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The field of health is undergoing profound innovations (therapeutic, social, organizational, structural) that are modifying the need for ethics. Ethics can no longer be limited to analyzing complex problem-situations with the aim of conforming to norms or producing a moral discourse about practices. “Doing ethics” means becoming capable of initiating new practices, in context, from a process of social experimentation. Pragmatism therefore constitutes a relevant theoretical resource for founding contemporary practices of ethics. In this approach, ethics is akin to a collective learning project aimed at empowering actors and organizations, as well as facilitating a reflective and participatory governance of their action. In this article, we present a project (the updating of a healthcare establishment’s care plan) that is part of an institutional program of activities in ethics, and which mobilizes the Living Lab approach as a working methodology. Ninety-one professionals from the establishment met in thematic workshops to share and analyze their experience and build an action program aimed at implementing, within five years, the main orientations of the care plan. The objective of this article, aside from presenting the plan, is to draw the first lessons from the work conducted and to analyze the type of learning generated by this dynamic of collective intelligence.