Ruddick W, Finn W
J Med Ethics. 1985 Mar;11(1):42-6. doi: 10.1136/jme.11.1.42.
Like morally sensitive hospital staff, philosophers resist routine simplification of morally complex cases. Like hospital clergy, they favour reflective and principled decision-making. Like hospital lawyers, they refine and extend the language we use to formulate and defend our complex decisions. But hospital philosophers are not redundant: they have a wider range of principles and categories and a sharper eye for self-serving presuppositions and implicit contradictions within our practices. As semi-outsiders, they are often best able to take an 'external point of view,' unburdened by routine, details, and departmental loyalties. Their clarifications can temporarily disrupt routine, but can eventually improve staff morale, hence team practice and patient welfare.
与道德敏感的医院工作人员一样，哲学家们抵制对道德复杂案例进行常规的简化处理。与医院神职人员一样，他们倾向于经过深思熟虑且基于原则的决策。与医院律师一样，他们完善并拓展我们用于阐述和捍卫复杂决策的语言。但医院哲学家并非多余：他们拥有更广泛的原则和范畴，对我们实践中自利的预设和隐含的矛盾有着更敏锐的洞察力。作为半局外人，他们往往最能采取“外部视角”，不受常规、细节和部门忠诚的束缚。他们的阐释可能会暂时扰乱常规，但最终能够提升员工士气，从而改善团队实践和患者福祉。
