Rethinking Health Care Ethics
The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.
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abstract Access This chapter Attribution-NonCommercial-NoDerivatives 4.0 International bioethicists bioethics movement challenges chapter’s Creative Commons clinical situation clinicians closure conflicts context counterstories course court Creative Commons license Cultural Competence develop discussion dissociative episodes doctors emotion ethical issues ethical principles ethical problems ethical thinking example experience expertise Family Therapy fast thinking fessionals field of health formal ethical Global bioethics goals Grace Under Pressure Harvard Harvard Medical School Hastings Center health care ethics health professionals hospital human ical identified included informal ethical discourse informed consent institutional intellectual interpretive communities Journal Kerridge Kozlowska Medical Ethics medicine mentor module moral mother multistep process nurses one’s Oscar’s particular perspective philosophers physicians potentially presented profes questions reasoning reflective practice relevant residents Rethinking Health role Scher share adapted material shared decision sion slow thinking social worker sort teaching clinical ethics tion touchstones for learning treatment understanding various