Transformative medical ethics: A framework for changing practice according to normative–ethical requirements.
We propose a step‐by‐step methodological framework of translational bioethics that aims at changing medical practice according to normative–ethical requirements, which we will thus call "transformative medical ethics." The framework becomes especially important when there is a gap between widely ack...
| Publicado en: | Bioethics Vol. 38; no. 3; pp. 241 - 252 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Mar2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175448430&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175448430 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Mar2024 vid: 38 iid: 3 pid: 480 pub: Wiley-Blackwell artinfo: ui: 175448430 10.1111/bioe.13185 ppf: 241 ppct: 11 formats: tig: atl: Transformative medical ethics: A framework for changing practice according to normative–ethical requirements. aug: au: Kuehlmeyer, Katja Jansky, Bianca Mertz, Marcel Marckmann, Georg affil: Institute of Ethics, History and Theory of Medicine, Medical Faculty, LMU Munich, Muenchen, Germany Institute of Ethics and History of Health in Society, Medical Faculty, University of Augsburg, Augsburg, Germany Institute for Sociology, LMU Munich, Muenchen, Germany Hannover Medical School, Institute for Ethics, History and Philosophy of Medicine, Hannover, Germany su: Problem solving Research ethics Medical ethics Interprofessional relations Empirical research Bioethics Pilot projects Evidence-based medicine Conceptual structures Research funding Decision making in clinical medicine sug: subj: Problem solving Research ethics Medical ethics Interprofessional relations Empirical research Bioethics Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Pilot projects Evidence-based medicine Conceptual structures Research funding Decision making in clinical medicine keyword: ethical reasoning implementation science medical decision‐making policy‐making theory–practice gap translational bioethics ethical reasoning implementation science medical decision‐making policy‐making theory–practice gap translational bioethics ab: We propose a step‐by‐step methodological framework of translational bioethics that aims at changing medical practice according to normative–ethical requirements, which we will thus call "transformative medical ethics." The framework becomes especially important when there is a gap between widely acknowledged, ethically justified normative claims and their realization in the practice of biomedicine and technology (ought–is gap). Building on prior work on translational bioethics, the framework maps a process with six different phases and 12 distinct translational steps. The steps involve various research activities including conceptual philosophical inquiry and (socio‐)empirical research. On the one hand, the framework can be used as a heuristic tool to identify barriers to the transformation process. On the other hand, it can provide guidance for researchers and practitioners to develop appropriate (conceptual action and practice) models, which are then implemented and evaluated in specific practice contexts. We use the example of realizing the norm of respect for autonomy in the practice of medical decision‐making to illustrate the framework. Further research is required, for example, to theoretically underpin the framework, to apply it to other ought–is gaps, and to evaluate its feasibility and effectiveness in various practice areas. Overall, the framework of transformative medical ethics suggests a strategic process to investigate and promote practice change that is ethically informed in all phases. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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