Evidence map›Paper›PMID 30684092›Full record

ArticleMedicine, health care, and philosophy2019

A pragmatist approach to clinical ethics support: overcoming the perils of ethical pluralism.

Giulia Inguaggiato, Suzanne Metselaar, Rouven Porz, Guy Widdershoven

Abstract read
In one paragraph

Article in Medicine, health care, and philosophy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. A Proposal for Addressing Bioethical Concerns Along the 10-Step Framework for Community Engagement.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Conceptualizing and Fostering the Quality of CES Through a Dutch National Network on CES (NEON).HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Giulia InguaggiatoDepartment of Medical Humanities, EMGO+ Institute for Health and Care Research, VU University Medical Centre (VUmc), Amsterdam, The Netherlands. g.inguaggiato@vumc.nl.
Suzanne MetselaarDepartment of Medical Humanities, EMGO+ Institute for Health and Care Research, VU University Medical Centre (VUmc), Amsterdam, The Netherlands.
Rouven PorzClinical Ethics Unit, Bern University Hospital 'Inselspital', Inselgruppe AG, Bern, Switzerland.
Guy WiddershovenDepartment of Medical Humanities, EMGO+ Institute for Health and Care Research, VU University Medical Centre (VUmc), Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In today's pluralistic society, clinical ethics consultation cannot count on a pre-given set of rules and principles to be applied to a specific situation, because such an approach would deny the existence of different and divergent backgrounds by imposing a dogmatic and transcultural morality. Clinical ethics support (CES) needs to overcome this lack of foundations and conjugate the respect for the difference at stake with the necessity to find shared and workable solutions for ethical issues encountered in clinical practice. We argue that a pragmatist approach to CES, based on the philosophical theories of William James, John Dewey, and Charles Sanders Peirce, can help to achieve the goal of reaching practical solutions for moral problems in the context of today's clinical environment, characterized by ethical pluralism. In this article, we outline a pragmatist theoretical framework for CES. Furthermore, we will show that moral case deliberation, making use of the dilemma method, can be regarded an example of a pragmatist approach to CES.

Indexed as

Cultural DiversityEthics, ClinicalEthics ConsultationHumansJudgmentMoralsClinical ethics supportDilemma methodEthical pluralismMoral case deliberationPragmatism

Identifiers

PMID30684092
PMCPMC6710214

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.