{"id":13283,"date":"2014-09-18T18:39:00","date_gmt":"2014-09-19T01:39:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=13283"},"modified":"2023-01-28T15:12:03","modified_gmt":"2023-01-28T23:12:03","slug":"managing-conscientious-objection-in-health-care-institutions","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=13283","title":{"rendered":"Managing conscientious objection in health care institutions"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Mark R Wicclair<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"152\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforum.jpg\" alt=\"HEC Forum\" class=\"wp-image-12585\"\/><figcaption class=\"wp-element-caption\">HEC Forum<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>It is argued that the primary aim of institutional management is to protect the moral integrity of health professionals without significantly compromising other important values and interests. Institutional policies are recommended as a means to promote fair, consistent, and transparent management of conscience-based refusals. It is further recommended that those policies include the following four requirements: (1) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient&#8217;s\/surrogate&#8217;s timely access to information, counseling, and referral. (2) Conscience-based refusals will be accommodated only if a requested accommodation will not impede a patient&#8217;s timely access to health care services offered within the institution. (3) Conscience-based refusals will be accommodated only if the accommodation will not impose excessive burdens on colleagues, supervisors, department heads, other administrators, or the institution. (4) Whenever feasible, health professionals should provide advance notification to department heads or supervisors. Formal review may not be required in all cases, but when it is appropriate, several recommendations are offered about standards and the review process. A key recommendation is that when reviewing an objector&#8217;s reasons, contrary to what some have proposed, it is not appropriate to adopt an adversarial approach modelled on military review boards&#8217; assessments of requests for conscientious objector status. According to the approach recommended, the primary function of reviews of objectors&#8217; reasons is to engage them in a process of reflecting on the nature and depth of their objections, with the objective of facilitating moral clarity on the part of objectors rather than enabling department heads, supervisors, or ethics committees to determine whether conscientious objections are sufficiently genuine.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Wicclair MR. <a href=\"https:\/\/www.redaas.org.ar\/archivos-recursos\/7-Wicclair%202014.pdf\">Managing conscientious objection in health care institutions<\/a>. HEC Forum. 2014;26(3):267-283. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mark R Wicclair AbstractIt is argued that the primary aim of institutional management is to protect the moral integrity of health professionals without significantly compromising other important values and interests. Institutional policies are recommended as a means to promote fair, consistent, and transparent management of conscience-based refusals. It is further recommended that those policies include &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=13283\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Managing conscientious objection in health care institutions&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[554,1645,2],"tags":[1222],"post_folder":[],"class_list":["post-13283","post","type-post","status-publish","format-standard","hentry","category-ethics","category-institutions-hospitals-etc","category-journal-article","tag-mark-r-wicclair"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Managing conscientious objection in health care institutions - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"Reviews of objectors&#039; reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/library.consciencelaws.org\/?p=13283\" \/>\r\n<meta property=\"og:locale\" content=\"en_GB\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Managing conscientious objection in health care institutions - Protection of Conscience Project Library\" \/>\r\n<meta property=\"og:description\" content=\"Reviews of objectors&#039; reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/library.consciencelaws.org\/?p=13283\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project Library\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.youtube.com\/user\/consciencepro\" \/>\r\n<meta property=\"article:published_time\" content=\"2014-09-19T01:39:00+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2023-01-28T23:12:03+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforumog.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"600\" \/>\r\n\t<meta property=\"og:image:height\" content=\"323\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"author\" content=\"Project Administrator\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforumog.jpg\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Project Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283\"},\"author\":{\"name\":\"Project Administrator\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\"},\"headline\":\"Managing conscientious objection in health care institutions\",\"datePublished\":\"2014-09-19T01:39:00+00:00\",\"dateModified\":\"2023-01-28T23:12:03+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283\"},\"wordCount\":290,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/hecforum.jpg\",\"keywords\":[\"Mark R Wicclair\"],\"articleSection\":[\"Ethics\",\"Institutions (Hospitals, etc)\",\"Journal Articles\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283\",\"name\":\"Managing conscientious objection in health care institutions - Protection of Conscience Project Library\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/hecforum.jpg\",\"datePublished\":\"2014-09-19T01:39:00+00:00\",\"dateModified\":\"2023-01-28T23:12:03+00:00\",\"description\":\"Reviews of objectors' reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#primaryimage\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/hecforum.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2023\\\/01\\\/hecforum.jpg\",\"width\":152,\"height\":230,\"caption\":\"HEC Forum\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=13283#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/library.consciencelaws.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Managing conscientious objection in health care institutions\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"name\":\"Protection of Conscience Project Library\",\"description\":\"Service, not Servitude\",\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/library.consciencelaws.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\",\"name\":\"Protecton of Conscience Project\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"contentUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2020\\\/10\\\/projectlogo.jpg\",\"width\":1123,\"height\":1376,\"caption\":\"Protecton of Conscience Project\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.youtube.com\\\/user\\\/consciencepro\",\"https:\\\/\\\/x.com\\\/consciencpro\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\",\"name\":\"Project Administrator\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g\",\"caption\":\"Project Administrator\"},\"sameAs\":[\"https:\\\/\\\/www.consciencelaws.org\"],\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?author=1\"}]}<\/script>\r\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Managing conscientious objection in health care institutions - Protection of Conscience Project Library","description":"Reviews of objectors' reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/library.consciencelaws.org\/?p=13283","og_locale":"en_GB","og_type":"article","og_title":"Managing conscientious objection in health care institutions - Protection of Conscience Project Library","og_description":"Reviews of objectors' reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.","og_url":"https:\/\/library.consciencelaws.org\/?p=13283","og_site_name":"Protection of Conscience Project Library","article_publisher":"https:\/\/www.youtube.com\/user\/consciencepro","article_published_time":"2014-09-19T01:39:00+00:00","article_modified_time":"2023-01-28T23:12:03+00:00","og_image":[{"width":600,"height":323,"url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforumog.jpg","type":"image\/jpeg"}],"author":"Project Administrator","twitter_card":"summary_large_image","twitter_image":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforumog.jpg","twitter_creator":"@consciencpro","twitter_site":"@consciencpro","twitter_misc":{"Written by":"Project Administrator","Estimated reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/library.consciencelaws.org\/?p=13283#article","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283"},"author":{"name":"Project Administrator","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098"},"headline":"Managing conscientious objection in health care institutions","datePublished":"2014-09-19T01:39:00+00:00","dateModified":"2023-01-28T23:12:03+00:00","mainEntityOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283"},"wordCount":290,"commentCount":0,"publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforum.jpg","keywords":["Mark R Wicclair"],"articleSection":["Ethics","Institutions (Hospitals, etc)","Journal Articles"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/library.consciencelaws.org\/?p=13283#respond"]}]},{"@type":"WebPage","@id":"https:\/\/library.consciencelaws.org\/?p=13283","url":"https:\/\/library.consciencelaws.org\/?p=13283","name":"Managing conscientious objection in health care institutions - Protection of Conscience Project Library","isPartOf":{"@id":"https:\/\/library.consciencelaws.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283#primaryimage"},"image":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283#primaryimage"},"thumbnailUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforum.jpg","datePublished":"2014-09-19T01:39:00+00:00","dateModified":"2023-01-28T23:12:03+00:00","description":"Reviews of objectors' reasons are meant to encourage their reflection to achieve moral clarity, not to determine that objections are genuine.","breadcrumb":{"@id":"https:\/\/library.consciencelaws.org\/?p=13283#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/library.consciencelaws.org\/?p=13283"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/?p=13283#primaryimage","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforum.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/hecforum.jpg","width":152,"height":230,"caption":"HEC Forum"},{"@type":"BreadcrumbList","@id":"https:\/\/library.consciencelaws.org\/?p=13283#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/library.consciencelaws.org\/"},{"@type":"ListItem","position":2,"name":"Managing conscientious objection in health care institutions"}]},{"@type":"WebSite","@id":"https:\/\/library.consciencelaws.org\/#website","url":"https:\/\/library.consciencelaws.org\/","name":"Protection of Conscience Project Library","description":"Service, not Servitude","publisher":{"@id":"https:\/\/library.consciencelaws.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/library.consciencelaws.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/library.consciencelaws.org\/#organization","name":"Protecton of Conscience Project","url":"https:\/\/library.consciencelaws.org\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/","url":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","contentUrl":"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2020\/10\/projectlogo.jpg","width":1123,"height":1376,"caption":"Protecton of Conscience Project"},"image":{"@id":"https:\/\/library.consciencelaws.org\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.youtube.com\/user\/consciencepro","https:\/\/x.com\/consciencpro"]},{"@type":"Person","@id":"https:\/\/library.consciencelaws.org\/#\/schema\/person\/263d102b35e3f7822db6d548b2555098","name":"Project Administrator","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2f23b26a3373f72c4b33841a689bb10155dcc572564e51c5b3bb99d75ffbd2b8?s=96&d=mm&r=g","caption":"Project Administrator"},"sameAs":["https:\/\/www.consciencelaws.org"],"url":"https:\/\/library.consciencelaws.org\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13283","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13283"}],"version-history":[{"count":4,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13283\/revisions"}],"predecessor-version":[{"id":14686,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=\/wp\/v2\/posts\/13283\/revisions\/14686"}],"wp:attachment":[{"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13283"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13283"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13283"},{"taxonomy":"post_folder","embeddable":true,"href":"https:\/\/library.consciencelaws.org\/index.php?rest_route=%2Fwp%2Fv2%2Fpost_folder&post=13283"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}