effective health care ethics consultant by Terrence Ackerman
Terrence Ackerman accepts Caplan's general
critique of the engineering model of applied ethics, and explicitly endorses
the claim that the ethicist must be skilled in the classification and diagnosis
of moral problems. Ackerman then adds that the primary role of the ethicist in
the health care setting is to facilitate the reflective process
by clarifying relevant moral
values, conveying significant factual information, identifying alternative
solutions, comparing the moral consequences of adopting these alternatives, and
making recommendations for resolving the moral problem .
These
abilities, according to Ackerman, require:
Knowledge of the purpose and
process of moral reflection, familiarity with major moral principles and the
historical source of their development, and skill in logical analysis of moral
problems current know l- edge of the literature of bioethics basic knowl- edge
of medicine and medical terminology ... [and] basic knowledge of the
psychosocial literature relevant to moral issues in clinical care.
The debate continues with Jonathan Moreno. In his
article, "Ethics Consultation as Moral Engagement," Moreno provides what is perhaps the most
recent comprehensive account of the effective health care ethics consultant. In
addition to ethical expertise, which "involves at least (1) the knowledge
of general principles and theories of morality, (2) analytic skills such as
discernment and insight, and (3) the strength of will not to take the easy way
out,"
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