scholarly journals Virtue ethics: an approach to moral dilemmas in nursing

Curationis ◽  
2005 ◽  
Vol 28 (3) ◽  
Author(s):  
E Arries

Nurses are increasingly confronted with situations of moral difficulty, such as not to feed terminally ill patients, whistle blowing, or participation in termination of pregnancy. Most of these moral dilemmas are often analyzed using the principle-based approach which applies the four moral principles of justice, autonomy, beneficence, and nonmalificence. In some instances, consequentialism is considered, but these frameworks have their limitations. Their limitations has to do with a consideration for the interpersonal nature of clinical nursing practice on the one hand, and is not always clear on how to judge which consequences are best on the other hand. When principles are in conflict it is not always easy to decide which principle should dominate. Furthermore, these frameworks do not take into account the importance of the interpersonal and emotional element of human experience. On the contrary, decision making about moral issues in healthcare demands that nurses exercise rational control over emotions. This clearly focuses the attention on the nurse as moral agent and in particular their character. In this article I argue that virtue ethics as an approach, which focus of the character of a person, might provide a more holistic analysis of moral dilemmas in nursing and might facilitate more flexible and creative solutions when combined with other theories of moral decision-making. Advancing this argument, firstly, I provide the central features of virtue ethics. Secondly I describe a story in which a moral dilemma is evident. Lastly I apply virtue ethics as an approach to this moral dilemma and in particular focusing on the virtues inherent in the nurse as moral agent in the story.

2020 ◽  
Vol 20 (2) ◽  
pp. 27-52
Author(s):  
Kow Kwegya Amissah Abraham

Central to the philosophical discourse on duty is its ontology, the sanctioning entity, and what legitimises an act to assume the status of duty. Kant  conceives of duty to involve the recognition of, and submission to the moral law. The focus of this work is to critically interrogate the Kantian  conception of duty normatively and the veracity of its application when the conceptualisation assumes practical posture. This is to understand as to whether acting from duty on the one hand, and the universalizability of a moral law according to which a moral agent ought to act on the other hand, guarantees that one acts without any consideration, but for duty. The import is to offer a pragmatic perspective to understandingKant’s conception and to realign his metaphysical conceptualisation of duty within human capabilities. We do this with the position that duty must be within the practical capabilities of humans in moral decision-making. Keywords: Deontology, Duty, Kantian, Moral Law.


2021 ◽  
Author(s):  
Arathy Puthillam ◽  
Hansika Kapoor

Conservatives are known to display smaller moral circles, have less empathy, and make utilitarian decisions. The present study aimed to understand the relationships between political ideology and empathetic concern (n = 513), and between ideology and moral decision-making (n = 210) in an inter-group setting, using an Indian sample. We measured trait empathetic concern and empathetic concern for the ingroup (i.e., their own religion) and outgroup (i.e., Muslims) using the Interpersonal Reactivity Index, and measured moral decision-making for a non-denominational group and in- and out-group using modified moral dilemmas. We found that right-leaning individuals, in terms of greater adherence to cultural norms, displayed higher levels of trait empathetic concern, as well as that for in- and outgroups; they were also more willing to sacrifice the outgroup to save multiple ingroup members in moral dilemma tasks, and thus made utilitarian moral decisions when sacrificing outgroup lives were concerned. Additionally, those leaning left, in terms of lower adherence to hierarchical structures, showed higher levels of empathetic concern for the outgroup. Implications and future avenues are discussed.


2019 ◽  
Vol 64 (2-3) ◽  
pp. 231-260
Author(s):  
Pazit Ben-Nun Bloom ◽  
Shaul Kimhi ◽  
Shani Fachter ◽  
Michal Shamai ◽  
Daphna Canetti

Moral dilemmas amid war on terrorism include repeated harsh moral choices, which often pose threats to one’s moral image. Given that people strive to view themselves as moral, how do they cope with such morally compromising decisions? We suggest and test two strategies to cope with morally threatening decision-making under in-group moral responsibility amid war on terrorism: (a) trivialization of the moral dilemma and (b) resentment toward the target. Four experimental studies measured (study 1) and manipulated (studies 2–4) these hypothesized mechanisms, presenting a similar collateral damage dilemma to Israeli Jews in the context of the 2014 Gaza conflict (studies 1 and 2) and to Americans in the context of the US campaign against Islamic State of Iraq and Syria (ISIS) (studies 3 and 4). Results demonstrate that both trivialization and resentment facilitate harsh moral choices under conditions of moral accountability. Studying the mechanism underlying moral decision-making in conflicts is key to understanding moral injury and the process of moral repair.


2020 ◽  
Vol 10 (5) ◽  
pp. 303
Author(s):  
Shawn E. Fagan ◽  
Liat Kofler ◽  
Sarah Riccio ◽  
Yu Gao

In moral dilemma tasks, high levels of psychopathic traits often predict increased utilitarian responding—specifically, endorsing sacrificing one person to save many. Research suggests that increased arousal (i.e., somatic marker production) underlies lower rates of utilitarian responding during moral dilemmas. Though deficient somatic marker production is characteristic of psychopathy, how this deficit affects the psychopathy–utilitarian connection remains unknown. We assessed psychopathic traits in undergraduates, as well as behavioral performance and skin conductance level reactivity (SCL-R; a measure of somatic marker production) during a moral dilemma task. High psychopathic traits and low SCL-R were associated with increased utilitarian decisions in dilemmas involving direct personal harm. Psychopathic traits were unrelated to SCL-R, nor did SCL-R mediate the relationship between psychopathy and utilitarianism. The present study did not find evidence that somatic marker production explains the connection between utilitarianism and psychopathy in a college population. Further research is necessary to identify the neural mechanisms relating psychopathy and moral decision-making in nonclinical samples.


