Contributions of empirical research to medical ethics

Robert A. Pearlman, Steven H Miles, Robert M. Arnold

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Empirical research pertaining to cardiopulmonary resuscitation (CPR), clinician behaviors related to do-not-resuscitate (DNR) orders and substituted judgment suggests potential contributions to medical ethics. Research quantifying the likelihood of surviving CPR points to the need for further philosophical analysis of the limitations of the patient autonomy in decision making, the nature and definition of medical futility, and the relationship between futility and professional standards. Research on DNR orders has identified barriers to the goal of patient involvement in these life and death discussions. The initial data on surrogate decision making also points to the need for a reexamination of the moral basis for substituted judgment, the moral authority of proxy decision making and the second-order status of the best interests standard. These examples of empirical research suggest that an interplay between empirical research, ethical analysis and policy development may represent a new form of interdisciplinary scholarship to improve clinical medicine.

Original languageEnglish (US)
Pages (from-to)197-210
Number of pages14
JournalTheoretical Medicine
Volume14
Issue number3
DOIs
StatePublished - Sep 1 1993

Fingerprint

Medical Ethics
Empirical Research
Resuscitation Orders
Medical Futility
Decision Making
Cardiopulmonary Resuscitation
Ethical Analysis
Patient Participation
Policy Making
Clinical Medicine
Proxy
Research

Keywords

  • data
  • empirical research
  • interdisciplinary
  • quantitative research

Cite this

Pearlman, R. A., Miles, S. H., & Arnold, R. M. (1993). Contributions of empirical research to medical ethics. Theoretical Medicine, 14(3), 197-210. https://doi.org/10.1007/BF00995162

Contributions of empirical research to medical ethics. / Pearlman, Robert A.; Miles, Steven H; Arnold, Robert M.

In: Theoretical Medicine, Vol. 14, No. 3, 01.09.1993, p. 197-210.

Research output: Contribution to journalArticle

Pearlman, RA, Miles, SH & Arnold, RM 1993, 'Contributions of empirical research to medical ethics' Theoretical Medicine, vol. 14, no. 3, pp. 197-210. https://doi.org/10.1007/BF00995162
Pearlman, Robert A. ; Miles, Steven H ; Arnold, Robert M. / Contributions of empirical research to medical ethics. In: Theoretical Medicine. 1993 ; Vol. 14, No. 3. pp. 197-210.
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