David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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Health Care Analysis 20 (3):281-296 (2012)
The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with whom and why? Departing from a relational and hermeneutic perspective, this article shows that professionals in integrated service networks embark upon a moral learning process when starting to work together for the client’s benefit. In this context, instrumental ways of thinking about responsibilities are actually counterproductive. Instead, professionals need to find out who they are in relation to other professionals, what core values they share and what responsibilities derive from these aspects. This article demonstrates moral learning by examining the case of an integrated social service network. The network’s development and implementation were supported by responsive evaluation, enriched by insights of care ethics and hermeneutic ethics.
|Keywords||Integrated service Social service Care ethics Hermeneutic ethics Moral ecology|
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References found in this work BETA
Richard J. Bernstein (1983). Beyond Objectivism and Relativism: Science, Hermeneutics, and Praxis. University of Pennsylvania Press.
Margaret Urban Walker (2007). Moral Understandings: A Feminist Study in Ethics. Oxford University Press.
Tineke A. Abma, Bert Molewijk & Guy A. M. Widdershoven (2009). Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive Evaluation. Health Care Analysis 17 (3):217-235.
A. C. Molewijk, T. Abma, M. Stolper & G. Widdershoven (2008). Teaching Ethics in the Clinic. The Theory and Practice of Moral Case Deliberation. Journal of Medical Ethics 34 (2):120-124.
Citations of this work BETA
Elisabeth Conradi (2015). Redoing Care: Societal Transformation Through Critical Practice. Ethics and Social Welfare 9 (2):113-129.
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