Search results for 'Ethics, Clinical' (try it on Scholar)

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  1.  2
    N. O. Mokwunye, E. G. DeRenzo, V. A. Brown & J. J. Lynch (2011). Training in Clinical Ethics: Launching the Clinical Ethics Immersion Course at the Center for Ethics at the Washington Hospital Center. Journal of Clinical Ethics 23 (2):139-146.
    In May 2011, the clinical ethics group of the Center for Ethics at Washington Hospital Center launched a 40-hour, three and one-half day Clinical Ethics Immersion Course. Created to address gaps in training in the practice of clinical ethics, the course is for those who now practice clinical ethics and for those who teach bioethics but who do not, or who rarely, have the opportunity to be in a clinical setting. “Immersion” refers to a high-intensity (...)
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  2.  11
    Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk (2014). Outcomes of Moral Case Deliberation - the Development of an Evaluation Instrument for Clinical Ethics Support (the Euro-MCD). BMC Medical Ethics 15 (1):30.
    Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation (...)
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  3.  17
    Andrea Dörries, Pierre Boitte, Ana Borovecki, Jean-Philippe Cobbaut, Stella Reiter-Theil & Anne-Marie Slowther (2011). Institutional Challenges for Clinical Ethics Committees. HEC Forum 23 (3):193-205.
    Clinical ethics committees (CECs) have been developing in many countries since the 1980s, more recently in the transitional countries in Eastern Europe. With their increasing profile they are now faced with a range of questions and challenges regarding their position within the health care organizations in which they are situated: Should CECs be independent bodies with a critical role towards institutional management, or should they be an integral part of the hospital organization? In this paper, we discuss the organizational (...)
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  4.  7
    A. M. Slowther, L. McClimans & C. Price (2012). Development of Clinical Ethics Services in the UK: A National Survey. Journal of Medical Ethics 38 (4):210-214.
    Background In 2001 a report on the provision of clinical ethics support in UK healthcare institutions identified 20 clinical ethics committees. Since then there has been no systematic evaluation or documentation of their work at a national level. Recent national surveys of clinical ethics services in other countries have identified wide variation in practice and scope of activities. Objective To describe the current provision of ethics support in the UK and its development since 2001. Method A postal/electronic (...)
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  5.  10
    Deborah Swiderski, Katharine Ettinger, Mayris Webber & Nancy Dubler (2010). The Clinical Ethics Credentialing Project: Preliminary Notes From a Pilot Project to Establish Quality Measures for Ethics Consultation. [REVIEW] HEC Forum 22 (1):65-72.
    The Clinical Ethics Credentialing Project (CECP) was intiated in 2007 in response to the lack of uniform standards for both the training of clinical ethics consultants, and for evaluating their work as consultants. CECP participants, all practicing clinical ethics consultants, met monthly to apply a standard evaluation instrument, the QI tool , to their consultation notes. This paper describes, from a qualitative perspective, how participants grappled with applying standards to their work. Although the process was marked by (...)
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  6.  5
    Reidun Førde, Reidar Pedersen & Victoria Akre (2008). Clinicians' Evaluation of Clinical Ethics Consultations in Norway: A Qualitative Study. [REVIEW] Medicine, Health Care and Philosophy 11 (1):17-25.
    Clinical ethics committees have existed in Norway since 1996. By now all hospital trusts have one. An evaluation of these committees’ work was started in 2004. This paper presents results from an interview study of eight clinicians who evaluated six committees’ deliberations on 10 clinical cases. The study indicates that the clinicians found the clinical ethics consultations useful and worth while doing. However, a systematic approach to case consultations is vital. Procedures and mandate of the committees should (...)
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  7.  21
    Simon Woods & Pauline Mccormack (2013). Disputing the Ethics of Research: The Challenge From Bioethics and Patient Activism to the Interpretation of the Declaration of Helsinki in Clinical Trials. Bioethics 27 (5):243-250.
    In this paper we argue that the consensus around normative standards for the ethics of research in clinical trials, strongly influenced by the Declaration of Helsinki, is perceived from various quarters as too conservative and potentially restrictive of research that is seen as urgent and necessary. We examine this problem from the perspective of various challengers who argue for alternative approaches to what ought or ought not to be permitted. Key themes within this analysis will examine these claims and (...)
