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The Microethics of Communication in Health Care

A New Framework for the Fast Thinking of Everyday Clinical Encounters

Bibliographic Data

ID20334245
AuthorsBryan Sisk, Bryan A Sisk (0000-0002-2456-2476), James M Dubois (0000-0002-3712-7051)
Year2022
Volume52
Issue4
Pages34-43
Publication date2022-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.1407
PMID35993106
OpenAlexW4292572501
LanguageEN
Citations received1
References cited20

In almost every clinical interaction, clinicians must navigate interpersonal challenges with near‐instantaneous responses to patients. Yet medical ethics has largely overlooked these small, interpersonal exchanges, instead focusing on “big” ethical problems, such as euthanasia, brain death, or genetic modification. In 1995, Paul Komesaroff proposed the concept of microethics as a nonprinciplist approach to ethics that focuses on “what happens in every interaction between every doctor and every patient.” We aim to develop a microethics framework to guide everyday clinical encounters, with a special focus on communication with patients and family members. We will advance three core insights: First, communication is an ethical act in ways seldom considered. Second, microethics is an essential lens through which to view the ethics of communication. Third, virtue can bridge reflective and automatic processes. Our intuitionist framework for microethics is thus based on this understanding of the role of virtue, and we propose six virtues that contribute to the goal of healing communication

Engineering ethics · Epistemic virtue · Epistemology · Everyday life · Health care · Interpersonal communication · Medical ethics · Political science · Sociology · Virtue · Virtue ethics · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Law · Patient Dignity and Privacy · Philosophy · Psychology · Social Psychology

  • Nicu Language, Everyday Ethics, and Giving Better News

    Open Access•Paige Church, Paige Terrien Church et al.•Children•2024

  • Teaching Empathy to Medical Students

    Samantha A Batt-Rawden, Samantha Batt-Rawden et al.•Academic Medicine•2013

  • Public Health Ethics

    Open Access•James F Childress, Ruth Faden et al.•Journal of Law, Medicine & Ethics•2002

  • Controlled and automatic human information processing

    Walter Schneider, Richard M Shiffrin•Psychological Review•1977

  • First-Person Microethics Deriving Principles from below

    A W Frank, Michael Bérubé et al.•The Hastings Center Report•1998

  • Microethics

    Open Access•Robert D Truog, Stephen D Brown et al.•The Hastings Center Report•2015

  • Microethical and Relational Insights from Pediatric Palliative Care

    Open Access•David Browning•The AMA Journal of Ethic•2010

  • Ideology and Intuition in Moral Education

    J Graham, Jonathan Haidt et al.•International Journal of…•2008

Unique citing works1
Citations per year0.5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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