Moral Intelligence: A Neglected Factor for Quality and Accountability in Emergency Medical Services

Moral intelligence, defined as the acquired capacity to recognize ethical imperatives, internalize ethical commitments, and consistently implement them in practice, has emerged as a critical yet underappreciated dimension of clinical competence. Unlike technical expertise, which is often prominent in emergency medical services (EMS), moral intelligence subtly shapes how clinicians interpret ethically charged situations, navigate competing demands, and maintain professional integrity in conditions of uncertainty. It is not merely a personal disposition; rather, it constitutes a foundational cognitive-behavioral competency that determines the quality, safety, and legitimacy of care.

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Moral intelligence