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  8.  21
    Reidar Pedersen, Victoria Akre & Reidun Førde (2009). Barriers and Challenges in Clinical Ethics Consultations: The Experiences of Nine Clinical Ethics Committees. Bioethics 23 (8):460-469.
    Clinical ethics committees have recently been established in nearly all Norwegian hospital trusts. One important task for these committees is clinical ethics consultations. This qualitative study explores significant barriers confronting the ethics committees in providing such consultation services. The interviews with the committees indicate that there is a substantial need for clinical ethics support services and, in general, the committee members expressed a great deal of enthusiasm for the committee work. They also reported, however, that tendencies to (...)
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  9.  5
    Stella Reiter-Theil, Marcel Mertz, Jan Schürmann, Nicola Stingelin Giles & Barbara Meyer-Zehnder (2011). Evidence – Competence – Discourse: The Theoretical Framework of the Multi-Centre Clinical Ethics Support Project Metap. Bioethics 25 (7):403-412.
    In this paper we assume that ‘theory’ is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES.A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES (...)
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  10.  32
    Bert Molewijk, Dick Kleinlugtenbelt, Scott Pugh & Guy Widdershoven (2011). Emotions and Clinical Ethics Support. A Moral Inquiry Into Emotions in Moral Case Deliberation. HEC Forum 23 (4):257-268.
    Emotions play an important part in moral life. Within clinical ethics support (CES), one should take into account the crucial role of emotions in moral cases in clinical practice. In this paper, we present an Aristotelian approach to emotions. We argue that CES can help participants deal with emotions by fostering a joint process of investigation of the role of emotions in a case. This investigation goes beyond empathy with and moral judgment of the emotions of the case (...)
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  11.  22
    Sally Bean (2011). Navigating the Murky Intersection Between Clinical and Organizational Ethics: A Hybrid Case Taxonomy. Bioethics 25 (6):320-325.
    Ethical challenges that arise within healthcare delivery institutions are currently categorized as either clinical or organizational, based on the type of issue. Despite this common binary issue-based methodology, empirical study and increasing academic dialogue indicate that a clear line cannot easily be drawn between organizational and clinical ethics. Disagreement around end-of-life treatments, for example, often spawn value differences amongst parties at both organizational and clinical levels and requires a resolution to address both the case at hand and (...)
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  12.  12
    Stella Reiter-Theil (2003). Balancing the Perspectives. The Patient's Role in Clinical Ethics Consultation. Medicine, Health Care and Philosophy 6 (3):247-254.
    The debate and implementation of Clinical Ethics Consultation is still in its beginnings in Europe and the issue of the patient's perspective has been neglected so far, especially at the theoretical and methodological level. At the practical level, recommendations about the involvement of the patient or his/her relatives are missing, reflecting the general lack of quality and practice standards in CEC. Balance of perspectives is a challenge in any interpersonal consultation, which has led to great efforts to develop “technical”approaches, (...)
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  13.  5
    Alexander A. Kon & Melissa Garcia (2015). Telemedicine as a Tool to Bring Clinical Ethics Expertise to Remote Locations. HEC Forum 27 (2):189-199.
    The American Society for Bioethics and Humanities promulgated standards for clinical ethics consultants and is currently developing a national Quality Attestation in Clinical Ethics Consultation to assist facilities in ensuring that those performing clinical ethics consultations meet minimum standards. As the field moves towards such professionalization, there is a need to provide access to qualified clinical ethicists at a broad range of medical facilities. Currently, however, there are insufficient numbers of trained clinical ethicists to staff (...)
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  14.  6
    Stella Reiter-Theil & George J. Agich (2008). Research on Clinical Ethics and Consultation. Introduction to the Theme. Medicine, Health Care and Philosophy 11 (1):3-5.
