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Rouven Porz [15]Rouven C. Porz [1]
  1.  54
    A pragmatist approach to clinical ethics support: overcoming the perils of ethical pluralism.Giulia Inguaggiato, Suzanne Metselaar, Rouven Porz & Guy Widdershoven - 2019 - Medicine, Health Care and Philosophy 22 (3):427-438.
    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 (...)
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  2.  34
    Evaluating Clinical Ethics Support: A Participatory Approach.Suzanne Metselaar, Guy Widdershoven, Rouven Porz & Bert Molewijk - 2017 - Bioethics 31 (4):258-266.
    The current process towards formalization within evaluation research, in particular the use of pre-set standards and the focus on predefined outcomes, implies a shift of ownership from the people who are actually involved in real clinical ethics support services in a specific context to external stakeholders who increasingly gain a say in what ‘good CESS’ should look like. The question is whether this does justice to the insights and needs of those who are directly involved in actual CESS practices, be (...)
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  3.  83
    (1 other version)How to Relate the Empirical to the Normative.Christoph Rehmann-Sutter, Rouven Porz & Jackie Leach Scully - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):436-447.
  4.  17
    What does coercion in intensive care mean for patients and their relatives? A thematic qualitative study.Nicola Biller-Andorno, Bara Ricou, Rouven Porz, Corine Mouton Dorey & Susanne Jöbges - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundThe need for an ethical debate about the use of coercion in intensive care units (ICU) may not be as obvious as in other areas of medicine, such as psychiatry. Coercive measures are often necessary to treat critically ill patients in the ICU. It is nevertheless important to keep these measures to a minimum in order to respect the dignity of patients and the cohesion of the clinical team. A deeper understanding of what patients and their relatives perceive during their (...)
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  5.  67
    Theory and practice of clinical ethics support services: Narrative and hermeneutical perspectives.Rouven Porz, Elleke Landeweer & Guy Widdershoven - 2011 - Bioethics 25 (7):354-360.
    In this paper we introduce narrative and hermeneutical perspectives to clinical ethics support services (CESS). We propose a threefold consideration of ‘theory’ and show how it is interwoven with ‘practice’ as we go along. First, we look at theory in its foundational role: in our case ‘narrative ethics’ and ‘philosophical hermeneutics’ provide a theoretical base for clinical ethics by focusing on human identities entangled in stories and on moral understanding as a dialogical process. Second, we consider the role of theoretical (...)
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  6.  45
    'You don't make genetic test decisions from one day to the next' – using time to preserve moral space.Jackie Leach Scully, Rouven Porz & Christoph Rehmann-Sutter - 2007 - Bioethics 21 (4):208–217.
    ABSTRACT The part played by time in ethics is often taken for granted, yet time is essential to moral decision making. This paper looks at time in ethical decisions about having a genetic test. We use a patient‐centred approach, combining empirical research methods with normative ethical analysis to investigate the patients' experience of time in (i) prenatal testing of a foetus for a genetic condition, (ii) predictive or diagnostic testing for breast and colon cancer, or (iii) testing for Huntington's disease (...)
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  7.  95
    Donating Embryos to Stem Cell Research: The “Problem” of Gratitude.Jackie Leach Scully, Erica Haimes, Anika Mitzkat, Rouven Porz & Christoph Rehmann-Sutter - 2012 - Journal of Bioethical Inquiry 9 (1):19-28.
    This paper is based on linked qualitative studies of the donation of human embryos to stem cell research carried out in the United Kingdom, Switzerland, and China. All three studies used semi-structured interview protocols to allow an in-depth examination of donors’ and non-donors’ rationales for their donation decisions, with the aim of gaining information on contextual and other factors that play a role in donor decisions and identifying how these relate to factors that are more usually included in evaluations made (...)
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  8.  22
    “If an acute event occurs, what should we do?” Diverse ethical approaches to decision-making in the ICU.Federico Nicoli, Paul Cummins, Joseph A. Raho, Rouven Porz, Giulio Minoja & Mario Picozzi - 2019 - Medicine, Health Care and Philosophy 22 (3):475-486.
    The aim of this paper is to analyze an Intensive Care Unit case that required ethics consultation at a University Hospital in Northern Italy. After the case was resolved, a retrospective ethical analysis was performed by four clinical ethicists who work in different healthcare contexts. Each ethicist used a different method to analyze the case; the four general approaches provide insight into how these ethicists conduct ethics consultations at their respective hospitals. Concluding remarks examine the similarities and differences among the (...)
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  9.  2
    “So, what is an embryo?” A comparative study of the views of those asked to donate embryos for hESC research in the UK and Switzerland.Erica Haimes, Rouven Porz, Jackie Scully & Christoph Rehmann-Sutter - 2008 - New Genetics and Society 27 (2):113-126.
