Clinical Ethics

ISSN: 1477-7509

50 found

View year:

  1.  56
    Stop agonising over informed consent when researchers use crowdsourcing platforms to conduct survey research.Jonathan Lewis, Vilius Dranseika & Søren Holm - 2023 - Clinical Ethics 18 (4):343-346.
    Research ethics committees and institutional review boards spend considerable time developing, scrutinising, and revising specific consent processes and materials for survey-based studies conducted on crowdsourcing and online recruitment platforms such as MTurk and Prolific. However, there is evidence to suggest that many users of ICT services do not read the information provided as part of the consent process and they habitually provide or refuse their consent without adequate reflection. In principle, these practices call into question the validity of their consent. (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark  
  2.  10
    ‘Maternal request’ caesarean sections and medical necessity.Rebecca C. H. Brown & Andrea Mulligan - 2023 - Clinical Ethics 18 (3):312-320.
    Currently, many women who are expecting to give birth have no option but to attempt vaginal delivery, since access to elective planned caesarean sections (PCS) in the absence of what is deemed to constitute ‘clinical need’ is variable. In this paper, we argue that PCS should be routinely offered to women who are expecting to give birth, and that the risks and benefits of PCS as compared with planned vaginal delivery should be discussed with them. Currently, discussions of elective PCS (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  3. Recovery without normalisation: It's not necessary to be normal, not even in psychiatry.Zsuzsanna Chappell & Sofia M. I. Jeppsson - 2023 - Clinical Ethics 18 (3):298-305.
    In this paper, we argue that there are reasons to believe that an implicit bias for normalcy influences what are considered medically necessary treatments in psychiatry. First, we outline two prima facie reasons to suspect that this is the case. A bias for ‘the normal’ is already documented in disability studies; it is reasonable to suspect that it affects psychiatry too, since psychiatric patients, like disabled people, are often perceived as ‘weird’ by others. Secondly, psychiatry's explicitly endorsed values of well-being (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  4. Medical need and health need.Ben Davies - 2023 - Clinical Ethics 18 (3):287-291.
    I introduce a distinction between health need and medical need, and raise several questions about their interaction. Health needs are needs that relate directly to our health condition. Medical needs are needs which bear some relation to medical institutions or processes. I suggest that the question of whether medical insurance or public care should cover medical needs, health needs, or only needs which fit both categories is a political question that cannot be resolved definitionally. I also argue against an overly (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  5.  15
    The paradox of medical necessity.Samantha Godwin & Brian D. Earp - 2023 - Clinical Ethics 18 (3):281-284.
    The concept of medical necessity is often used to explain or justify certain decisions—for example, which treatments should be allowed under certain conditions—as though it had an obvious, agreed-upon meaning as well as an inherent normative force. In introducing this special issue of Clinical Ethics on medical necessity, we argue that the term, as used in various discourses, generally lacks a definition that is clear, non-circular, conceptually plausible, and fit for purpose. We propose that future work on this concept should (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  6.  20
    Medical necessity under weak evidence and little or perverse regulatory gatekeeping.John P. A. Ioannidis - 2023 - Clinical Ethics 18 (3):330-334.
    Medical necessity (claiming that a medical intervention or care is – at minimum – reasonable, appropriate and acceptable) depends on empirical evidence and on the interpretation of that evidence. Evidence and its interpretation define the standard of care. This commentary argues that both the evidence base and its interpretation are currently weak gatekeepers. Empirical meta-research suggests that very few medical interventions have high quality evidence in support of their effectiveness and very few of them also have relatively thorough assessments of (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  7.  28
    All abortions are medically necessary.Evie Kendal - 2023 - Clinical Ethics 18 (3):306-311.
    When restrictive abortion policies are presented there are often two questions posed: will there be an exception to save the life of the ‘mother’ and will there be an exception in the case of rape or incest. This article will demonstrate that there are no distinctive elements to the first ‘exception’, that do not also apply to all abortions on demand. Through consideration of the potentially lethal impacts of pregnancy on physical and mental health, the case will be made that (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  8.  17
    Medical necessity, mental health, and justice.Emma Prendergast - 2023 - Clinical Ethics 18 (3):292-297.
    This paper examines the concept of medical necessity as it relates to mental health care rationing, arguing that the normal functioning model of medical necessity is insufficient because it fails to cohere with an important aim and function of mental health care, which is to provide support for individuals in abusive or otherwise difficult personal relationships.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  9.  10
    Disrupting medical necessity: Setting an old medical ethics theme in new light.Seppe Segers & Michiel De Proost - 2023 - Clinical Ethics 18 (3):335-342.
    Recent medical innovations like ‘omics’ technologies, mobile health (mHealth) applications or telemedicine are perceived as part of a shift towards a more preventive, participatory and affordable healthcare model. These innovations are often regarded as ‘disruptive technologies’. It is a topic of debate to what extent these technologies may transform the medical enterprise, and relatedly, what this means for medical ethics. The question of whether these developments disrupt established ethical principles like respect for autonomy has indeed received increasing normative attention during (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  10.  11
    What is ‘medical necessity’?Dominic J. C. Wilkinson - 2023 - Clinical Ethics 18 (3):285-286.
    Imagine that we are considering whether our healthcare system (or insurer) should fund treatment or procedure X. One factor that may be cited is that of so-called ‘medical necessity’. The claim would be that treatment X should be eligible for funding if it is medically necessary, but ineligible if this does not apply. Similarly, (and relevant to the debates in this special issue), if considering whether a particular treatment should be ethically and/or legally permitted, we may wish to distinguish between (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  11.  22
    Unconventional harm reduction interventions for Minor-attracted persons.Jacob M. Appel - 2023 - Clinical Ethics 18 (2):183-191.
    Minor-attracted persons raise multiple ethical and legal challenges. Sexual contact between adults and children is justly prohibited on child welfare grounds. Advances in technology raise the prospect of interventions for minor-attracted persons that have the potential to reduce harm to children by diverting would-be offenders to other endeavors that nonetheless may generate moral disgust This essay examines three of these potential harm reduction technologies (sex robots, haptic devices and synthetic child pornography) and raises the possibility that their use can be (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  12.  18
    Voluntary assisted death in present-day Japan: A case for dignity.Atsushi Asai & Miki Fukuyama - 2023 - Clinical Ethics 18 (2):251-258.
    No laws or official guidelines govern medical assistance for dying in Japan. However, over the past several years, cases of assisted suicide or voluntary euthanasia, rarely disclosed until recently, have occurred in close succession. Inspired by these events, ethical, legal, and social debates on a patient’s right to die have arisen in Japan, as it has in many other countries. Several surveys of Japanese people’s attitudes towards voluntary assisted dying suggest that a certain number of Japanese prefer active euthanasia. Against (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  13.  8
    Ethical reflections on how health professionals should answer the Question: What would you do if this were your family member?Atsushi Asai, Miki Fukuyama & Motoki Ohnishi - 2023 - Clinical Ethics 18 (2):155-160.
    Patient families sometimes ask health professionals, ‘What would you do if this were your family member?’ The purpose of this paper is to examine appropriate responses to this Question. Health professionals may say, ‘It all depends on the patient's wishes’, or ‘I don't know what is best, because my family is different from yours in many ways’. Some may believe that the most favourable course of action is the same regardless of who the patient is and explain this to the (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  14.  10
    The duty of candour: Open disclosure of medical errors.Eimear C. Bourke & Jessica Lochtenberg - 2023 - Clinical Ethics 18 (2):236-238.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  15.  4
    Comparison of the views of patients and rehabilitation therapists on the importance and respecting of the patients’ rights charter.Zahra Ghayoumi-Anaraki, Mina Forough Bakhsh, Seyed Ahmad Rezaei Anbarake & Mohaddeseh Mohsenpour - 2023 - Clinical Ethics 18 (2):245-250.
    Introduction Respecting the Patients’ Rights Charter leads to the demands of patients for their rights and the response of rehabilitation therapists by increasing their compliance. The present study aimed to compare the views of patients and rehabilitation therapists about the importance and extent of compliance with the Patients’ Rights Charter. Methods This cross-sectional study was conducted for 3 months on 114 patients and 55 therapists who were selected using the convenience sampling method. The data collection tools included a demographic information (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  16.  5
    The ethical and medico-legal challenges of telemedicine in the coronavirus disease 2019 era: A comparison between Egypt and India.Sara A. Ghitani, Maha A. Ghanem, Hanaa S. Alhoshy, Jaskran Singh, Supriya Awasthi & Ekampreet Kaur - 2023 - Clinical Ethics 18 (2):205-214.