2019 ◽  
Author(s):  
Andreas Kappes ◽  
Jay Joseph Van Bavel

From moral philosophy to programming driverless cars, scholars have long been interested in how to shape moral decision-making. We examine how framing can impact moral judgments either by shaping which emotional reactions are evoked in a situation (antecedent-focused) or by changing how people respond to their emotional reactions (response-focused). In three experiments, we manipulated the framing of a moral decision-making task before participants judged a series of moral dilemmas. Participants encouraged to go “with their first” response beforehand favored emotion-driven judgments on high-conflict moral dilemmas. In contrast, participants who were instructed to give a “thoughtful” response beforehand or who did not receive instructions on how to approach the dilemmas favored reason-driven judgments. There was no difference in response-focused control during moral judgements. Process-dissociation confirmed that people instructed to go with their first response had stronger emotion-driven intuitions than other conditions. Our results suggest that task framing can alter moral intuitions.


2016 ◽  
Vol 33 (S1) ◽  
pp. S140-S140
Author(s):  
F. Keshvari ◽  
Z. Rezvani ◽  
F. Ghassemi ◽  
H. Pouretemad

In the stream of flurry of publications grappling different paradigms to tackle underlying mechanisms of moral decision-making, EVENT RELATED POTENtial (ERP) studies is beginning to explore psychophysiological components in the moral domain, focused on observing various moral behaviors in the experimental situations. This research was aimed at providing a new method of study investigating neural correlates of subjective moral decision-making in which we hypothesize that the social congruent or in-congruent context, could emerge a salience brain response in intuitive or cognitive control related responses toward moral dilemmas. Electrophysiological data were recorded from the scalp a 32-channel recording system complying with the international 10–20 system. The average N2 (175–300 ms) and LPP (300–600 ms) amplitude and latency were measured after the onset of putative counterpart response. Repeated measure ANOVA revealed that there was a difference between congruent versus in-congruent social response to high conflict scenarios in LPP amplitude in right lateral and frontal electrodes F(4, 174) = 5.812, P < 0.001 (Fig. 1). The findings also, suggest that N2 latency in less conflict moral scenarios may appear earlier compared with high conflict moral scenarios during in congruent social response in frontal electrodes especially left area F(3, 174) = 3.013, P < 0.05 (Fig. 2, figures are not available for this abstract). In conclusion, these results were either extend previous neurophysiological findings on classic moral scenarios and consistent with the notion that right hemisphere would be much more representative of cognitive control process during high conflict moral decision-making, while left frontal electrodes engaged in early intuitive process.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Author(s):  
◽  
Sophia Strojny

<p>Moral dilemmas require individuals to make a life-altering choice. Due to the severity of the choice, we argue that there is a degree of fear in moral decision-making. We aimed to see how prevailing fears in each individual predicts moral decision-making habits. We looked into the emotional and physical divisions of fear to deem which dimension of fear is more dominant in each participant. Then analysed these results against reported deontological or utilitarian moral inclinations to see if higher reports of fear impact moral decision-making. Additionally, we included two secondary variables that are most prevalent in fear research (gender and thinking styles) as well as the impact of burden on moral choice. We found that our research was supported; fear tendencies are linked to individual behaviours and burden of moral decisions was influenced by what we fear and affected moral choices.</p>


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Darius-Aurel Frank ◽  
Polymeros Chrysochou ◽  
Panagiotis Mitkidis ◽  
Dan Ariely

Abstract The development of artificial intelligence has led researchers to study the ethical principles that should guide machine behavior. The challenge in building machine morality based on people’s moral decisions, however, is accounting for the biases in human moral decision-making. In seven studies, this paper investigates how people’s personal perspectives and decision-making modes affect their decisions in the moral dilemmas faced by autonomous vehicles. Moreover, it determines the variations in people’s moral decisions that can be attributed to the situational factors of the dilemmas. The reported studies demonstrate that people’s moral decisions, regardless of the presented dilemma, are biased by their decision-making mode and personal perspective. Under intuitive moral decisions, participants shift more towards a deontological doctrine by sacrificing the passenger instead of the pedestrian. In addition, once the personal perspective is made salient participants preserve the lives of that perspective, i.e. the passenger shifts towards sacrificing the pedestrian, and vice versa. These biases in people’s moral decisions underline the social challenge in the design of a universal moral code for autonomous vehicles. We discuss the implications of our findings and provide directions for future research.


Author(s):  
Susanne Brouwer

Abstract This study examined whether the Foreign-Language effect, an increase in bilinguals’ rate of rational decisions to moral dilemmas in their foreign versus their native language, is influenced by emotion and the modality in which the dilemmas are presented. 154 Dutch–English bilinguals were asked to read and listen to personal and impersonal moral dilemmas in Dutch or in English. Importantly, the reading task had the character of a self-paced reading task to resemble the listening task as closely as possible. In both modalities, participants’ task was to indicate whether the proposed action was appropriate or not. Results showed that the Foreign-Language effect was present for personal dilemmas only. In addition, an effect of modality demonstrated that participants took overall more rational decisions during the listening than the reading task. These findings give insight in the interplay between language, emotion and task demands, revealing that moral decision making is context-dependent.


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