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Ethics as process and practice.

A W Frank1

  • 1Department of Sociology, University of Calgary, Calgary, Alberta, Canada. frank@ucalgary.ca

Internal Medicine Journal
|July 2, 2004
PubMed
Summary
This summary is machine-generated.

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This article proposes viewing ethics as an ongoing process of interconnected decisions, rather than a fixed set of rules. It emphasizes that individual choices and patient care are influenced by past actions and competing interests over time.

Area of Science:

  • Bioethics
  • Philosophy of Medicine
  • Healthcare Ethics

Background:

  • Traditional views of ethics often focus on substantive rules and expert-defined solutions.
  • Institutional ethics can become a procedural checklist, potentially obscuring the core goal of ethical conduct.

Purpose of the Study:

  • To reframe the understanding of ethics from a static substance to a dynamic process.
  • To highlight the interconnectedness of decisions and their long-term impact in healthcare.

Main Methods:

  • Conceptual analysis of ethical decision-making in healthcare.
  • Exploration of the temporal and relational dimensions of ethical choices.

Main Results:

  • Ethics is better understood as a continuous process involving interdependent lives and decisions.
Keywords:
Bioethics and Professional Ethics

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  • Decisions are influenced by prior choices and affect future outcomes, extending beyond immediate ethical considerations.
  • Conflicts of legitimate interests and difficult choices are inherent to the ethical process.

    • Conclusions:

    • Shifting from a substantive to a process-oriented view of ethics can lead to more meaningful ethical practice.
    • Recognizing the dynamic and interconnected nature of ethical decisions is crucial for healthcare professionals.
    • Prescribed ethical activities may inadvertently detract from the fundamental aim of being ethical.