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Practical virtue ethics: healthcare whistleblowing and portable digital technology

机译:实践道德规范:医疗举报和便携式数字技术

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摘要

Virtue ethics, emphasising techniques promoting an agent's character and instructing their conscience, has become a significant mode of discourse in modern medical ethics. Healthcare whistleblowers, whose complaints are reasonable, made in good faith, in the public interest, and not vexatious, we argue, are practising those obligations of professional conscience foundational to virtue based medical ethics. Yet, little extant virtue ethics scholarship seriously considers the theoretical foundations of healthcare whistleblowing. The authors examine whether healthcare whistleblowing should be considered central to any medical ethics emphasising professional virtues and conscience. They consider possible causes for the paucity of professional or academic interest in this area and examine the counterinfluence of a continuing historical tradition of guild mentality professionalism that routinely places relationships with colleagues ahead of patient safety. Finally, it is proposed that a virtue based ethos of medical professionalism, exhibiting transparency and sincerity with regard to achieving uniform quality and safety of health care, may be facilitated by introducing a technological imperative using portable computing devices. Their use by trainees, focused on ethical competence, provides the practical face of virtue ethics in medical education and practice. Indeed, it assists in transforming the professional conscience of whistleblowing into a practical, virtue based culture of self reporting and personal development.
机译:美德伦理学,强调提升代理人性格并指导其良知的技术,已成为现代医学伦理学中一种重要的论述方式。我们认为,医疗投诉举报人的投诉是合理的,是出于公共利益,真诚地,出于公共利益而不是无理取闹地提出的,他们正在实践基于道德美德的职业良心义务。然而,很少有现成的德育伦理学认真考虑医疗举报的理论基础。作者研究了是否应将医疗举报视为任何强调职业美德和良心的医学伦理学的核心。他们考虑了在该领域缺乏专业或学术兴趣的可能原因,并研究了行会心态专业化的持续历史传统的反作用,该传统通常将与同事的关系置于患者安全之前。最后,提出了通过引入使用便携式计算设备的技术要求,可以促进基于德性的医学专业精神,其在实现医疗保健的统一质量和安全性方面表现出透明性和诚意。受训人员对道德能力的使用,侧重于道德能力,在医学教育和实践中提供了道德伦理的实际面目。的确,它有助于将举报的专业良知转变为一种实用的,基于美德的自我报告和个人发展文化。

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