2026-06-28T15:31:57Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/1328632026-02-24T01:28:33Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Herreros Ruiz-Valdepeñas, Benjamín author Ramnath, Venktesh R. author Santiago Sáez, Andrés Sebastián author Velasco Sanz, Tamara Raquel author Pinto Pastor, María Del Pilar 2026-02-23T08:42:31Z 2026-02-23T08:42:31Z 2024-04-24 Herreros, B., Ramnath, V.R., Santiago-Saez, A. et al. Guidelines for conscientious objection in Spain: a proposal involving prerequisites and protocolized procedure. Philos Ethics Humanit Med 19, 4 (2024). https://doi.org/10.1186/s13010-024-00155-x 10.1186/s13010-024-00155-x https://hdl.handle.net/20.500.14352/132863 1747-5341 https://doi.org/10.1186/s13010-024-00155-x https://link.springer.com/article/10.1186/s13010-024-00155-x Healthcare professionals often face ethical conflicts and challenges related to decision-making that have necessitated consideration of the use of conscientious objection (CO). No current guidelines exist within Spain’s healthcare system regarding acceptable rationales for CO, the appropriate application of CO, or practical means to support healthcare professionals who wish to become conscientious objectors. As such, a procedural framework is needed that not only assures the appropriate use of CO by healthcare professionals but also demonstrates its ethical validity, legislative compliance through protection of moral freedoms and patients’ rights to receive health care. Our proposal consists of prerequisites of eligibility for CO (individual reference, specific clinical context, ethical justification, assurance of non-discrimination, professional consistency, attitude of mutual respect, assurance of patient rights and safety) and a procedural process (notification and preparation, documentation and confidentiality, evaluation of prerequisites, non-abandonment, transparency, allowance for unforeseen objection, compensatory responsibilities, access to guidance and/or consultative advice, and organizational guarantee of professional substitution). We illustrate the real-world utility of the proposed framework through a case discussion in which our guidelines are applied. eng Attribution 4.0 International Guidelines for conscientious objection in Spain: a proposal involving prerequisites and protocolized procedure journal article 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URL https://docta.ucm.es/bitstreams/420670a5-f40a-4535-890b-85edca958012/download File MD5 f352b1026d0abea51fd7e9a79c737eac 1037065 application/pdf Guidelines for conscientious objection in Spain.pdf