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Bernhard Bleyer

Pragmatic Judgments in Direct Patient Care: Moral Theory at the Beginning of Clinical Ethics Consultation

Pragmatic Judgments in Direct Patient Care: Moral Theory at the Beginning of Clinical Ethics Consultation

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A hospital needs an ethics consultation to address serious decision-making conflicts in everyday clinical life and uncover disputes that have followed in public. Clinical ethics counselling provides new insights into these conflicts and uncovers previously unexplored evidence, reconstructing a philosophical school of thought.

Format: Paperback / softback
Length: 132 pages
Publication date: 17 February 2024
Publisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG


A hospital needs an ethics consultation for several reasons. Firstly, it helps to ensure that patients receive ethical and compassionate care that aligns with their values and preferences. Ethics consultations involve a trained professional who assesses the patient's situation, discusses the ethical issues involved, and provides guidance on how to proceed. This can help to prevent ethical conflicts and ensure that patients are treated with respect and dignity.

Secondly, ethics consultations can help to improve the quality of care. By identifying and addressing ethical issues, healthcare providers can make better decisions that can improve patient outcomes. This can include decisions about treatment options, end-of-life care, and patient privacy.

Thirdly, ethics consultations can help to protect healthcare providers from legal liability. In many cases, ethical issues can lead to legal disputes, and ethics consultations can help to prevent these disputes from occurring. By providing guidance on ethical issues, healthcare providers can ensure that they are acting in a legally responsible manner.

However, ethics consultations can also be controversial. Some people argue that ethics consultations are unnecessary and that healthcare providers should be able to make their own ethical decisions without outside interference. Others argue that ethics consultations are essential and that they can help to improve the quality of care.

One of the ethical issues that can arise in clinical ethics counselling is the issue of confidentiality. Confidentiality is a fundamental principle of healthcare, and it is important to ensure that patient information is kept private. However, there may be times when confidentiality must be breached in order to protect the patient or others. For example, if a patient is in danger of harming themselves or others, healthcare providers may need to disclose information to law enforcement or other authorities.

Another ethical issue that can arise in clinical ethics counselling is the issue of informed consent. Informed consent is the process by which a patient gives their consent to a medical procedure or treatment. It is important to ensure that patients are fully informed about the risks and benefits of the procedure or treatment and that they have the ability to make an informed decision. However, there may be times when patients are unable to make an informed decision, such as when they are unconscious or have a mental health disorder.

To address these ethical issues, ethics consultations can involve a variety of techniques. These techniques may include interviewing the patient, reviewing the patient's medical records, and consulting with other healthcare providers. Ethics consultations can also involve developing a care plan that takes into account the patient's ethical values and preferences.

In conclusion, a hospital needs an ethics consultation for several reasons. It helps to ensure that patients receive ethical and compassionate care that aligns with their values and preferences, improves the quality of care, protects healthcare providers from legal liability, and addresses ethical issues such as confidentiality and informed consent. While ethics consultations can be controversial, they are essential to the practice of healthcare. By providing guidance on ethical issues, healthcare providers can ensure that they are acting in a legally responsible manner and that they are providing the best possible care to their patients.


Dimension: 235 x 155 (mm)
ISBN-13: 9783662668214
Edition number: 1st ed. 2023

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