Ethical Reasoning During a Pandemic: Results of a Five Country European Study

S. B. Johnson*, F. Lucivero, B. M. Zimmermann, E. Stendahl, G. Samuel, A. Phillips, N. Hangel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)
100 Downloads (Pure)

Abstract

Introduction: There has been no work that identifies the hidden or implicit normative assumptions on which participants base their views during the COVID-19 pandemic, and their reasoning and how they reach moral or ethical judgements. Our analysis focused on participants’ moral values, ethical reasoning and normative positions around the transmission of SARS-CoV-2.Methods: We analyzed data from 177 semi-structured interviews across five European countries (Germany, Ireland, Italy, Switzerland and the United Kingdom) conducted in April 2020.Results: Findings are structured in four themes: ethical contention in the context of normative uncertainty; patterns of ethical deliberation when contemplating restrictions and measures to reduce viral transmission; moral judgements regarding “good” and “bad” people; using existing structures of meaning for moral reasoning and ethical judgement.Discussion: Moral tools are an integral part of people’s reaction to and experience of a pandemic. ‘Moral preparedness’ for the next phases of this pandemic and for future pandemics will require an understanding of the moral values and normative concepts citizens use in their own decision-making. Three important elements of this preparedness are: conceptual clarity over what responsibility or respect mean in practice; better understanding of collective mindsets and how to encourage them; and a situated, rather than universalist, approach to the development of normative standards.

Original languageEnglish
Pages (from-to)67-78
Number of pages12
JournalAJOB Empirical Bioethics
Volume13
Issue number2
Early online date9 Mar 2022
DOIs
Publication statusPublished - 2022

Keywords

  • COVID-19
  • Ethics
  • infectious disease
  • moral judgements
  • pandemics
  • qualitative research
  • SARS-COV-2

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