    Background In the coronavirus disease 2019 era, doctors have tried to decrease hospital visits and admissions. To this end, telemedicine was implemented in a non-systematic manner according. The objective of this study was to assess the current knowledge and attitudes of physicians in Alexandria, Egypt, and Punjab, India, toward telemedicine and its ethical and medico-legal issues. Method A cross-sectional study was implemented using an anonymous self-administered questionnaire carried out over two months (July and August 2020). A four-point Likert scale was (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  17.  3
    North Thames multi-centre service evaluation: Ethical considerations during COVID-19.Namithaa Sunil Kumar, Pippa Sipanoun, Mariana Dittborn, Mary Doyle & Sarah Aylett - 2023 - Clinical Ethics 18 (2):215-223.
    Objectives During the COVID-19 pandemic, healthcare resources including staff were diverted from paediatric services to support COVID-positive adult patients. Hospital visiting restrictions and reductions in face-to-face paediatric care were also enforced. We investigated the impact of service changes during the first wave of the pandemic on children and young people (CYP), to inform recommendations for maintaining their care during future pandemics. Design A multi-centre service evaluation was performed through a survey of consultant paediatricians working within the North Thames Paediatric Network, (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  18.  19
    Medical decision-making when the patient is a prisoner.Erik Larsen & Katherine Drabiak - 2023 - Clinical Ethics 18 (2):142-147.
    Although prisons provide on-site primary care, the corrections system relies on external hospitals to provide a variety of healthcare services. Compared to the general population, incarcerated patients experience higher rates of chronic medical conditions, mental illness, substance abuse, cancer, traumatic brain injury, assault, and communicable disease. Certain specialties of clinicians are likely to encounter patients who are incarcerated, which makes it important for clinicians to understand how medical decision-making may differ when the patient is a prisoner. The corrections system retains (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  19. Respect for autonomy: Consent doesn’t cut it.Jonathan Lewis - 2023 - Clinical Ethics 18 (2):139-141.
  20.  8
    Values at stake at the end of life: Analyses of personal preferences among Swedish physicians.Niels Lynøe, Anna Lindblad, Ingemar Engström, Mikael Sandlund & Niklas Juth - 2023 - Clinical Ethics 18 (2):239-244.
    Background Physician-assisted suicide is a controversial issue and has sometimes raised emotion-laden reactions. Against this backdrop, we have analyzed how Swedish physicians are reasoning about physician-assisted suicide if it were to be legalized. Methods and participants We conducted a cross-sectional study and analyzed 819 randomly selected physicians’ responses from general practitioners, geriatricians, internists, oncologists, psychiatrists, surgeons, and all palliativists. Apart from the main questions about their attitude toward physician-assisted suicide, we also asked what would happen with the respondents’ own trust (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  21. Why algorithmic speed can be more important than algorithmic accuracy.Jakob Mainz, Lauritz Munch, Jens Christian Bjerring & Sissel Godtfredsen - 2023 - Clinical Ethics 18 (2):161-164.
    Artificial Intelligence (AI) often outperforms human doctors in terms of decisional speed. For some diseases, the expected benefit of a fast but less accurate decision exceeds the benefit of a slow but more accurate one. In such cases, we argue, it is often justified to rely on a medical AI to maximise decision speed – even if the AI is less accurate than human doctors.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  22.  9
    Carrying the same pregnancy: A bioethical overview on Reciprocal effortless IVF and similar techniques.Emanuele Mangione - 2023 - Clinical Ethics 18 (2):271-279.
    Nowadays, novel techniques such as Reciprocal effortless in vitro fertilization (ReIVF) enable two individuals to “carry the same pregnancy,” that is to “carry” the same embryo in both their bodies. However, even though these techniques are likely to be increasingly requested, little is known about their safety and efficacy, and much less about their bioethical legitimacy and issues. Considering their uniqueness, this study assesses the compatibility of ReIVF as well as of another similar technique with the classical principles of medical (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  23.  13
    Attitudes of deaf individuals towards genetic testing of genes known to cause hearing loss.Katherine L. Mascia & Nathaniel H. Robin - 2023 - Clinical Ethics 18 (2):230-235.