    Clinical ethics consultation has developed from local pioneer projects into a field of growing interest among both clinicians and ethicists. What is needed are more systematic studies on the ethical challenges faced in clinical practice and problem solving through ethics consultation from interdisciplinary perspectives. The Thematic Issue covers a range of topics and includes five recent studies from various European countries and the USA, focusing on issues such as the ethical difficulties of end of life decisions, experiences with (...)
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  15.  45
    George J. Agich (2009). The Issue of Expertise in Clinical Ethics. Diametros 22:3-20.
    The proliferation of ethics committees and ethics consultation services has engendered a discussion of the issue of the expertise of those who provide clinical ethics consultation services. In this paper, I discuss two aspects of this issue: the cognitive dimension or content knowledge that the clinical ethics consultant should possess and the practical dimension or set of dispositions, skills, and traits that are necessary for effective ethics consultation. I argue that the failure to differentiate and fully explicate these (...)
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  16.  18
    Stuart G. Finder & Mark J. Bliton (2011). Responsibility After the Apparent End: 'Following-Up' in Clinical Ethics Consultation. Bioethics 25 (7):413-424.
    Clinical ethics literature typically presents ethics consultations as having clear beginnings and clear ends. Experience in actual clinical ethics practice, however, reflects a different characterization, particularly when the moral experiences of ethics consultants are included in the discussion. In response, this article emphasizes listening and learning about moral experience as core activities associated with clinical ethics consultation. This focus reveals that responsibility in actual clinical ethics practice is generated within the moral scope of an ethics consultant's (...)
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  17.  6
    Reidun Førde & Thor Willy Ruud Hansen (2014). Do Organizational and Clinical Ethics in a Hospital Setting Need Different Venues? HEC Forum 26 (2):147-158.
    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. (...)
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  18.  11
    Linda Dauwerse, Froukje Weidema, Tineke Abma, Bert Molewijk & Guy Widdershoven (2014). Implicit and Explicit Clinical Ethics Support in The Netherlands: A Mixed Methods Overview Study. [REVIEW] HEC Forum 26 (2):95-109.
    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 (...)
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  19.  30
    Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton (2010). Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation? [REVIEW] HEC Forum 22 (1):171-171.
    Erratum to: Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation? Content Type Journal Article Pages 171-171 DOI 10.1007/s10730-010-9132-7 Authors Jeffrey P. Bishop, Saint Louis University Tenet Chair of Health Care Ethics, Albert Gnaegi Center for Health Care Ethics Salus Center, Room 527, 3545 Lafayette Ave St. Louis MO 63104-1314 USA Joseph B. Fanning, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Ave., 4th Floor, Suite 400 Nashville TN 37203 USA Mark J. Bliton, Vanderbilt (...)
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  20.  7
    Fern Brunger (forthcoming). Guidelines for Teaching Cross-Cultural Clinical Ethics: Critiquing Ideology and Confronting Power in the Service of a Principles-Based Pedagogy. Journal of Bioethical Inquiry:1-16.
    This paper presents a pedagogical framework for teaching cross-cultural clinical ethics. The approach, offered at the intersection of anthropology and bioethics, is innovative in that it takes on the “social sciences versus bioethics” debate that has been ongoing in North America for three decades. The argument is made that this debate is flawed on both sides and, moreover, that the application of cross-cultural thinking to clinical ethics requires using the tools of the social sciences within a principles-based framework (...)
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  21.  5
    Marianne K. Bahus & Reidun Førde (2016). Discussing End-of-Life Decisions in a Clinical Ethics Committee: An Interview Study of Norwegian Doctors’ Experience. HEC Forum 28 (3):261-272.
    With disagreement, doubts, or ambiguous grounds in end–of-life decisions, doctors are advised to involve a clinical ethics committee. However, little has been published on doctors’ experiences with discussing an end-of-life decision in a CEC. As part of the quality assurance of this work, we wanted to find out if clinicians have benefited from discussing end-of-life decisions in CECs and why. We will disseminate some Norwegian doctors’ experiences when discussing end-of-life decisions in CECs, based on semi-structured interviews with fifteen Norwegian (...)
