A model for conceptualizing the moral dynamic in health care

Foley Pierce, S.
November 1997
Nursing Ethics;Nov97, Vol. 4 Issue 6, p483
Academic Journal
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.


Related Articles

  • Judgement and the role of the metaphysics of values in medical ethics. Thornton, T. // Journal of Medical Ethics;Jun2006, Vol. 32 Issue 6, p365 

    Despite its authors' intentions, the four principles approach to medical ethics can become crudely algorithmic in practice. The first section sets out the bare bones of the four principles approach drawing out those aspects of Beauchamp and Childress s Principles of biomedical ethics that...

  • Are the Votes of Ethics Committees in Germany for the Protection of Clinical Study Trial Subjects 'Sovereign Acts?'. Graf, Hans-Peter // Science & Engineering Ethics;Jun2013, Vol. 19 Issue 2, p341 

    A sudden paradigm shift has resulted in governmental measures that greatly impact the scope in which the ethics committees in Germany can perform their task of providing expert opinions for clinical research. The so-called 'revaluation' of the Medical Device Law Deutsches Medizinproduktegesetz-...

  • Teaching Ethics to Future Physicians. Kipnis, Ken; Rhodes, Rosamond; Sheldon, Mark // APA Newsletters;Spring2004, Vol. 3 Issue 2, p30 

    Discusses several objectives that may be considered for educational courses that can challenge the ethical judgment and comprise the integrity of health care professionals. Areas of inquiry for teachers of medical ethics; Significant elements of the profession's sense of ethical responsibility.

  • Clinical Ethics Consultants are not "Ethics" Experts-But They do Have Expertise. RASMUSSEN, LISA M. // Journal of Medicine & Philosophy;Aug2016, Vol. 41 Issue 4, p384 

    The attempt to critique the profession of clinical ethics consultation by establishing the impossibility of ethics expertise has been a red herring. Decisions made in clinical ethics cases are almost never based purely on moral judgments. Instead, they are all-things-considered judgments that...

  • Request for comments and views on the Judgment in Burke v the General Medical Council – Summary of responses from clinical ethics committees. UK Clincial Ethics Network // Clinical Risk;Jul2005, Vol. 11 Issue 4, p168 

    The article presents a summary of responses from clinical ethics committees on the request for comments and views on the judgment in the judicial review of the General Medical Council guidance on withholding and withdrawing life-prolonging treatment. One clinical ethics committee chair commented...

  • Culture Clashes and Moral Judgments. Holmann, Paul B. // Healthcare Executive;Jan/Feb2011, Vol. 26 Issue 1, p52 

    The article discusses the ethical issues concerning moral judgment in healthcare in the U.S. It presents a situation of an elderly Chinese patient diagnosed with extensive metastatic cancer and moderate dementia wherein the family members decided that the patient must now know about his...

  • Ethics and the Dentist. Zawadzki, Henryk // Quintessence International;Mar1980, Vol. 11 Issue 3, p79 

    The article focuses on ethics in dentistry. Ethics permits a person to discriminate between right and wrong. It is stated that for dentists, the ethical code of behavior is to express their essential relationship to their patients and to their colleagues. It is mentioned that the goal of the...

  • De la Bioética a la Biojurídica: el principialismo y sus alternativas. Plaza, Isabel Cornejo // Acta Bioéthica;2012, Vol. 18 Issue 2, p273 

    No abstract available.

  • Medical researchers not as unbiased as they think.  // Medical Ethics Advisor;Jul2007, Vol. 23 Issue 7, p83 

    The article reports on the findings of a Weill Cornell Medical College research study on ethical judgments in medical research. Authors of the study argue that the ethical judgments are not always biased and can result in a better research. Inmaculada de Melo-Martín, one of the authors of the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics