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首页> 外文期刊>Ethical Theory and Moral Practice >With Hope and Imagination: Imaginative Moral Decision-Making in Neonatal Intensive Care Units
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With Hope and Imagination: Imaginative Moral Decision-Making in Neonatal Intensive Care Units

机译：充满希望和想象力：新生儿重症监护病房的富有想象力的道德决策

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Although the role of imagination in moral reasoning is often neglected, recent literature, mostly of pragmatist signature, points to imagination as one of its central elements. In this article we develop some of their arguments by looking at the moral role of imagination in practice, in particular the practice of neonatal intensive care. Drawing on empirical research, we analyze a decision-making process in various stages: delivery, staff meeting, and reflection afterwards. We show how imagination aids medical practitioners demarcating moral categories, tuning their actions, and exploring long-range consequences of decisions. We argue that imagination helps to bring about at least four kinds of integration in the moral decision-making process: personal integration by creating a moral self-image in moments of reflection; social integration by aiding the conciliation of the diverging perspectives of the people involved; temporal integration by facilitating the parties to transcend the present moment and connect past, present, and future; and epistemological integration by helping to combine the various forms of knowledge and experience needed to make moral decisions. Furthermore, we argue that the role of imagination in these moral decision-processes is limited in several significant ways. Rather than being a solution itself, it is merely an aid and cannot replace the decision itself. Finally, there are also limits to the practical relevance of this theoretical reflection. In the end, it is up to care professionals as reflective practitioners to re-imagine the practice of intensive care and make the right decisions with hope and imagination.
机译：尽管通常忽略了想象力在道德推理中的作用，但近来大多数以实用主义者为标志的文献指出，想象力是其核心要素之一。在本文中，我们通过研究想象力在实践中，特别是新生儿重症监护实践中的道德作用，来发展他们的一些观点。利用实证研究，我们分析了各个阶段的决策过程：交付，员工会议和事后反思。我们展示了想象力如何帮助医生划分道德类别，调整其行为并探索决策的长期后果。我们认为，想象力至少有助于在道德决策过程中实现四种融合：通过在反思的时刻建立道德的自我形象来进行个人融合；通过协助调解所涉人员的不同观点来实现社会融合；通过促进当事方超越当下并连接过去，现在和未来来进行时间整合；和认识论整合，方法是将道德决策所需的各种形式的知识和经验结合起来。此外，我们认为想象力在这些道德决策过程中的作用受到多种重要方式的限制。它本身不是解决方案，而仅仅是帮助，不能代替决策本身。最后，这种理论反思的现实意义也受到限制。最后，需要护理专业人员作为反思型从业者重新想象重症监护的做法，并怀着希望和想象力做出正确的决定。

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