Abstract:
AbstractA long-standing tenet of healthcare clinical ethics consultation has involved the neutrality of the ethicist. However, recent pressing societal issues have challenged this viewpoint. Perhaps now more than ever before, ethicists are being called upon to take up roles in public health, policy, and other community-oriented endeavors. In this article, I first review the concept of professional advocacy and contrast this conceptualization with the role of patient advocate, utilizing the profession of nursing as an exemplar. Then, I explore the status of advocacy in clinical ethics and how this conversation intersects with the existing professional obligations of the bioethicist, arguing that the goals of ethics consultation and ethical obligations of the clinical ethicist are compatible with the role of professional advocate. Finally, I explore potential barriers to professional advocacy and offer suggestions for a path forward.
摘要:
医疗保健临床伦理咨询的长期宗旨涉及伦理学家的中立性。然而,最近紧迫的社会问题挑战了这一观点。也许现在比以往任何时候都多,伦理学家被要求在公共卫生中发挥作用,政策,和其他面向社区的努力。在这篇文章中,我首先回顾了专业倡导的概念,并将这种概念化与患者倡导者的角色进行了对比,以护理专业为范例。然后,我探讨了临床伦理学中倡导的地位,以及这种对话如何与生物伦理学家现有的专业义务相交,认为临床伦理学家的伦理咨询目标和伦理义务与专业倡导者的角色是一致的。最后,我探索职业宣传的潜在障碍,并为前进的道路提供建议。