Theory and practice of integrative clinical ethics support: a joint experience within gender affirmative care

BMC Medical Ethics 21 (1):1-13 (2020)
  Copy   BIBTEX

Abstract

BackgroundClinical ethics support aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study in which we offered CES to a team that provides transgender health care and reflecting on the theoretical underpinnings of our work stemming from pragmatism, hermeneutics and organizational and educational sciences.ResultsIn this paper we describe five key characteristics of an integrative approach to CES; 1. Positioning CES more within care practices, 2. Involving new perspectives, 3. Creating co-ownership of CES, 4. Paying attention to follow up, and 5. Developing innovative CES activities through an emerging design.ConclusionsIn the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada. Furthermore, we reflect on how an integrative approach to CES can help to handle some of the challenges of current CES.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,322

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Analytics

Added to PP
2020-08-26

Downloads
29 (#532,461)

6 months
21 (#121,154)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Guy Widdershoven
VU University Amsterdam

References found in this work

Truth and Method.H. G. Gadamer - 1975 - Journal of Aesthetics and Art Criticism 36 (4):487-490.
The Fixation of Belief.C. S. Peirce - 1877 - Popular Science Monthly 12 (1):1-15.
Pragmatism.William James - 1922 - New York [etc.]: Longmans, Green and co.. Edited by William James & Doris Olin.
Pragmatism.W. James & F. C. S. Schiller - 1907 - Revue de Métaphysique et de Morale 15 (5):19-19.
Pragmatism.William James - 1977 - Transactions of the Charles S. Peirce Society 13 (4):306-312.

View all 27 references / Add more references