Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Foundations of practical ethics

Hain, Richard D. W. and Saad, Toni 2016. Foundations of practical ethics. Medicine 44 (10) , pp. 578-582. 10.1016/j.mpmed.2016.07.008

Full text not available from this repository.


Principlism remains the dominant framework for addressing ethical quandaries in medical practice. It sets out four principles clinicians should consider that require specification to a particular set of circumstances. There is no hierarchy among the principles; any special prominence given to respect for autonomy is a cultural accretion that is not claimed by the authors of principlism. Principlism does not set out a single consistent or coherent moral theory. Instead, it summarizes for the clinician's convenience the relevant reasoning of more fundamental theories, including those in which the emphasis is on a doctor's intentions (deontological theories), those focussing on the outcome of doctors' actions (consequentialist theories) and those relying on the nature and disposition of the doctor herself (virtue ethics). As sources of guidance in making complex moral decisions in clinical practice, each of these has its attractions and limitations. Principlism does not represent an alternative analytical mechanism, nor is it an exhaustive exposition of those theories. Its strength is that it provides a summary of some of their most important reasoning, in a way that is clear, easy to assimilate and easy to recall at the moment when clinical decisions need to be made in practice.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: B Philosophy. Psychology. Religion > BJ Ethics
Uncontrolled Keywords: Autonomy; ethics; interests; justice.
Publisher: Elsevier
ISSN: 1357-3039
Last Modified: 24 Feb 2020 14:27

Citation Data

Cited 1 time in Google Scholar. View in Google Scholar

Cited 4 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item