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  22.  10
    Katherine Wasson, Emily Anderson, Erika Hagstrom, Michael McCarthy, Kayhan Parsi & Mark Kuczewski (2016). What Ethical Issues Really Arise in Practice at an Academic Medical Center? A Quantitative and Qualitative Analysis of Clinical Ethics Consultations From 2008 to 2013. HEC Forum 28 (3):217-228.
    As the field of clinical ethics consultation sets standards and moves forward with the Quality Attestation process, questions should be raised about what ethical issues really do arise in practice. There is limited data on the type and number of ethics consultations conducted across different settings. At Loyola University Medical Center, we conducted a retrospective review of our ethics consultations from 2008 through 2013. One hundred fifty-six cases met the eligibility criteria. We analyzed demographic data on these patients and (...)
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  23.  10
    Morten Magelssen, Reidar Pedersen & Reidun Førde (2016). Novel Paths to Relevance: How Clinical Ethics Committees Promote Ethical Reflection. HEC Forum 28 (3):205-216.
    How may clinical ethics committees inspire ethical reflection among healthcare professionals? How may they deal with organizational ethics issues? In recent years, Norwegian CECs have attempted different activites that stretch or go beyond the standard trio of education, consultation, and policy work. We studied the novel activities of Norwegian CECs by examining annual reports and interviewing CEC members. Through qualitative analysis we identified nine categories of novel CEC activities, which we describe by way of examples. In light of the (...)
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  24.  2
    Catarina Fischer Grönlund, Vera Dahlqvist, Karin Zingmark, Mikael Sandlund & Anna Söderberg (forthcoming). Managing Ethical Difficulties in Healthcare: Communicating in Inter-Professional Clinical Ethics Support Sessions. HEC Forum:1-18.
    Several studies show that healthcare professionals need to communicate inter-professionally in order to manage ethical difficulties. A model of clinical ethics support inspired by Habermas’ theory of discourse ethics has been developed by our research group. In this version of CES sessions healthcare professionals meet inter-professionally to communicate and reflect on ethical difficulties in a cooperative manner with the aim of reaching communicative agreement or reflective consensus. In order to understand the course of action during CES, the aim of (...)
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  25.  9
    Rouven Porz, Elleke Landeweer & Guy Widdershoven (2011). Theory and Practice of Clinical Ethics Support Services: Narrative and Hermeneutical Perspectives. Bioethics 25 (7):354-360.
    In this paper we introduce narrative and hermeneutical perspectives to clinical ethics support services (CESS). We propose a threefold consideration of ‘theory’ and show how it is interwoven with ‘practice’ as we go along. First, we look at theory in its foundational role: in our case ‘narrative ethics’ and ‘philosophical hermeneutics’ provide a theoretical base for clinical ethics by focusing on human identities entangled in stories and on moral understanding as a dialogical process. Second, we consider the role (...)
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  26.  26
    Eric Racine (2008). Enriching Our Views on Clinical Ethics: Results of a Qualitative Study of the Moral Psychology of Healthcare Ethics Committee Members. [REVIEW] Journal of Bioethical Inquiry 5 (1):57-67.
    The contribution of healthcare ethics committee (HEC) members to HECs is fundamental. However, little is known about how HEC members view clinical ethics. We report results from a qualitative study of the moral psychology of HEC members. We found that contrary to the existing Kohlberg-based studies, HEC members hold a pragmatic non-expert view of clinical ethics based mainly on respect for persons and a commitment to the patient’s good. In general, HEC members hold deflationary views regarding moral theory. (...)
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  27.  21
    Diego Garcia (2001). Moral Deliberation: The Role of Methodologies in Clinical Ethics. [REVIEW] Medicine, Health Care and Philosophy 4 (2):223-232.
    The experience of the last thirty years has shown that whether the different methodologies used in clinical ethics work well or not depends on certain external factors, such as the mentality with which they are used. This article aims to analyze two of these mentalities: the “dilemmatic” and the “problematic.” The former uses preferably the decision-making theory, whilst the latter emphasizes above all the role of deliberation. The author considers that Clinical Ethics must be deliberationist, and that only (...)