    Congenital deafness is one of the most common birth defects reported. Approximately 70% of congenital deafness is non-syndromic, and approximately 80% of non-syndromic hearing loss results from a genetic cause. Middleton et al.’s1998 study highlighted the negative attitudes of culturally Deaf individuals towards genetic testing for genes known to cause hearing loss. While studies concerning genetic testing for deafness genes reference Middleton’s study, to our knowledge a re-evaluation of the attitudes of Deaf individuals towards genetic testing has not been conducted (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  24.  13
    Doctors’ knowledge regarding decision-making capacity: A survey of anesthesiologists.Alastair Moodley & Ames Dhai - 2023 - Clinical Ethics 18 (2):224-229.
    Informed consent for anesthesia is an ethical and legal requirement. A patient must have adequate decision-making capacity (DMC) as a prerequisite to informed consent. In determining whether a patient has sufficient DMC, anesthesiologists must draw on their knowledge of DMC. Knowledge gaps regarding DMC may result in incorrect assessments of patients’ capacity. This could translate to an informed consent process that is ethically and legally unsound. This study examined the DMC-related knowledge of anesthesiologists in a group of four university-affiliated hospitals. (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  25.  9
    Ethical challenges in clinical studies with adaptive design in oncology.Norbert W. Paul & Hamideh Mahdiani - 2023 - Clinical Ethics 18 (2):148-154.
    Novel immune therapies are increasingly based on the molecular differentiation of disease patterns. The related clinical studies are thus more often characterized by the so-called adaptive study designs (umbrella or basket studies including platform studies), which are continuously adjusted based on novel results. This paper analyses new study designs beyond the often-postulated need for regulation in order to identify ethical problems based on typical structural features and to—whenever possible—suggest solutions. To do so, it addresses the following topics: the relationship between (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  26.  12
    Defining the role of facilitated mediation in medical treatment decision-making for critically ill children in the Australian clinical context.Anne Preisz, Neera Bhatia & Patsi Michalson - 2023 - Clinical Ethics 18 (2):192-204.
    In this article, we explore alternative conflict resolution strategies to assist families and clinicians in cases of intractable dissent in paediatric health care decision-making. We focus on the ethical and legal landscape using cases from the Australian jurisdiction in New South Wales, while referencing some global sentinel cases. We highlight a range of alternative means of addressing conflict, including clinical ethics support, and contrast and contextualise facilitative or interest-based mediation, concluding that legal intervention via the courts can be protracted and (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  27.  6
    Some desiderata for a taxonomy of conscientious objection in health care: A reply to Gamble and Saad.Michael Robinson & Jeffrey Byrnes - 2023 - Clinical Ethics 18 (2):165-171.
    In a recent issue of this journal, Gamble and Saad offer a taxonomy of conscientious objection in health care with the aim of increasing the common ground in the debate over conscientious objection to prevent parties from talking past each other and help facilitate greater progress on this issue. Although we agree that this is an important and worthwhile project, Gamble and Saad's proposal suffers from several serious weaknesses that limit its ability to do the work set out for it. (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  28.  12
    Perspectives on early sex assignment and communication with parents in children with disorders of sexual development.Husrav Sadri, Sheza Abootty, Aureen D'Cunha, Sandeep Rai & Rathika Damodara Shenoy - 2023 - Clinical Ethics 18 (2):259-263.
    Disorders of sexual development are a heterogeneous group of disorders in which chromosomal, gonadal or anatomical sex development is atypical. The majority of these children are recognized at birth by ambiguous genitalia. Legal and societal pressures require the physician and parents to assign sex rapidly. Though sex assignment is undebated in several disorders of sexual development, many others need an individualized approach to gender-related concerns. Gender dysphoria is prevalent in disorders of sexual development, and early gender-defining surgeries have potentially lifelong (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  29.  12
    An ethical approach to shared decision-making for adolescents with terminal illness.Hunter Smith, Vivian Altiery De Jesús, Margot Kelly-Hedrick, Cami Docchio, Joy Piotrowski & Zackary Berger - 2023 - Clinical Ethics 18 (2):264-270.
