[PRAGMATIC TURN IN HEALTHCARE ETHICS: CHALLENGES AND OPPORTUNITIES FOR TRAINING]

Abstract

The complexity of health care practices has given rise to a new need for ethics. Ethics is indeed less mobilized to produce a moral discourse on practices, then as a resource for action, a skill, for the development, by the actors, of autonomous, responsible and critical acting. This pragmatic approach to ethics requires changes in teaching practices, in a more experiential, reflexive and situational perspective. However, an epistemological rereading of the notion of competence will lead us to question its use in ethics. Just focusing on the capacity of actors to re-mobilize predetermined resources of action does not guarantee the effective capacity of the actors to initiate a new situated action, according to the singularity of the context. This text will propose to go beyond an ethical competence approach, revisiting the latter through the prism of capacitation. In this context, the educational line of sight of ethics is no longer "knowing how to do ", but developping "power to do".