Chapter 14: Cultural Competence in Ethical Decision Making
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
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Cultural Competence in Ethical Decision Making
Culturally competent care addresses diversity.
Ethical practice grounded in social justice and human rights prevents health inequity.
Morals and philosophic beliefs are constituted within the social, historical, and cultural experiences of a society.
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Contrasting Social Constructions of Morality #1
Ethics:
A moral philosophy that consists of beliefs and assumptions about what is right and wrong.
Prescribes the proper action to take in a given situation.
Translates moral philosophies into action.
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Contrasting Social Constructions of Morality #2
Respect for autonomy has become the focal context for health care decisions in the United States and Canada.
Ethical principles are applied to ensure and maximize individual autonomy, veracity, and fidelity.
US Congress upheld autonomy for individuals through the:
Patient Self-Determination Act
Health Insurance Portability and Accountability Act (HIPAA)
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Contrasting Social Constructions of Morality #3
Ethical Diversity and Principles
Ethical relativism: Emphasizes the need to examine the context of the decision because sociocultural differences influence whether an act is moral.
Ethical relativism states that what is right for one group may not be right for another.
Supported by Feminist Theory: The need for health care practitioners to develop empathy, compassion, and relationships that promote trust, growth, and the well-being of others
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Contrasting Social …