    Shared decision-making is a well-recognized model to guide decision-making in medical care. However, the shared decision-making concept can become exceedingly complex in adolescent patients with varying degrees of autonomy who have most of their medical decisions made by their parents or legal guardians. The complexity increases further in ethically difficult situations such as terminal illness. In contrast to the typical patient-physician dyad, shared decision-making in adolescents requires a decision-making triad that also includes the parents or guardians. The multifactorial nature of (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  30.  4
    Refusal of transplant organs for non-medical reasons including COVID-19 status.Sai Kaushik Yeturu, Susan M. Lerner & Jacob M. Appel - 2023 - Clinical Ethics 18 (2):172-176.
    Transplant centers and physicians in the United States have limited guidance on the information which they can and cannot provide to transplant candidates regarding donors of potential organs. Patients may refuse organs for a variety of reasons ranging from pernicious requests including racism to misinformation about emerging medicine as with the COVID-19 vaccine and infection. Patient autonomy, organ stewardship, and equity are often at odds in these cases, but precedent indeed exists to help address these challenges. This work uses such (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  31.  5
    The ethics and urgency of identifying domestic minor sex trafficking victims in clinical settings.Avery Zhou, Margaret Alexis Kennedy, Alexa Bejinariu, Leah Hannon & Andrea N. Cimino - 2023 - Clinical Ethics 18 (2):177-182.
    A critical opportunity for identifying children experiencing domestic minor sex trafficking exists in healthcare settings. This quantitative study documented the disconnect between youth seeking help and interventions offered by healthcare providers. Ninety-one sex youth exploited through sex trafficking answered questions detailing their experiences of seeking medical treatment for injuries associated with selling or trading sex. Healthcare providers who were aware that injuries were sustained due to sex trafficking did not always alert legal or mandated reporting authorities. This analysis identified violations (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  32.  9
    Rethinking systemic ableism: A response to Zagouras, Ellick, and Aulisio.Erin E. Andrews, Kara B. Ayers, Joseph A. Stramondo & Robyn M. Powell - 2023 - Clinical Ethics 18 (1):7-12.
    Introduction This article is a response to Zagouras, Ellick, and Aulisio who presented a case study justifying the questioning of the capacity and autonomy of a young woman with a physical disability who was pregnant and facing coercive pressure to terminate. Case description Julia is described as a 26-year-old woman with a neurological disability that requires her to receive assistance with activities of daily living. She was described as living with her parents who provided her with personal care assistance. Julia (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  33.  7
    Taking care of the beloved patient.Jacob M. Appel - 2023 - Clinical Ethics 18 (1):13-17.
    While the management of treating “hateful” patients has been the subject of considerable commentary, far less attention has been paid to the ethical challenges involved in the treatment of “beloved” patients. This essay offers a non-exhaustive taxonomy of “beloved” patients that includes relatable patients, inspiring patients, empathy-inducing patients, and joyful patients, and then discusses the potential pitfalls involved in the optimal care of each group. By drawing attention to these often overlooked and unwitting risks, the hope is to mitigate both (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  34.  12
    Moral distress among nurses in caring COVID-19 patients.Rosyidah Arafat, Takdir Tahir & Akbar Harisa - 2023 - Clinical Ethics 18 (1):62-66.
    During the COVID-19 pandemic, nurses experienced tremendous dilemmas including the need to perform their duties in caring for patients while they have concerns about contracting the disease. This study described the moral distress of nurses in-charge of handling COVID-19 patients which can be used as baseline data for intervention programs in overcoming moral distress among nurses. This descriptive, cross-sectional study was conducted with nurses in-charge of handling COVID-19 treatment rooms. Before conducting the survey, ethical approval was obtained from the Medical (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  35.  9
    Children, futility and parental disagreement: The importance of ethical reasoning for clinicians in the paediatric intensive care setting.Chiara Baiocchi & Edmund Horowicz - 2023 - Clinical Ethics 18 (1):26-35.
    The provision of intensive care enables the lives of neonates, infants and children to be sustained or extended in circumstances previously regarded as impossible. However, as well as benefits, such care may confer burdens that resultingly frame continuation of certain interventions as futile, conferring more harm than or any, benefit. Subsequently, clinicians and families in the paediatric intensive care unit are often faced with decisions to withdraw, withhold or limit intensive care in order to act in the best interests of (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  36.  11
    We should not take abortion services for granted.Nathan Emmerich - 2023 - Clinical Ethics 18 (1):1-2.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  37.  11
    The relationship between ethical climate and moral distress from the perspective of operating room staff: A correlational study.Fatemeh Esmaelzadeh, Fatemeh Rajabdizavandi & Monirsadat Nematollahi - 2023 - Clinical Ethics 18 (1):67-74.
