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Clinical pragmatism: a method of moral problem solving.

Joseph J Fins, Matthew D Bacchetta, Franklin G Miller

    Kennedy Institute of Ethics Journal
    |June 1, 1997
    PubMed
    Summary

    This paper introduces clinical pragmatism, a novel method for ethical decision-making in healthcare. It integrates clinical and ethical reasoning through assessment and consensus-building for better moral problem-solving.

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    Area of Science:

    • Bioethics
    • Clinical Ethics
    • Philosophy of Medicine

    Background:

    • Clinical decision-making often involves complex moral dilemmas.
    • Existing ethical frameworks may not fully address the nuances of clinical practice.
    • John Dewey's philosophy offers a potential foundation for a new approach.

    Observation:

    • Moral problem-solving in clinical settings requires integrating patient care with ethical considerations.
    • Interpersonal dynamics, assessment, and consensus are crucial for ethical decision-making.
    • Ethical analysis must consider relevant moral factors within the clinical context.

    Findings:

    • Clinical pragmatism is presented as a method inspired by John Dewey's philosophy.
    • This approach integrates clinical and ethical decision-making processes.
    Keywords:
    Analytical ApproachBioethics and Professional EthicsDeath and Euthanasia

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  • The method emphasizes interpersonal assessment, consensus formation, and ethical analysis.

    • Implications:

    • Clinical pragmatism offers a structured approach to navigating moral challenges in healthcare.
    • It provides a framework for enhancing ethical decision-making in clinical practice.
    • The method's implications for principle-based ethics are explored, suggesting a more integrated approach.