12 found

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Forthcoming articles
  1. Reidun Førde & Thor Willy Ruud Hansen (forthcoming). Do Organizational and Clinical Ethics in a Hospital Setting Need Different Venues? HEC Forum:1-12.
    The structure of ethics work in a hospital is complex. Professional ethics, research ethics and clinical ethics committees (CECs) are important parts of this structure, in addition to laws and national and institutional codes of ethics. In Norway all hospital trusts have a CEC, most of these discuss cases by means of a method which seeks to include relevant guidelines and laws into the discussion. In recent years many committees have received more cases which have concerned questions of principle. According (...)
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  2. Rachelle Barina (forthcoming). Ethics Outside of Inpatient Care: The Need for Alliances Between Clinical and Organizational Ethics. HEC Forum:1-15.
    The norms and practices of clinical ethics took form relative to the environment and relationships of hospital care. These practices do not easily translate into the outpatient context because the environment and relational dynamics differ. Yet, as outpatient care becomes the center of health care delivery, the experiences of ethical tension for outpatient clinicians warrant greater responses. Although a substantial body of literature on the nature of the doctor–physician relationship has been developed and could provide theoretical groundwork for an outpatient (...)
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  3. Gerald D. Coleman Ss (forthcoming). Direct and Indirect Abortion in the Roman Catholic Tradition: A Review of the Phoenix Case. [REVIEW] HEC Forum.
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  4. Linda Dauwerse, Froukje Weidema, Tineke Abma, Bert Molewijk & Guy Widdershoven (forthcoming). Implicit and Explicit Clinical Ethics Support in The Netherlands: A Mixed Methods Overview Study. [REVIEW] HEC Forum:1-15.
    Internationally, the prevalence of clinical ethics support (CES) in health care has increased over the years. Previous research on CES focused primarily on ethics committees and ethics consultation, mostly within the context of hospital care. The purpose of this article is to investigate the prevalence of different kinds of CES in various Dutch health care domains, including hospital care, mental health care, elderly care and care for people with an intellectual disability. A mixed methods design was used including two survey (...)
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  5. Inken Annegret Emrich, Leyla Fröhlich-Güzelsoy, Florian Bruns, Bernd Friedrich & Andreas Frewer (forthcoming). Clinical Ethics and Patient Advocacy. HEC Forum:1-14.
    In recent years, the rights of patients have assumed a more pivotal role in international discussion. Stricter laws on the protection of patients place greater priority on the perspective and the status of patients. The purpose of this study is to emphasize ethical aspects in communication, the role of patient advocates as contacts for the concerns and suggestions of patients, and how many problems of ethics disappear when communication is highlighted. We reviewed 680 documented cases of consultation in a 10-year (...)
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  6. Cathal T. Gallagher, Lisa J. McDonald & Niamh P. McCormack (forthcoming). Undergraduate Research Involving Human Subjects Should Not Be Granted Ethical Approval Unless It is Likely to Be of Publishable Quality. HEC Forum:1-12.
    Small-scale research projects involving human subjects have been identified as being effective in developing critical appraisal skills in undergraduate students. In deciding whether to grant ethical approval to such projects, university research ethics committees must weigh the benefits of the research against the risk of harm or discomfort to the participants. As the learning objectives associated with student research can be met without the need for human subjects, the benefit associated with training new healthcare professionals cannot, in itself, justify such (...)
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  7. R. A. Greenberg, K. W. Anstey, R. Macri, A. Heesters, S. Bean & R. Zlotnik Shaul (forthcoming). Bioethics Consultation Practices and Procedures: A Survey of a Large Canadian Community of Practice. HEC Forum:1-12.
    The literature fails to reflect general agreement over the nature of the services and procedures provided by bioethicists, and the training and core competencies this work requires. If bioethicists are to define their activities in a consistent way, it makes sense to look for common ground in shared communities of practice. We report results of a survey of the services and procedures among bioethicists affiliated with the University of Toronto Joint Centre for Bioethics (JCB). This is the largest group of (...)
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  8. Jaro Kotalik, Cathy Covino, Nadine Doucette, Steve Henderson, Michelle Langlois, Karen McDaid & Louisa M. Pedri (forthcoming). Framework for Ethical Decision-Making Based on Mission, Vision and Values of the Institution. HEC Forum:1-9.
    The authors led the development of a framework for ethical decision-making for an Academic Health Sciences Centre. They understood the existing mission, vision, and values statement (MVVs) of the centre as a foundational assertion that embodies an ethical commitment of the institution. Reflecting the Patient and Family Centred Model of Care the institution is living, the MVVs is a suitable base on which to construct an ethics framework. The resultant framework consists of a set of questions for each of the (...)
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  9. Robert Macauley (forthcoming). The Ethics of Cultivated Gratitude. HEC Forum:1-6.
    Given narrow operating margins, health care organizations are increasingly relying on philanthropy to fund operations. Since individuals provide the majority of philanthropic support, many organizations have expanded their “grateful patient fundraising” programs to include current inpatients, both established donors as well as persons of wealth. While this is legally permissible under HIPAA, it raises substantial ethical concerns for potential coercion of vulnerable patients, as well as unequal care stemming from preferential treatment and provided “amenities.” While some have drawn the analogy (...)
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  10. M. Berry Roberta, Sylvia Caley Lisa Bliss, A. Lombardo Paul, Jonathan Todres Jerri Nims Rooker & E. Wolf Leslie (forthcoming). Recent Developments in Health Care Law: Partners in Innovation. HEC Forum.
    This article reviews recent developments in health care law, focusing on the engagement of law as a partner in health care innovation. The article addresses: the history and contents of recent United States federal law restricting the use of genetic information by insurers and employers; the recent federal policy recommending routine HIV testing; the recent revision of federal policy regarding the funding of human embryonic stem cell research; the history, current status, and need for future attention to advance directives; the (...)
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  11. Andrew M. Siegel, Anna S. Barnwell & Dominic A. Sisti (forthcoming). Assessing Decision-Making Capacity: A Primer for the Development of Hospital Practice Guidelines. HEC Forum:1-10.
    Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of (...)
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  12. H. Colby William, John Lantos Constance Dahlin & Myra Christopher John Carney (forthcoming). The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and Legal Aspects of Care. HEC Forum.
    In 2001, leaders with palliative care convened to discuss the standardization of palliative care and formed the National Consensus Project for Quality Palliative Care. In 2004, the National Consensus Project for Quality Palliative Care produced the first edition of Clinical Guidelines for Quality Palliative Care. The Guidelines were developed by leaders in the field who examined other national and international standards with the intent to promote consistent, accessible, comprehensive, optimal palliative care through the health care spectrum. Within the guidelines there (...)
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