scholarly journals Caring and Bioethics: Perspectives, Predicaments and Possibilities

2021 ◽  
Author(s):  
◽  
Helen Cleary

<p>This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. Evidence is presented and examined from all three disciplines including critiques of caring, an ethic of care, and bioethics from all disciplinary perspectives. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is supported by more detailed and specific evidence regarding the value and the ‘good’ of caring and the ethical aspects of caring. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics’ deep past, as it still affects the discipline in the present. The development of contemporary bioethics’ current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are picked up, meticulously and comprehensively examined and refuted, establishing a sound case for the inclusion of an ethic of care in bioethical decision-making.</p>

2021 ◽  
Author(s):  
◽  
Helen Cleary

<p>This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. Evidence is presented and examined from all three disciplines including critiques of caring, an ethic of care, and bioethics from all disciplinary perspectives. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is supported by more detailed and specific evidence regarding the value and the ‘good’ of caring and the ethical aspects of caring. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics’ deep past, as it still affects the discipline in the present. The development of contemporary bioethics’ current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are picked up, meticulously and comprehensively examined and refuted, establishing a sound case for the inclusion of an ethic of care in bioethical decision-making.</p>


Author(s):  
Eko Budi Minarno

<p>Modern biology has been developing so rapidly that the field can amazingly provides great benefits for human beings’ prosperous life either at present or in the future.  It may, however, influence the ethical aspects negatively due to reductionism. Therefore, bioethics is highly required to control the devastating growth of modern biology and drive it toward persistent commitment upon human benefits (<em>maslahah</em>).</p> <p>This paper suggests that Bioethics–based learning be implemented in any educational level to develop the students’ critical thinking. Such learning might be put into practice by promoting the ethical decision-making method integrated with religious (Islamic) perspective. The integration would result in the students’ considering the six principles of Islamic bioethics in any modern biology studies so that the students can precisely predict the beneficial or dangerous consequences of their scientific activities.</p>


Author(s):  
Maria Dagla ◽  
Vasiliki Petousi ◽  
Antonios Poulios

This study presents, for the first time, empirical data on practices regarding bioethical decision-making in treatment of preterm and ill newborns in Greece. The aim of the study was to: (a) record self-reported practices and involvement of Greek physicians in decisions of withholding and withdrawing neonatal intensive care, and (b) explore the implication of cultural, ethical, and professional parameters in decision-making. Methods: 71 physicians, employed fulltime in all public Neonatal Intensive Care Units (NICUs) (n = 17) in Greece, completed an anonymous questionnaire between May 2009 and May 2011. Results: One-third of the physicians in our sample admitted that they have, at least once in the past, decided the limitation of intensive care of a newborn close to death (37.7%) and/or a newborn with unfavorable neurological prognosis (30.8%). The higher the physicians’ support towards the value of quality of human life, the more probable it was that they had taken a decision to withhold or withdraw neonatal intensive care (p < 0.05). Conclusions: Our research shows that Greek NICU physicians report considerably lower levels of ethical decision-making regarding preterm and ill newborns compared to their counterparts in other European countries. Clinical practices and attitudes towards ethical decision-making appear to be influenced mainly by the Greek physicians’ values.


2019 ◽  
Vol 14 (4) ◽  
pp. 187-194 ◽  
Author(s):  
Soile Juujärvi ◽  
Kirsi Ronkainen ◽  
Piia Silvennoinen

While the ethic of care has generally been regarded as an appropriate attitude for nurses, it has not received equal attention as a mode of ethical problem solving. The primary nursing model is expected to be aligned with the ethic of care because it emphases the nurse–patient relationship and enables more independent role for nurses in decision-making. The aim of this study was to examine nurses’ ethical decision-making in the context of primary nursing. Participants were seven nurses, and one physiotherapist from a geriatric rehabilitation unit of a public hospital in Finland. Data were collected through focus group interviews and qualitatively analyzed through Lyons’ coding scheme for moral orientations. The results showed that primary nurses employ empathic understanding and particularistic thinking when building relationships with patients and their families, and when assessing their needs for coping at home after discharge. Most ethical conflicts were related to discharge and were solved through balancing the ethics of care and justice considerations. It is concluded that care and justice are integrated in nurses’ everyday ethical decision-making. The ethic of care nurtures good patient–nurse relationships, while the ethic of justice is needed to address the fair delivery of care in the context of an aging population and diminishing public resources. Both ethics should be acknowledged in clinical practices and included in ethics education.


2018 ◽  
Vol 179 ◽  
pp. 03009 ◽  
Author(s):  
Sakineh Haghighattalab ◽  
An Chen ◽  
Mohammadreza Saghamanesh

Engineering as a profession has a direct effect on society and the environment. Engineering ethics is a part of the essence of engineering. One of the important branches of engineering profession is aerospace engineering. Furthermore, aerospace industry achievements play an undeniable role in our lives. Research and development in the aerospace domain have contributed to the progress of some new technologies in the last decades. The purpose of this study is to emphasize the importance of engineering ethics as an essential part of aerospace engineering. Engineering ethics examines professional responsibilities and ethical decision making of engineers. Moreover, codes of ethics help the engineers to apply ethical principles in critical conditions. The poor ethical decision-making of engineers leads to engineering failures which jeopardized human life and the environment. This paper by examining two case studies related to the field of aerospace engineering (Challenger and Columbia disasters) describes the role of the negligence of engineering ethics on the occurrence of engineering disasters.


2019 ◽  
Author(s):  
Leon René Sütfeld ◽  
Peter König ◽  
Gordon Pipa

Automated driving technology advances quickly, and self-driving vehicles will soon no longer need human supervision. The ethical questions that the technology brings with it, however, are diverse and not always easily solvable. In particular, the question of morally right behavior in dilemma situations presents an unsolved issue to date, a solution to which has the potential to make our roads significantly safer and fairer. The main contribution of this paper is a discussion of central issues with regard to the regulation and implementation of ethical decision making systems in automated vehicles. We review existing guidelines with respect to their theoretical and practical feasibility, and highlight a number of unsolved issues that need to be addressed in the pursuit of a framework for automated ethics. We conclude with a list of 10 central demands and open issues that should be discussed on a societal level and need to be addressed by regulators and manufacturers.


2015 ◽  
Vol 3 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Karin L. Price ◽  
Margaret E. Lee ◽  
Gia A. Washington ◽  
Mary L. Brandt

1992 ◽  
Author(s):  
Michael C. Gottlieb ◽  
◽  
Jack R. Sibley

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