the two competent adults (25 and 15%). This ordering reflects the consistency of court decisions. In addition, the physicians' decisions regarding whether or not to transfuse did not vary with either their experience with JWs or level of training; however, experienced physicians appeared to learn to take precautions to protect themselves and their hospital from legal action. The study also indicates lack of formal medical education as an information source from which medical students learn about this ethical problem.
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U2 - 10.1016/0277-9536(82)90098-3
DO - 10.1016/0277-9536(82)90098-3
M3 - Article
C2 - 7178919
AN - SCOPUS:0020355835
VL - 16
SP - 1719
EP - 1723
JO - Social Science and Medicine
JF - Social Science and Medicine
SN - 0277-9536
IS - 19
ER -