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  28.  8
    Rosalind McDougall, Lauren Notini & Jessica Phillips (2015). Conflicts Between Parents and Health Professionals About a Child’s Medical Treatment: Using Clinical Ethics Records to Find Gaps in the Bioethics Literature. Journal of Bioethical Inquiry 12 (3):429-436.
    Clinical ethics records offer bioethics researchers a rich source of cases that clinicians have identified as ethically complex. In this paper, we suggest that clinical ethics records can be used to point to types of cases that lack attention in the current bioethics literature, identifying new areas in need of more detailed bioethical work. We conducted an analysis of the clinical ethics records of one paediatric hospital in Australia, focusing specifically on conflicts between parents and health professionals (...)
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  29.  6
    Katherine Wasson, Kayhan Parsi, Michael McCarthy, Viva Jo Siddall & Mark Kuczewski (2016). Developing an Evaluation Tool for Assessing Clinical Ethics Consultation Skills in Simulation Based Education: The ACES Project. HEC Forum 28 (2):103-113.
    The American Society for Bioethics and Humanities has created a quality attestation process for clinical ethics consultants; the pilot phase of reviewing portfolios has begun. One aspect of the QA process which is particularly challenging is assessing the interpersonal skills of individual clinical ethics consultants. We propose that using case simulation to evaluate clinical ethics consultants is an approach that can meet this need provided clear standards for assessment are identified. To this end, we developed the Assessing (...)
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  30.  17
    Jos V. M. Welie (1998). Clinical Ethics: Theory or Practice? Theoretical Medicine and Bioethics 19 (3):295-312.
    This article starts with a brief historical account of the ongoing debate about the status of clinical ethics: theory of practice. The author goes on to argue that clinical ethics is best understood as a practice. However, its practicality should not be measured by the extent to which clinical-ethical consultants manage to mediate or negotiate resolutions to ethical conflicts. Rather, clinical ethics is practical because it is characterized by a profound concern for the well-being of individual (...)
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  31.  11
    Brian S. Marcus, Gary Shank, Jestin N. Carlson & Arvind Venkat (2015). Qualitative Analysis of Healthcare Professionals’ Viewpoints on the Role of Ethics Committees and Hospitals in the Resolution of Clinical Ethical Dilemmas. HEC Forum 27 (1):11-34.
    Ethics consultation is a commonly applied mechanism to address clinical ethical dilemmas. However, there is little information on the viewpoints of health care providers towards the relevance of ethics committees and appropriate application of ethics consultation in clinical practice. We sought to use qualitative methodology to evaluate free-text responses to a case-based survey to identify thematically the views of health care professionals towards the role of ethics committees in resolving clinical ethical dilemmas. Using an iterative and reflexive (...)
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  32.  2
    Virginia L. Bartlett, Mark J. Bliton & Stuart G. Finder (forthcoming). Just a Collection of Recollections: Clinical Ethics Consultation and the Interplay of Evaluating Voices. HEC Forum:1-18.
    Despite increased attention to the question of how best to evaluate clinical ethics consultations and emphasis on external evaluation, there has been little sustained focus on how we, as clinicians, make sense of and learn from our own experiences in the midst of any one consultation. Questions of how we evaluate the request for, unfolding of, and conclusion of any specific ethics consultation are often overlooked, along with the underlying question of whether it is possible to give an accurate (...)
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  33.  21
    Leah McClimans, Anne-Marie Slowther & Michael Parker (2012). Can UK Clinical Ethics Committees Improve Quality of Care? HEC Forum 24 (2):139-147.
    Failings in patient care and quality in NHS Trusts have become a recurring theme over the past few years. In this paper, we examine the Care Quality Commission’s Guidance about Compliance : Essential Standards of Quality and Safety and ask how NHS Trusts might be better supported in fulfilling the regulations specified therein. We argue that clinical ethics committees (CECs) have a role to play in this regard. We make this argument by attending to the many ethical elements that (...)
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  34.  28
    Osborne P. Wiggins & John Z. Sadler (2005). A Window Into Richard M. Zaner's Clinical Ethics. Theoretical Medicine and Bioethics 26 (1):1-6.
