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The changing landscape of care: does ethics education have a new role to play in health practice?
BACKGROUND: In the UK, higher education and health care providers share responsibility for educating the workforce. The challenges facing health practice also face health education and as educators we are implicated, by the way we design curricula and through students’ experiences and their stories....
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494169/ https://www.ncbi.nlm.nih.gov/pubmed/25952752 http://dx.doi.org/10.1186/s12910-015-0005-0 |
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author | Wintrup, Julie |
author_facet | Wintrup, Julie |
author_sort | Wintrup, Julie |
collection | PubMed |
description | BACKGROUND: In the UK, higher education and health care providers share responsibility for educating the workforce. The challenges facing health practice also face health education and as educators we are implicated, by the way we design curricula and through students’ experiences and their stories. This paper asks whether ethics education has a new role to play, in a context of major organisational change, a global and national austerity agenda and the ramifications of disturbing reports of failures in care. It asks: how would it be different if equal amounts of attention were given to the conditions in which health decisions are made, if the ethics of organisational and policy decisions were examined, and if guiding collaborations with patients and others who use services informed ethics education and its processes? DISCUSSION: This is in three parts. In part one an example from an inspection report is used to question the ways in which clinical events are decontextualised and constructed for different purposes. Ramifications of a decision are reflected upon and a case made for different kinds of allegiances to be developed. In part two I go on to broaden the scope of ethics education and make a case for beginning with the messy realities of practice rather than with overarching moral theories. The importance of power in ethical practice is introduced, and in part three the need for greater political and personal awareness is proposed as a condition of moral agency. SUMMARY: This paper proposes that ethics education has a new contribution to make, in supporting and promoting ethical practice – as it is defined in and by the everyday actions and decisions of practitioners and people who need health services. Ethics education that promotes moral agency, rather than problem solving approaches, would explore not only clinical problems, but also the difficult and contested arenas in which they occur. It would seek multiple perspectives and would begin with places and people, and their priorities. It would support students to locate their practice in imperfect global contexts, and to understand how individual and collective forms of power can influence healthcare quality. |
format | Online Article Text |
id | pubmed-4494169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44941692015-07-08 The changing landscape of care: does ethics education have a new role to play in health practice? Wintrup, Julie BMC Med Ethics Debate BACKGROUND: In the UK, higher education and health care providers share responsibility for educating the workforce. The challenges facing health practice also face health education and as educators we are implicated, by the way we design curricula and through students’ experiences and their stories. This paper asks whether ethics education has a new role to play, in a context of major organisational change, a global and national austerity agenda and the ramifications of disturbing reports of failures in care. It asks: how would it be different if equal amounts of attention were given to the conditions in which health decisions are made, if the ethics of organisational and policy decisions were examined, and if guiding collaborations with patients and others who use services informed ethics education and its processes? DISCUSSION: This is in three parts. In part one an example from an inspection report is used to question the ways in which clinical events are decontextualised and constructed for different purposes. Ramifications of a decision are reflected upon and a case made for different kinds of allegiances to be developed. In part two I go on to broaden the scope of ethics education and make a case for beginning with the messy realities of practice rather than with overarching moral theories. The importance of power in ethical practice is introduced, and in part three the need for greater political and personal awareness is proposed as a condition of moral agency. SUMMARY: This paper proposes that ethics education has a new contribution to make, in supporting and promoting ethical practice – as it is defined in and by the everyday actions and decisions of practitioners and people who need health services. Ethics education that promotes moral agency, rather than problem solving approaches, would explore not only clinical problems, but also the difficult and contested arenas in which they occur. It would seek multiple perspectives and would begin with places and people, and their priorities. It would support students to locate their practice in imperfect global contexts, and to understand how individual and collective forms of power can influence healthcare quality. BioMed Central 2015-05-08 /pmc/articles/PMC4494169/ /pubmed/25952752 http://dx.doi.org/10.1186/s12910-015-0005-0 Text en © Wintrup; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Debate Wintrup, Julie The changing landscape of care: does ethics education have a new role to play in health practice? |
title | The changing landscape of care: does ethics education have a new role to play in health practice? |
title_full | The changing landscape of care: does ethics education have a new role to play in health practice? |
title_fullStr | The changing landscape of care: does ethics education have a new role to play in health practice? |
title_full_unstemmed | The changing landscape of care: does ethics education have a new role to play in health practice? |
title_short | The changing landscape of care: does ethics education have a new role to play in health practice? |
title_sort | changing landscape of care: does ethics education have a new role to play in health practice? |
topic | Debate |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494169/ https://www.ncbi.nlm.nih.gov/pubmed/25952752 http://dx.doi.org/10.1186/s12910-015-0005-0 |
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