Grounded theory qualitative approach from Foucault's ethical perspective:Deconstruction of patient self-determination in the clinical setting  

作　　者：Jesús Molina-Mula 

机构地区：[1]Nursing and Physiotherapy Department,University of Balearics Island,Palma 07122,Illes Balears,Spain

出　　处：《World Journal of Clinical Cases》2021年第28期8312-8326,共15页世界临床病例杂志

基　　金：Supported by the Advanced Research Chair in the College of Nurses of the Balearic Islands,No. IB3389

摘　　要：This paper aims to explain the construction of the autonomous subject from Foucault's ethical perspective for the qualitative analysis of interprofessional relationships,patient-professional relationships,and moral ethics critique.Foucault tried to break loose from the self,which is merely the result of a biopol-itical subjectivation and constituted an interpersonal level.From this,different elements involved in the decision-making capacity of patients in a clinical setting were analysed.Firstly,the context in which decision-making occurs has been explained,distinguishing between traditional practices involved in self-care and the more modern conceptions that make certain possible transformations.Secondly,an attempt is made to explain the formation of the medicalisation of society using the transformations of what Foucault called"techniques of the self".Finally,the ethical framework for a subject's"self-creation",insisting more on the exercises of self-subjectivation,reinforcing the ethics of the self by itself,the"care of the self",has been explained.The role of the patient is understood as an autonomous subject to the extent that the clinical institution and the professionals involved comprehend how the patient’s autonomy in the clinical environment is constituted.All these elements could generate grounded theory on the qualitative methodology of this phenomenon.The current ethical model based on universal principles is not useful to provide a capacity for patients decision-making,relegating to the background their opinions and beliefs.Consequently,a new ethical perspective emerges that aims to return the patient to the fundamental axis of attention.

关 键 词：Decision making Personal autonomy FOUCAULT Principle-based Ethics Bioethics Qualitative methodology Grounded theory 

分 类 号：R-052[医药卫生]