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The practical importance of theory in clinical ethics support services
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Molewijk, Bert, Slowther, Anne and Aulisio, Mark P. (2011) The practical importance of theory in clinical ethics support services. Bioethics, 25 (7). ii-iii. doi:10.1111/j.1467-8519.2011.01917.x ISSN 0269-9702.
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Official URL: http://dx.doi.org/10.1111/j.1467-8519.2011.01917.x
Abstract
It is now an accepted truth that ethical issues pervade
every area of the practice and delivery of health care.
However they do not come clearly labelled as such and are
often unrecognized by those involved in the daily minutiae
of delivering health care. Referrals or requests for advice
to a clinical ethics support service may come from feelings
of discomfort about difficult choices or lack of clarity
about what is the right thing to do in a particular situation
rather than a confident identification of an ethical issue.
But, when you ask members of any clinical ethics support
service (CESS)1 why something is perceived as ethical and
how they know, theoretical presuppositions invariably
feature in their response. Some appeal to conceptual features
of what makes something ethical, others refer to the
experiential and contextual framing of ethical issues,
and still others might say that something becomes ethical
during social interactions and confrontations with
common opinions. Different theoretical assumptions also
emerge if you ask CESS members how to proceed when
something has been identified as an ethical issue. These
include models of ethicist/ethics committee as moral
expert or as facilitator of a deliberative process, or a
hermeneutic model where there is no expert but those who
are involved in the case reflect upon their experiences and
what they consider is the morally right thing to do.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Bioethics | ||||||
Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||
ISSN: | 0269-9702 | ||||||
Official Date: | September 2011 | ||||||
Dates: |
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Volume: | 25 | ||||||
Number: | 7 | ||||||
Page Range: | ii-iii | ||||||
DOI: | 10.1111/j.1467-8519.2011.01917.x | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Description: | Special Issue: Clinical ethics support services: theory, method, and practice |
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