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A Structured Principlist Framework for Decision Making in Healthcare

Gracyk, Tatiana Athena
http://orcid.org/0000-0001-5094-3953
http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1587048784866015

Abstract Details

2020, Doctor of Philosophy (Ph.D.), Bowling Green State University, Philosophy, Applied.
This dissertation puts forth the structured principlist framework, a practicable moral framework for guiding practioners’ thinking in a diverse healthcare setting and grounding accepted healthcare practices and policies. This novel moral framework builds upon on the work of Tom Beauchamp and James Childress in Principles of Biomedical Ethics, reorganizing the four primary bioethical principles – respect for autonomy, beneficence, non-maleficence, and justice – into two necessary and jointly-sufficient conditions for the permissibility of an action: The enabling condition, incorporating the deontic principles of respect for autonomy and justice, requires that a proposed action be authorized by the patient or proxy and adhere to current hospital policies & procedures. The favorability condition, incorporating the consequentialist principles of beneficence and non-maleficence, requires that the proposed action be reasonably expected to promote the health of the patient. In normative terms, the structured principlist framework is best described as a pluralistic framework that contains consequentialist considerations yet maintains deontic constraints. This structured framework was developed in response to several criticisms leveled against Beauchamp and Childress’s traditional principlist framework, ultimately capturing the benefits of bioethical principlism while providing a simplified, more guiding, and less capricious framework than the traditional framework. I argue for the structured principlist framework by demonstrating its usefulness when working through ethical conflicts at the clinical level as well as when formulating healthcare policies.
Michael Weber, Dr. (Advisor)
Lynn Darby, Dr. (Other)
John Basl, Dr. (Committee Member)
Molly Gardner, Dr. (Committee Member)
152 p.
Ethics; Medical Ethics; Philosophy
principlism; pluralism; healthcare; decision making; bioethics; medical ethics; clinical ethics

Recommended Citations

Citations

  • Gracyk, T. A. (2020). A Structured Principlist Framework for Decision Making in Healthcare [Doctoral dissertation, Bowling Green State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1587048784866015

    APA Style (7th edition)

  • Gracyk, Tatiana. A Structured Principlist Framework for Decision Making in Healthcare . 2020. Bowling Green State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1587048784866015.

    MLA Style (8th edition)

  • Gracyk, Tatiana. "A Structured Principlist Framework for Decision Making in Healthcare ." Doctoral dissertation, Bowling Green State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1587048784866015

    Chicago Manual of Style (17th edition)

bgsu1587048784866015
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This open access ETD is published by Bowling Green State University and OhioLINK.