A Model for Conceptualizing the Moral Dynamic in Health Care
Pierce, Susan Foley
Nursing Ethics. 1997 Nov; 4(6): 483-495.
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.
Autonomy; Bioethical Issues; Caring; Compassion; Decision Making; Emotions; Empathy; Ethical Theory; Ethics; Females; Health; Health Care; Justice; Males; Medical Ethics; Moral Development; Morality; Nature; Nurse's Role; Nurses; Nursing Ethics; Patient Care; Patient Care Team; Patients; Physician's Role; Physicians; Science; Self Concept; Technical Expertise; Terminal Care; Values; Virtues; Theoretical Models;
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