Human rights and bioethics

Barilan, Yechiel Michael; Brusa, Margherita

doi:10.1136/jme.2007.020859

Cited by 8 publications

(4 citation statements)

References 25 publications

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“…However, the primary commitment of bioethical deliberation should be the good of the needy, most especially the victims of the action and inaction under deliberation. 70 In sum, rational reasoning as an action-oriented cumulative process is the hallmark of all sorts of deliberation. The addition of sincerity characterizes moral deliberation in general.…”

Section: The Conditions Constituting Moral Deliberationmentioning

confidence: 99%

Triangular Reflective Equilibrium: A Conscience-Based Method for Bioethical Deliberation

Barilan

Brusa

2010

Bioethics

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Following a discussion of some historical roots of conscience, we offer a systematized version of reflective equilibrium. Aiming at a comprehensive methodology for bioethical deliberation, we develop an expanded variant of reflective equilibrium, which we call 'triangular reflective equilibrium' and which incorporates insights from hermeneutics, critical theory and narrative ethics. We focus on a few distinctions, mainly between methods of justification in ethics and the social practice of bioethical deliberation, between coherence in ethical reasoning, personal integrity and consensus formation, and between political and moral deliberation. The ideal of deliberation is explicated as a sharing of conscience within a special commitment to sincerity and openness to persuasion. Personal growth in wisdom is an indirect by-product of the continuous practice of moral deliberation. This is explicated in the light of Sternberg's balance theory of wisdom and in the context of medicine as a profession embodying altruistic responsibilities of care in democratic and pluralistic societies.

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Section: The Conditions Constituting Moral Deliberationmentioning

confidence: 99%

Triangular Reflective Equilibrium: A Conscience-Based Method for Bioethical Deliberation

Barilan

Brusa

2010

Bioethics

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“…But “human rights” is not an ethical theory, but a paradigm of conceptualising certain ethical issues 26. Accordingly, doctors must be able to draw moral guidance from resources that are beyond any concrete role of caretaking and the language or rights.…”

Section: The Various Meanings Of “Responsibility” In Medical Carementioning

confidence: 99%

Responsibility as a meta-virtue: truth-telling, deliberation and wisdom in medical professionalism

Barilan

2009

J Med Ethics

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The article examines the new discourse on medical professionalism and responsibility through the prism of conflicts among moral values, especially with regard to truth-telling. The discussion is anchored in the renaissance of English-language writing on medical ethics in the 18(th) century, which paralleled the rise of humanitarianism and the advent of the word "responsibility". Following an analysis of the meanings of the value of responsibility in general and in medical practice in particular, it is argued that, similarly to the Aristotelian notion of equity, responsibility of care is a second-order value, which corrects virtues, laws and norms in exceptional circumstances. Virtues and practices of the second order, such as responsibility and deliberation, bear especially on professional doctoring, which includes a commitment to give priority to the good of the patient over one's own good. It is argued that, in situations of conflict, and particularly conflicts between personal moral identity and the good of patients, the fundamental professional commitment is to critical and rational deliberation and to the cultivation of psycho-moral flexibility. This leads indirectly to moral growth and strengthening of professional character.

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“…However, despite the clear importance of draping in clinical settings, patients report that healthcare providers do not always protect their dignity through appropriate draping techniques. 25 Numerous authors state that there is a need for education related to dignity and draping, 25,29,[36][37][38][39][40][41] but there is no consensus on the most appropriate method of providing this education. Moreover, the various draping directions to maintain patient dignity that are provided in the literature are vague and emphasize different aspects of draping procedures.…”

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confidence: 99%

Draping Education to Promote Patient Dignity: Canadian Physiotherapy Student and Instructor Perceptions

Wilson¹,

Hopkins-Rosseel²,

Lusty³

et al. 2012

Physiotherapy Canada

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Wilma Hopman, BA Hons (Psych), MA (Applied Psych) § ¶ ABSTRACT Purpose: To determine the perceptions of educators and students in Canadian entry-level professional physiotherapy programmes with respect to the current draping curriculum and the methods of delivery of that content and to determine if there is a need for additional draping education time and resources in these programmes. Methods: Canadian university physiotherapy students (n ¼ 127) and educators (n ¼ 183) completed questionnaires designed by the authors. Data were collected via Survey Monkey, exported as Excel files, and analyzed using descriptive statistics and Pearson chi-square analysis. Results: Students and educators agreed that dignity as a concept and draping as a skill to protect patient dignity are both important and should be included in Canadian physiotherapy curricula. Respondents also agreed that students often have difficulty with draping. Educators identified barriers to teaching draping while students identified components of an effective educational resource on draping. Conclusions: To enhance the development of effective draping skills among entry-level physiotherapists, draping education should be included in Canadian physiotherapy curricula. An effective draping educational resource should be developed for educators and students.

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Human rights and bioethics

Cited by 8 publications

References 25 publications

Triangular Reflective Equilibrium: A Conscience-Based Method for Bioethical Deliberation

Triangular Reflective Equilibrium: A Conscience-Based Method for Bioethical Deliberation

Responsibility as a meta-virtue: truth-telling, deliberation and wisdom in medical professionalism

Draping Education to Promote Patient Dignity: Canadian Physiotherapy Student and Instructor Perceptions

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