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Differences in Ethical Viewpoints among Civilian–Military Populations: A Survey among Practitioners in Two European Countries, Based on a Systematic Literature Review

Author

Listed:
  • Amir Khorram-Manesh

    (Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden
    Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden
    Swedish Armed Forces Center for Defence Medicine, Department of Research and Development, 426 76 Västra Frölunda, Sweden)

  • Krzysztof Goniewicz

    (Department of Security, Military University of Aviation, 08-505 Dęblin, Poland)

  • Phatthranit Phattharapornjaroen

    (Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden
    Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand)

  • Lesley Gray

    (Department of Primary Health Care and General Practice, University of Otago, Wellington 6021, New Zealand
    Joint Centre for Disaster Research, Massey University, Wellington 6140, New Zealand)

  • Eric Carlström

    (Gothenburg Emergency Medicine Research Group (GEMREG), Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden)

  • Alice Sundwall

    (Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, 413 90 Gothenburg, Sweden)

  • Attila J. Hertelendy

    (Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL 33181, USA
    Beth Israel Deaconess Medical Centre, Department of Emergency Medicine, Boston, MA 02210, USA)

  • Frederick M. Burkle

    (T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA)

Abstract

Civilian–military collaboration in humanitarian crises has been encouraged globally; however, little is known about their diverse ethical viewpoints towards challenging and critical situations, which may cause difficulties in the partnership, and influence the outcomes of their mutual activities. The aim of this study was to identify the diversity of viewpoints and ethical decision-making during exceptional circumstances among civilian and military populations from two different countries, each with diverse background and healthcare organization structures. Possible scenarios, based on a systematic review of the literature, were introduced to Swedish and Polish civilian and military healthcare providers. Variations in the participants’ viewpoints and approaches to ethical decision-making were analyzed according to their characteristics, organizational belonging, and nationality. There were differences between both populations but also within the military and civilian groups, respectively. One significant factor influencing ethical viewpoints was participants’ nationality. Differences in ethical viewpoints between multiagency organizations should be considered in planning and implementation of future transdisciplinary and international collaboration in disaster and emergency management. Further studies and renewed educational initiatives are necessary to validate these differences and to navigate civilian–military as well as other multinational partnerships.

Suggested Citation

  • Amir Khorram-Manesh & Krzysztof Goniewicz & Phatthranit Phattharapornjaroen & Lesley Gray & Eric Carlström & Alice Sundwall & Attila J. Hertelendy & Frederick M. Burkle, 2022. "Differences in Ethical Viewpoints among Civilian–Military Populations: A Survey among Practitioners in Two European Countries, Based on a Systematic Literature Review," Sustainability, MDPI, vol. 14(3), pages 1-30, January.
    • Handle: RePEc:gam:jsusta:v:14:y:2022:i:3:p:1085-:d:727494
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    Citations

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    Cited by:

    1. Jakub Marcinkowski, 2022. "Humanitarian Actors’ Cooperation Network in the Social Sustainability Context. Evidence from Poland," Sustainability, MDPI, vol. 14(9), pages 1-17, May.
    2. Krzysztof Goniewicz & Mariusz Goniewicz & Anna Włoszczak-Szubzda & Dorota Lasota & Frederick M. Burkle & Marta Borowska-Stefańska & Szymon Wiśniewski & Amir Khorram-Manesh, 2022. "The Moral, Ethical, Personal, and Professional Challenges Faced by Physicians during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(9), pages 1-13, May.
    3. Ahmed M. Al-Wathinani & Dennis G. Barten & Marta Borowska-Stefańska & Paweł Gołda & Noora A. AlDulijan & Mohammad A. Alhallaf & Lujain O. Samarkandi & Abdullah S. Almuhaidly & Mariusz Goniewicz & Wale, 2023. "Driving Sustainable Disaster Risk Reduction: A Rapid Review of the Policies and Strategies in Saudi Arabia," Sustainability, MDPI, vol. 15(14), pages 1-20, July.

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