    This essay introduces a thematic issue focused on the contributions to clinical ethics and the philosophy of medicine by Richard M. Zaner. We consider the apparent divorce of Zaners philosophical roots from his recent narrative immersions into the blooming, buzzing confusions of clinical-moral lifeworlds. Our considerations of the Zanerian context and origins of the clinical encounter introduce the fundamental questions faced by Zaner and his commentators in this issue, questions about the role of ethics consultants, moral authority, (...)
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  35.  7
    Rachelle Barina (2014). Ethics Outside of Inpatient Care: The Need for Alliances Between Clinical and Organizational Ethics. HEC Forum 26 (4):309-323.
    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 (...)
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  36.  2
    Brian S. Marcus, Jestin N. Carlson, Gajanan G. Hegde, Jennifer Shang & Arvind Venkat (2016). Evaluation of Viewpoints of Health Care Professionals on the Role of Ethics Committees and Hospitals in the Resolution of Clinical Ethical Dilemmas Based on Practice Environment. HEC Forum 28 (1):35-52.
    We sought to evaluate whether health care professionals’ viewpoints differed on the role of ethics committees and hospitals in the resolution of clinical ethical dilemmas based on practice location. We conducted a survey study from December 21, 2013 to March 15, 2014 of health care professionals at six hospitals. The survey consisted of eight clinical ethics cases followed by statements on whether there was a role for the ethics committee or hospital in their resolution, what that role might (...)
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  37.  2
    Autumn M. Fiester (2015). Weaponizing Principles: Clinical Ethics Consultations & the Plight of the Morally Vulnerable. Bioethics 29 (5):309-315.
    Internationally, there is an on-going dialogue about how to professionalize ethics consultation services . Despite these efforts, one aspect of ECS-competence that has received scant attention is the liability of failing to adequately capture all of the relevant moral considerations in an ethics conflict. This failure carries a high price for the least powerful stakeholders in the dispute. When an ECS does not possess a sophisticated dexterity at translating what stakeholders say in a conflict into ethical concepts or principles, it (...)
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  38.  6
    Marta Spranzi (2013). Clinical Ethics and Values: How Do Norms Evolve From Practice? Medicine, Health Care and Philosophy 16 (1):93-103.
    Bioethics laws in France have just undergone a revision process. The bioethics debate is often cast in terms of ethical principles and norms resisting emerging social and technological practices. This leads to the expression of confrontational attitudes based on widely differing interpretations of the same principles and values, and ultimately results in a deadlock. In this paper I would like to argue that focusing on values, as opposed to norms and principles, provides an interesting perspective on the evolution of norms. (...)
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  39.  8
    Michael H. Kottow (2007). Should Research Ethics Triumph Over Clinical Ethics? Journal of Evaluation in Clinical Practice 13 (4):695-698.
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  40.  12
    Marian Verkerk & Hilde Lindemann (2012). Toward a Naturalized Clinical Ethics. Kennedy Institute of Ethics Journal 22 (4):289-306.
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  41.  14
    Sara Vollmer & George Howard (2010). Statistical Power, the Belmont Report, and the Ethics of Clinical Trials. Science and Engineering Ethics 16 (4):675-691.
    Achieving a good clinical trial design increases the likelihood that a trial will take place as planned, including that data will be obtained from a sufficient number of participants, and the total number of participants will be the minimal required to gain the knowledge sought. A good trial design also increases the likelihood that the knowledge sought by the experiment will be forthcoming. Achieving such a design is more than good sense—it is ethically required in experiments when participants are (...)
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  42.  12
    N. N. Dubler (2012). The Art of the Chart Note in Clinical Ethics Consultation and Bioethics Mediation: Conveying Information That Can Be Understood and Evaluated. Journal of Clinical Ethics 24 (2):148-155.
    Unlike bioethics mediators who are employed by healthcare organizations as outside consultants, mediators who are embedded in an institution must be authorized to chronicle a clinical ethics consultation or a mediation in a patient’s medical chart. This is an important privilege, as the chart is a legal document. In this article I discuss this important part of a bioethics mediator’s tool kit in my presentation of a case illustrating how bioethics mediation may proceed, and what this approach using both (...)
