title: [Towards a reflexive governance of the ethical approach in healthcare institutions].
abstract: We stand up in this article for bioethics as practice, as attest since the 1980 the evolution of theoretical work in bioethics towards a growing need of contextualization. This development justifies for us to work out a context sensitive, pragmatist and reflective ethics as a learning process. Such an idea of ethics allows to understand the transition from hospital ethics committes and clinical ethics consultation towards a more integrative institutional perspective that we defend here. This institutionalization of clinical ethics support services has to be accompanied by a reflective governance of this process. The papers of this issue aim to take into account in a various way this evolution of the bioethical field, both practical, methodological, institutional, educational and theoretical.
authors.affiliation: Centre d'éthique médicale du Département d'éthique et Faculté Libre de Médecine de l'Université Catholique de Lille, France. Pierre.Boitte@icl-lille.fr
authors.forename: Pierre
authors.initials: P
authors.lastname: Boitte
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Cobbaut
mesh_terms: D028663:Ethical Theory; D033061:Ethics Consultation; D026690:Ethics, Clinical; D006801:Humans