A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals bring in their actual moral questions during a structured dialogue. The ethicist facilitates the learning process by using various conversation methods in order to find answers to the case and to develop moral competencies. The case deliberations are not unique events, but are a structural part of the professional training on the work floor within healthcare institutions. This article presents the underlying theory on (teaching) ethics and illustrates this approach with an example of a moral case deliberation project in a Dutch psychiatric hospital. The project was evaluated using the method of responsive evaluation. This method provided us with rich information about the implementation process and effects the research process itself also lent support to the process of implementation.
- pragmatic hermeneutics
- dialogical ethics
- moral case deliberation
- moral competencies
- responsive evaluation
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Competing interests: None.
Read the full text or download the PDF:
Other content recommended for you
- Morisprudence: a theoretical framework for studying the relationship linking moral case deliberation, organisational learning and quality improvement
- Training healthcare professionals as moral case deliberation facilitators: evaluation of a Dutch training programme
- Moral case deliberation
- Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff
- Important outcomes of moral case deliberation: a Euro-MCD field survey of healthcare professionals’ priorities
- Relevance of a normative framework for evaluating the impact of clinical ethics support services in healthcare
- Ethical conflicts during the process of deciding about ICU admission: an empirically driven ethical analysis
- Materialising and fostering organisational morisprudence through ethics support tools
- Evaluation of clinical ethics support services and its normativity
- Analogy in moral deliberation: the role of imagination and theory in ethics