    The moral status of the human embryo has gained much attention in debates over the acceptability, or otherwise, of human embryonic stem cell research. Far less attention has been paid to the suppliers of those embryos: people who have undergone IVF treatment to produce embryos to assist them to have a baby. It is sociologically and ethically important to understand their views and experiences of being asked to donate embryos for research if we are to fully understand the wider social (...)
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  10.  2
    “I think all of us should have […] much better training in ethics.” Ethical challenges in policy making during the COVID-19 pandemic: Results from an interview study with Swiss policy makers and scientists.Caroline Brall, Felix Gille, Caroline Schlaufer, Rouven Porz & Ralf J. Jox - 2024 - BMC Medical Ethics 25 (1):1-11.
    Background The COVID-19 pandemic posed many unprecedented challenges to health care systems and public health efforts worldwide. Policy making and science were deeply intertwined, in particular with regard to the justification of health policy measures. In this context, ethical considerations were often at the core of decision-making trade-offs. However, not much is known about the actual ethical challenges encountered by policy makers and scientists involved in policy advice. With this study, we therefore aim to explore the ethical challenges during COVID-19-related (...)
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  11.  14
    View Across the Pond: Insights from a National Survey on Clinical Ethics Services in Switzerland.Ralf J. Jox & Rouven C. Porz - 2022 - American Journal of Bioethics 22 (4):50-52.
    In the three target articles, Ellen Fox et al. present data from their seminal study on ethics consultation in US general hospitals (Fox, Danis, et al. 2022, Fox and Duke 2022, Fox, Tarzian, et al....
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  12.  6
    Macht der Fürsorge?: Moral und Macht im Kontext von Medizin und Pflege.Frank Mathwig, Torsten Meireis, Rouven Porz & Markus Zimmermann (eds.) - 2015 - Zürich: TVZ, Theologischer Verlag Zürich.
    Gerade im Gesundheitswesen ist die Frage nach (Gestaltungs-)Macht heikel. Aber wer anderen Gutes tun möchte, der muss wirksam tätig werden können. Dies beinhaltet immer auch soziale Gestaltungsmacht. Wie gehen Pflegende mit der ihnen übertragenen bzw. auferlegten Macht um? Wie viel Macht ist im Kontext von Medizin, Pflege und Gesundheitssorge nötig? Und wie nehmen die Patientinnen und Patienten sie wahr? *Oft fühlen sich Menschen, die unter einer akuten Krankheit leiden, ohnmächtig. Und so wirkt der Begriff der Macht, den wir oft genug (...)
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  13.  13
    Care Ethics ist nicht gleich Pflegeethik.Rouven Porz - 2017 - In Annette Riedel & Anne-Christin Linde (eds.), Ethische Reflexion in der Pflege: Konzepte – Werte – Phänomene. Springer Berlin Heidelberg. pp. 13-19.
    Care Ethics ist eine ethische Theorie, Pflegeethik ein Disziplinbegriff. Aber gerade in der Disziplin der Pflegethik kann die Care Ethics ein wichtiges gedankliches Werkezeug darstellen. In der Care Ethics wird nicht der Prinzipienbezug in den Vordergrund gestellt, sondern das Anerkennen von Kontext, moralischer Verantwortung und Beziehungen. In diesem Denkparadigma spielt es für die Reflexion auch eine Rolle, wer man selbst ist, und mit welcher Perspektive man sich einer ethischen Problemsituation nähert.
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  14.  65
    Predictive testing and existential absurdity: Resonances between experiences around genetic diagnosis and the philosophy of Albert Camus.Rouven Porz & Guy Widdershoven - 2009 - Bioethics 25 (6):342-350.
    Predictive genetic testing may confront those affected with difficult life situations that they have not experienced before. These life situations may be interpreted as ‘absurd’. In this paper we present a case study of a predictive test situation, showing the perspective of a woman going through the process of deciding for or against taking the test, and struggling with feelings of alienation. To interpret her experiences, we refer to the concept of absurdity, developed by the French Philosopher Albert Camus. Camus' (...)
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  15.  47
    Tragedy and Grenzsituationen in genetic prediction.Kjetil Rommetveit & Rouven Porz - 2009 - Medicine, Health Care and Philosophy 12 (1):9-16.
    Philosophical anthropologies that emphasise the role of the emotions can be used to expand existing notions of moral agency and learning in situations of great moral complexity. In this article we tell the story of one patient facing the tough decision of whether to be tested for Huntington’s disease or not. We then interpret her story from two different but compatible philosophical entry points: Aristotle’s conception of Greek tragedy and Karl Jaspers’ notion of Grenzsituationen (boundary situations). We continue by indicating (...)
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