Conscience Without a Map: The Disclosure Problem in Secular Institutional Refusal.
The article examines the concept of institutional conscience in healthcare, focusing on the challenges of applying secular institutional conscience alongside faith-based conscience protections. It highlights that while Catholic hospitals operate under clear, publicly accessible Ethical and Religious...
| Publicado en: | American Journal of Bioethics Vol. 26; no. 7; pp. 69 - 72 |
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| Formato: | commentary Journal Article |
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Taylor & Francis Ltd
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194782906&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194782906 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15265161 FKZ jtl: American Journal of Bioethics issn: 15265161 maglogo: N pubinfo: dt: Jul2026 vid: 26 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 194782906 194782906 194782906 10.1080/15265161.2026.2675926 194782906 ppf: 69 ppct: 3 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Conscience Without a Map: The Disclosure Problem in Secular Institutional Refusal. aug: au: Stys, John C. affil: Loyola University Chicago sug: subj: Conscience Hospitals Sociology Refusal to Treat Ethical Issues Ethics, Organizational Philosophy, Medical Bioethics Health Care Delivery Religion and Religions Medical Futility Transfer, Discharge Ethics Committees Motivation Financial Management Decision Making, Ethical Clinical Information Systems Accreditation Communication ab: The article examines the concept of institutional conscience in healthcare, focusing on the challenges of applying secular institutional conscience alongside faith-based conscience protections. It highlights that while Catholic hospitals operate under clear, publicly accessible Ethical and Religious Directives, secular institutions lack comparable transparency and accountability frameworks, raising concerns about patient awareness of services refused on moral grounds. The discussion emphasizes practical issues such as inadequate disclosure to patients, difficulties families face when clinical conditions worsen unexpectedly, and the potential overlap between conscience-based refusals and financial incentives. To address these challenges, the article proposes a minimum infrastructure including clear point-of-care disclosures, pre-arranged transfer agreements, and accreditation-linked oversight to ensure institutional conscience rights are implemented transparently and consistently. pubtype: Academic Journal doctype: commentary Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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