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The “Ought-Is” Problem: An Implementation Science Framework for Translating Ethical Norms Into Practice
The American Journal of Bioethics ( IF 13.4 ) Pub Date : 2020-03-24
Bryan A. Sisk, Jessica Mozersky, Alison L. Antes, James M. DuBois

We argue that once a normative claim is developed, there is an imperative to effect changes based on this norm. As such, ethicists should adopt an “implementation mindset” when formulating norms, and collaborate with others who have the expertise needed to implement policies and practices. To guide this translation of norms into practice, we propose a framework that incorporates implementation science into ethics. Implementation science is a discipline dedicated to supporting the sustained enactment of interventions. We further argue that implementation principles should be integrated into the development of specific normative claims as well as the enactment of these norms. Ethicists formulating a specific norm should consider whether that norm can feasibly be enacted because the resultant specific norm will directly affect the types of interventions subsequently developed. To inform this argument, we will describe the fundamental principles of implementation science, using informed consent to research participation as an illustration.



中文翻译:

“应该是”问题:将道德规范转化为实践的实施科学框架

我们认为,一旦制定了规范性声明,就必须根据该规范来实现变更。因此,伦理学家在制定规范时应采取“实施心态”,并与具有实施政策和实践所需专业知识的其他人合作。为了指导将规范转化为实践,我们提出了一个将实施科学纳入道德规范的框架。实施科学是一门致力于支持持续实施干预措施的学科。我们进一步认为,实施原则应纳入特定规范要求的制定以及这些规范的制定中。制定特定规范的伦理学家应考虑该规范是否可以切实可行地制定,因为由此产生的特定规范将直接影响随后制定的干预措施的类型。为了说明这一点,我们将以研究参与的知情同意为例,描述实施科学的基本原理。

更新日期:2020-03-24
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