    Background The organizational climate in the operating room is special due to the specific conditions of the patient, and the ethical climate may affect moral distress of the operating room staff. Objective This study determined the relationship between ethical climate and moral distress from staff working in operating rooms of hospitals affiliated to Mashhad University of Medical Sciences. Method This analytical study was performed on 169 operating room staff in Mashhad, Iran. The operating room staff was selected using stratified random (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  38.  9
    Unbefriended, Uninvited: How End-of-Life Doulas Can Address Ethical and Procedural Gaps for Unrepresented Patients and Ensure Equal Access to the “Good Death”.Adele Flaherty & Anna Meurer - 2023 - Clinical Ethics 18 (1):55-61.
    In response to a global population with increasingly complex issues at the end of life, a movement in the U.S. has emerged incorporating doulas into end-of-life care. These end-of-life (EOL) doulas are not just focused on the quality of life, but also the quality of death. Like birth doulas, who provide support for pregnant patients and their families, EOL doulas help alleviate physical and mental discomfort in those who are dying. In this paper, we explore the role of EOL doulas (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  39.  16
    Non-therapeutic penile circumcision of minors: current controversies in UK law and medical ethics.Antony Lempert, James Chegwidden, Rebecca Steinfeld & Brian D. Earp - 2023 - Clinical Ethics 18 (1):36-54.
    The current legal status and medical ethics of routine or religious penile circumcision of minors is a matter of ongoing controversy in many countries. We focus on the United Kingdom as an illustrative example, giving a detailed analysis of the most recent British Medical Association guidance from 2019. We argue that the guidance paints a confused and conflicting portrait of the law and ethics of the procedure in the UK context, reflecting deeper, unresolved moral and legal tensions surrounding child genital (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  40.  8
    Ethics of recommending weight loss in older adults: A case study.Christine Marie Mills - 2023 - Clinical Ethics 18 (1):120-127.
    Healthcare professionals may confront ethical issues in practice, particularly when their values conflict with that of their patients or clients. This paper explores an ethical case study in which a dietitian who practices Health at Every Size® has an older adult client who wishes to lose weight. The dietitian believes that losing weight is inappropriate for this client. Using a framework for ethical decision making, this article explores the problem or dilemma, identifies the potential issues involved, discusses the relevant ethical (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  41.  12
    Ethical considerations in the treatment of chronic psychosis in a periviable pregnancy.Michelle T. Nguyen, Eric Rafla-Yuan, Emily Boyd, Laurence B. Mccullough, Frank A. Chervenak & Emily C. Dossett - 2023 - Clinical Ethics 18 (1):113-119.
    Background: Treatment of psychotic disorders in pregnancy is often ethically and clinically challenging, especially when psychotic symptoms impair decision-making capacity. There are several competing ethical obligations to consider: the ethical obligation to maternal autonomy, the maternal and fetal beneficence-based obligations to treat peripartum psychosis, and the fetal beneficence-based obligation to minimize teratogenic exposure. Objective: This article outlines an ethical framework for clinical decision-making for the management of chronic psychosis in pregnancy, with an emphasis on special considerations in the previable and (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  42.  3
    Ethical problems in the nurses action in the beginning of life.Sandra Paço & Sérgio Deodato - 2023 - Clinical Ethics 18 (1):105-112.
    Introduction The act of caring in nursing requires previous deliberation and decision, however this perception only arises when an ethical problem emerges. Objective: Identify ethical problems of nurses action in the area of beginning of human life Method: Exploratory and descriptive method, with a qualitative approach. Semi-structured interviews were used to collect data, who were submitted to content analysis. The sample was constituted by 26 nurses. Results 18 categories of problem areas and 56 ethical problems in early human life were (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  43.  9
    The care of the self as a moral foundation of physiotherapy.Krzysztof Pezdek - 2023 - Clinical Ethics 18 (1):97-104.