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  43.  20
    George Howard (2010). Statistical Power, the Belmont Report, and the Ethics of Clinical Trials. Science and Engineering Ethics 16 (4):675-691.
    Achieving a good clinical trial design increases the likelihood that a trial will take place as planned, including that data will be obtained from a sufficient number of participants, and the total number of participants will be the minimal required to gain the knowledge sought. A good trial design also increases the likelihood that the knowledge sought by the experiment will be forthcoming. Achieving such a design is more than good sense—it is ethically required in experiments when participants are (...)
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  44.  1
    Laurie J. Legocki, William J. Meurer, Shirley Frederiksen, Roger J. Lewis, Valerie L. Durkalski, Donald A. Berry, William G. Barsan & Michael D. Fetters (2015). Clinical Trialist Perspectives on the Ethics of Adaptive Clinical Trials: A Mixed-Methods Analysis. BMC Medical Ethics 16 (1):27.
    In an adaptive clinical trial , key trial characteristics may be altered during the course of the trial according to predefined rules in response to information that accumulates within the trial itself. In addition to having distinguishing scientific features, adaptive trials also may involve ethical considerations that differ from more traditional randomized trials. Better understanding of clinical trial experts’ views about the ethical aspects of adaptive designs could assist those planning ACTs. Our aim was to elucidate the opinions (...)
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  45.  28
    Ezekiel J. Emanuel (ed.) (2008). The Oxford Textbook of Clinical Research Ethics. Oxford University Press.
    Comprehensive in scope and research, this book will be a crucial resource for researchers in the medical sciences, as well as teachers and students alike.
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  46.  8
    Leah M. McClimans, Michael Dunn & Anne‐Marie Slowther (2011). Health Policy, Patient‐Centred Care and Clinical Ethics. Journal of Evaluation in Clinical Practice 17 (5):913-919.
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  47.  6
    Karen M. Meagher (2011). Considering Virtue: Public Health and Clinical Ethics. Journal of Evaluation in Clinical Practice 17 (5):888-893.
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  48.  2
    Ann Freeman Cook & Helena Hoas (2015). Exploring the Potential for Moral Hazard When Clinical Trial Research is Conducted in Rural Communities: Do Traditional Ethics Concepts Apply? HEC Forum 27 (2):171-187.
    Over the past 20 years, clinical research has migrated from academic medical centers to community-based settings, including rural settings. This evolving research environment may present some moral hazards or challenges that could undermine traditionally accepted standards for the protection of human subjects. The study described in this article was designed to explore the influence of motives driving the decisions to conduct clinical trial research in rural community settings. The researchers conducted semi-structured interviews with 80 participants who conducted (...) trials with rural subjects. The interviews provided a way to examine the influence of budgetary factors when deciding to conduct a clinical study, how information about the budget and the purpose of the study is conveyed to research participants, and the potential willingness of clinicians and coordinators to enroll in the kinds of studies they offer. The findings suggest that clinical trial research in rural communities may challenge clinicians’ abilities to balance the needs of the patient with the needs of the research enterprise. Few respondents seemed to recognize the traditionally recognized hazards of a dual relationship, specifically the moral risks of trying to attend to the interests of both patient and industry. It seems important to re-examine how we protect human subjects and what such protection should look like as research becomes part of the way medical care is provided, even in very rural areas. (shrink)
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  49.  6
    Kim Garchar (2012). Imperfection, Practice and Humility in Clinical Ethics. Journal of Evaluation in Clinical Practice 18 (5):1051-1056.
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  50.  28
    Roger Stanev (2012). Review of The Oxford Textbook of Clinical Research Ethics, by D. Wendler, C. Grady, R. Crouch, R. Lie, F. Miller, and E. Emanuel. Theoretical Medicine and Bioethics 33 (3):221-226.
    When is clinical research ethical? The difficulty in answering this question lies in the dual nature of research on human subjects, which yields two somewhat conflicting sets of obligations. On the one hand, there is the traditional view of science that includes the idea of an obligation to learn about the world. On the other hand, there is the obligation of care on the part of researchers towards individual participants in the research ...
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