A Model for Conceptualizing the Moral Dynamic in Health Care
Pierce, Susan Foley
Pierce, Susan Foley
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Abstract
Ethics involves an organized, reasoned approach to gathering and processing data in order to arrive at decisions about what to do, what to value, and/or what virtues to cultivate. A model is proposed for conceptualizing this complex dynamic, which incorporates elements of both rule-and-principle ethics and the ethic of care. The model suggested here has two levels. The first level identifies the components that comprise philosophical reasoning; the second contextualizes and operationalizes the model in relation to the processor’s philosophical stance on the nature of knowing. Three philosophical stances are identified and described: science-dominant, person-dominant, and science-person equilibrium. Physicians tend to process patients from first perspectives, nurses from second. Hence, health team collaboration in moral problem solving is critically important.
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Article
Date
1997-11-01
Identifier
SAGE-10.1177/096973309700400605
ISSN-PRINT-0969-7330
http://journals.sagepub.com/doi/10.1177/096973309700400605
ISSN-PRINT-0969-7330
http://journals.sagepub.com/doi/10.1177/096973309700400605
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DOI
10.1177/096973309700400605