The "Ought-Is" Problem: An Implementation Science Framework for Translating Ethical Norms Into Practice.

The "Ought-Is" Problem: An Implementation Science Framework for Translating Ethical Norms Into Practice.
Am J Bioeth. 2020 May;20(4):62-70
Authors: Sisk BA, Mozersky J, Antes AL, DuBois JM
Abstract
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.
PMID: 32208070 [PubMed - in process]

Source: American Journal of Bioethics - March 26, 2020 Category: Medical Ethics Tags: Am J Bioeth Source Type: research