J Clin Ethics. 2024 Summer;35(2):142-146. doi: 10.1086/729418.
AbstractA long-standing tenet of healthcare clinical ethics consultation has involved the neutrality of the ethicist. However, recent pressing societal issues have challenged this viewpoint. Perhaps now more than ever before, ethicists are being called upon to take up roles in public health, policy, and other community-oriented endeavors. In this article, I first review the concept of and contrast this conceptualization with the role of , utilizing the profession of nursing as an exemplar. Then, I explore the status of advocacy in clinical ethics and how this conversation intersects with the existing professional obligations of the bioethicist, arguing that the goals of ethics consultation and ethical obligations of the clinical ethicist are compatible with the role of professional advocate. Finally, I explore potential barriers to professional advocacy and offer suggestions for a path forward.
摘要 医疗保健临床伦理咨询的一个长期原则涉及伦理学家的中立性。然而，最近紧迫的社会问题挑战了这一观点。也许现在比以往任何时候都更需要伦理学家在公共卫生、政策和其他面向社区的努力中发挥作用。在本文中，我首先回顾了 的概念，并利用护理专业为例对这一概念进行了对比。然后，我探讨了临床伦理中的倡导地位，以及这一对话如何与生物伦理学家的现有专业义务交叉，并认为伦理咨询的目标和临床伦理学家的道德义务与专业倡导者的角色是兼容的。最后，我探讨了专业倡导可能面临的障碍，并为前进的道路提出了建议。
