Developing a 'moral compass tool' based on moral case deliberations: A pragmatic hermeneutic approach to clinical ethics.

Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we...

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Publicado en:Bioethics Vol. 33; no. 9; pp. 1012 - 1022
Autores principales: Hartman, Laura, Metselaar, Suzanne, Widdershoven, Guy, Molewijk, Bert
Formato: Artículo
Publicado: Wiley-Blackwell Nov2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Developing a 'moral compass tool' based on moral case deliberations: A pragmatic hermeneutic approach to clinical ethics.
      aug:
        au:
          Hartman, Laura
          Metselaar, Suzanne
          Widdershoven, Guy
          Molewijk, Bert
        affil:
          Department of Medical Humanities, University of Amsterdam, the Netherlands
          Centre for Medical Ethics, University of Oslo, Norway
      su:
        Ethics
        Phenomenology
        Medical ethics
        Medical practice
        Ethical decision making
      sug:
        subj:
          Ethics
          Phenomenology
          Medical ethics
          Medical practice
          Ethical decision making
      keyword:
        clinical ethics support
        ethics support tool
        hermeneutics
        methodology
        moral case deliberation
        pragmatism
        theoretical reflection
        clinical ethics support
        ethics support tool
        hermeneutics
        methodology
        moral case deliberation
        pragmatism
        theoretical reflection
      ab: Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we drew on hermeneutic ethics and pragmatism. We distinguished four core characteristics of a CES tool: (a) focusing on an actual situation that is experienced as morally challenging by the user; (b) stimulating moral inquiry into the moral concepts, questions and routines in the lived experience of the CES tool user; (c) stimulating moral learning by exploring other perspectives; and (d) incorporating contextual details. We provide an example of a CES tool developed for moral dilemmas over client autonomy. Our article ends with some reflections on the normativity of the CES tool, other application areas and the importance of evaluation studies of CES tools.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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