Conceptualizing Boundaries for the Professionalization of Healthcare Ethics Practice: A Call for Empirical Research

Brown, Nancy C.; McGee, Summer

doi:10.1007/s10730-014-9240-x

Cited by 4 publications

(3 citation statements)

References 55 publications

(34 reference statements)

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“…Especially in the field of ethics, activities are strongly tied to people, their knowledge, characteristics and behaviour. 11 There is evidence that some clinically integrated interventions have led to improvements in the knowledge, skills and/or attitudes of professionals. 10,12 It is not known, however, how and to what extent ethics or value bases in healthcare have been or can be improved using interventions.…”

Section: Introductionmentioning

confidence: 99%

Ethics interventions for healthcare professionals and students: A systematic review

Stolt¹,

Leino‐Kilpi

Ruokonen³

et al. 2017

Nurs Ethics

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Section: Introductionmentioning

confidence: 99%

Ethics interventions for healthcare professionals and students: A systematic review

Stolt¹,

Leino‐Kilpi

Ruokonen³

et al. 2017

Nurs Ethics

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“…As previously noted, the emphasis currently being placed upon professionalization on the one hand and attention to medical ethics on the other, calls for an empirical investigation that is able to contribute to a more successful amalgamation of the theoretical, ethical, and practical dimensions of healthcare research [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Today´s medical self and the other: Challenges and evolving solutions for enhanced humanization and quality of care

et al. 2017

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BackgroundRecent scientific developments, along with growing awareness of cultural and social diversity, have led to a continuously growing range of available treatment options; however, such developments occasionally lead to an undesirable imbalance between science, technology and humanism in clinical practice. This study explores the understanding and practice of values and value clusters in real-life clinical settings, as well as their role in the humanization of medicine and its institutions. The research focuses on the values of clinical practice as a means of finding ways to enhance the pairing of Evidence-Based Medicine (EBM) with Values-based Medicine (VBM) in daily practice.Methods and findingsThe views and representations of clinical practice in 15 pre-CME and 15 post-CME interviews were obtained from a random sampling of active healthcare professionals. These views were then identified and qualitatively analyzed using a three-step hermeneutical approach.A clinical values space was identified in which ethical and epistemic values emerge, grow and develop within the biomedical, ethical, and socio-economic dimensions of everyday health care. Three main values—as well as the dynamic clusters and networks that they tend to form—were recognized: healthcare personnel-patient relationships, empathy, and respect. An examination of the interviews suggested that an adequate conceptualization of values leads to the formation of a wider axiological system. The role of clinician-as-consociate emerged as an ideal for achieving medical excellence.ConclusionsBy showing the intricate clusters and networks into which values are interwoven, our analysis suggests methods for fine-tuning educational interventions so they can lead to demonstrable changes in attitudes and practices.

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“…The pandemic brought by COVID-19 has called healthcare practice for a reevaluation of the configuration of knowledge upon which it builds itself. In this day and age, the pressure of global and local changes going on in epidemiology, demographics, and healthcare personnel-patients relationship is triggered by the accelerated biomedical and biotechnological advances (5)(6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Appealing to Tacit Knowledge and Axiology to Enhance Medical Practice in the COVID-19 Pandemic: A Systematic Review and Hermeneutic Bioethical Analysis

Serrano-Zamago

Altamirano-Bustamante

2021

Front. Public Health

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Background: The pressure of coronavirus disease 2019 (COVID-19) pandemic, epidemiological and demographic changes, personnel-patient relationship in healthcare, and the development of biotechnologies do not go unnoticed by the healthcare professional. Changes are so wide and at a high rate that guidelines and mere scientific knowledge, which are represented by evidence-based medicine, are not sufficient to lead actions, thus the experiential aspects in the configuration of an ethos present as a fundamental part of the resources to deal with critical scenarios, such as a pandemic. In this regard, the recognition of tacit knowledge as a way of teaching and learning skills related to ethical aspects such as principles, virtues, and values, revealed as a fundamental part of the clinical field. The challenge is to strengthen binomial evidence-based medicine and values-based in order to achieve excellence in the health care of the patients and the well-being of the clinical personnel.Method: A 2-fold analysis was conducted taking pediatric endocrinology as an example. First, a systematic review was carried out in electronic databases BIREME, PubMed, and PhilPapers following PEO and PRISMA approaches. A total of 132 articles were garnered. After reading their title and abstract, 30 articles were obtained. Quantitative information was arranged in an Excel database according to three themes: ethics, axiology, and tacit knowledge. A quality criterion that meets our research question was assigned to each article and those which had a quality criterion of 3 (9) were taken to carry out the hermeneutic bioethical analysis, which consisted of three stages, namely naïve reading, codification, and interpretation. The results were analyzed in Atlas.ti. to elucidate the relations between the three main themes in accordance with the objective.Results: Although there was no difference in the frequency of tacit knowledge skills, including cognitive, social, and technical, for medical practice, there is an intrinsic relationship between epistemic and ethical values with cognitive skills, this means that professionals who practice honesty, authenticity and self-control are capable of seeing patients as persons and thus respect their dignity. This suggested that there is a strong partnership between evidence-based medicine and value-based medicine, which reinforced this binomial as the two feet on which medical practice decisions rested. With regard to tacit knowledge in terms of the context of the COVID-19 pandemic, the challenges refer to (1) adapting and learning a new way of establishing trust with the patient and (2) how to capitalize on the new knowledge that new experiences have posed.Discussion: The analysis of ethical-tacit knowledge in medicine is a recent phenomenon and is in full development. Although no references were found that dealt with any of the main topics in pediatric endocrinology, there is an interest in pediatrics to explore and discuss educational strategies in ethics related to its tacit dimension as a vector of enhancement in the clinical practice. Educational strategies ought to take into consideration the development of skills that promote reflection and discussion of experiences, even more vigorously in the context of the COVID-19 pandemic.

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Conceptualizing Boundaries for the Professionalization of Healthcare Ethics Practice: A Call for Empirical Research

Cited by 4 publications

References 55 publications

Ethics interventions for healthcare professionals and students: A systematic review

Ethics interventions for healthcare professionals and students: A systematic review

Today´s medical self and the other: Challenges and evolving solutions for enhanced humanization and quality of care

Appealing to Tacit Knowledge and Axiology to Enhance Medical Practice in the COVID-19 Pandemic: A Systematic Review and Hermeneutic Bioethical Analysis

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