    The aim of this paper is to offer theoretical insights into the care of the self, which often initiates therapist-patient relationships in clinical practice. The reason is that when patients care about their health status, they are inclined to establish a therapeutic relationship with physical therapists. Hence, the care for self may bridge the world of the patient's private experiences and the world of the healthcare system together with its interventions, which is represented by the physical therapist In this framework, (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  44.  11
    Rationing in pediatric hospitalizations during COVID-19: A step back to move forward.Binh Phung - 2023 - Clinical Ethics 18 (1):3-6.
    The latest Omicron variant of the novel coronavirus has itself created a novel situation—bringing attention to the topic of healthcare rationing among hospitalized pediatric patients. This may be the first time that many pediatricians, nurses, parents, and public health officials have been compelled to engage in uncomfortable discussions about the allocation of medical care/resources. Simply put, finite budgets, resources, and a dwindling healthcare workforce do not permit all patients to receive unlimited medical care. Triage and bedside rationing decisions are happening (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  45.  6
    The Patients Changing Things Together (PATCHATT) ethics pack: A tool to support inclusive ethical decision-making in the development of a community-based palliative care intervention.Amanda Jane Roberts - 2023 - Clinical Ethics 18 (1):128-137.
    The Patients Changing Things Together (PATCHATT) programme supports individuals with a life-limiting illness to lead a change that matters to them. Individuals join a facilitated online peer support group to identify an issue they feel strongly about, plan for change and take action to bring that change about. The programme is developed and guided by a Programme Advisory Group with clinical and lay membership. This article charts the trialling of the patients changing thing together ethics pack, designed to support all (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  46.  7
    Preventing moral conflicts in patient care: Insights from a mixed-methods study with clinical experts.Jan Https://Orcidorg Schürmann, Gabriele Vaitaityte & Stella Reiter-Theil - 2023 - Clinical Ethics 18 (1):75-87.
    Background and aim Healthcare professionals are regularly exposed to moral challenges in patient care potentially compromising quality of care and safety of patients. Preventive clinical ethics support aims to identify and address moral problems in patient care at an early stage of their development. This study investigates the occurrence, risk factors, early indicators, decision parameters, consequences and preventive measures of moral problems. Method Semi-structured expert interviews were conducted with 20 interprofessional healthcare professionals from 2 university hospitals in Basel, Switzerland. A (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  47.  10
    Ethics of care and moral resilience in health care practice: A scoping review.Sharon Selvakumar & Belinda Kenny - 2023 - Clinical Ethics 18 (1):88-96.
    Background Ethics of care provides a framework for health care professionals to manage ethical dilemmas and moral resilience may mitigate stress associated with the process and outcomes of ethical reasoning. This review addresses the empirical study of ethics of care and moral resilience, published in the health care literature, and identifies potential research gaps. Methods and procedure Arksey O’Malley's framework was adopted to conduct this scoping review. A literature search was conducted across six databases: CINAHL Plus with full text, PubMed, (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  48.  5
    Financial incentives and moral distress in Australian audiologists and audiometrists.Andrea Simpson, Meg Fawcett, Lily McLeod, Jennifer Lin, Selda Tuncer & Bojana Sarkic - 2023 - Clinical Ethics 18 (1):20-25.
    Introduction Financial incentive schemes have been commonly used by the hearing aid industry as a way of encouraging device sales. These schemes can lead to a conflict of interest as the hearing device dispenser is torn between personal reward over the best interests of their client. This conflict of interest has the potential for the dispenser to develop “moral distress”, a negative state of mind when an individual’s ethical values contrast with those of the employing organization. The purpose of this (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  49.  11
    Look back to look forward….Lisa Wilks-Gallo - 2023 - Clinical Ethics 18 (1):18-19.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  50.  25
    Body integrity dysphoria and medical necessity: Amputation as a step towards health.Richard B. Gibson - 2023 - Clinical Ethics (3):321-329.
    Interventions are medically necessary when they are vital in achieving the goal of medicine. However, with varying perspectives comes varying views on what interventions are (un)necessary and, thus, what potential treatment options are available for those suffering from the myriad of conditions, pathologies and disorders afflicting humanity. Medical necessity's teleological nature is perhaps best illustrated in cases where there is debate over using contentious medical interventions as a last resort. For example, whether it is appropriate for those suffering from body (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
 Previous issues
  
Next issues