Dignity Promotion and Beneficence
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The concept of dignity has occasioned a robust conversation in recent healthcare scholarship. When viewed as a whole, research on dignity in healthcare has engaged each of the four bioethical principles popularized by Beauchamp and Childress, but has paid the least attention to beneficence. In this paper, we look at dignity and beneficence. We focus on the dignity promotion component of a model of dignity derived from a grounded theory study. After describing the study and presenting a précis of the resulting model, we review the principle of beneficence and look at the ways in which the notion of dignity promotion can be used to complement our understanding of this principle. Specifically, we explore what we can learn from dignity promotion about the relational nature of beneficence in healthcare and how dignity promotion can be marshaled to help address the epistemological quandary of soft paternalism.
KeywordsDignity Beneficence Grounded theory
The authors thank Vanessa Oliver and Andrew Koch, who helped to plan and conduct this study, and all of the participants who agreed to be interviewed.
This research was supported by a grant from the Social Sciences and Humanities Research Council of Canada. In addition, support to the Centre for Addiction and Mental Health for salary of scientists and infrastructure has been provided by the Ontario Ministry of Health and Long Term Care. The views expressed in this article do not necessarily reflect those of the Ministry of Health and Long Term Care.
- Beauchamp, T.L., and J.F. Childress. 2009. Principles of biomedical ethics, 6th ed. New York: Oxford University Press.Google Scholar
- Beyleveld, D., and R. Brownsword. 2001. Human dignity in bioethics and biolaw. Oxford: Oxford University Press.Google Scholar
- Birrrell, J., D. Thomas, and C.A. Jones. 2006. Promoting privacy and dignity for older patients in hospital. Nursing Standard 20(18): 41–46.Google Scholar
- Blumer, H. 1969. Symbolic interactionism. Berkeley: University of California Press.Google Scholar
- Glaser, B.G., and A.L. Strauss. 1967. The discovery of grounded theory. New York: Aldine De Gruyter.Google Scholar
- Jacobson, N. 2009b. A taxonomy of dignity: A grounded theory study. BMC International Health and Human Rights 9(3). Accessible at http://www.biomedcentral.com/1472-698X/9/3.
- Malpas, J., and N. Lickis (eds.). 2007. Perspectives on human dignity: A conversation. Dordrecht: Springer.Google Scholar
- Miller, S. C. 2003. The duty to care: Need and agency in Kantian and feminist ethics. PhD diss., Stony Brook University.Google Scholar
- President’s Council on Bioethics. 2008. Human dignity and bioethics: Essays commissioned by the President’s Council on Bioethics. Washington, DC.Google Scholar
- Schatzman, L. 1991. Dimensional analysis: Notes on an alternative approach to the grounding of theory in qualitative research. In Social organization and social process: Essays in honor of Anselm Strauss, ed. D.R. Maines, 303–314. New York: Aldine De Gruyter.Google Scholar