Year:

  1.  10
    Do Moral Development Levels of the Nurses Affect Their Ethical Decision Making? A Descriptive Correlational Study.Sümeyye Arslan, Sinem Türer Öztik & Nevin Kuzu Kurban - 2021 - Clinical Ethics 16 (1):9-16.
    Background In the globalizing world, nurses often meet humans from different cultures and values. This fact has led them to make ethical decisions, which do not comply with their own moral jurisdictions at care setting. Objectives The objective of the study was to investigate the relationships between moral development levels of the nurses and their scores of nursing principled thinking and practical consideration during decision making for ethical dilemmas. Methods This was a descriptive correlational study. Nursing Dilemma Test, Moral Development (...)
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  2.  13
    Factors Affecting Moral Distress in Nurses Working in Intensive Care Units: A Systematic Review.Foroozan Atashzadeh-Shoorideh, Faraz Tayyar-Iravanlou, Zeynab Ahmadian Chashmi, Fatemeh Abdi & Rosana Svetic Cisic - 2021 - Clinical Ethics 16 (1):25-36.
    Background Moral distress is a major issue in intensive care units that requires immediate attention since it can cause nurses to burnout. Given the special conditions of patients in intensive care units and the importance of the mental health of nurses, the present study was designed to systematically review the factors affecting moral distress in nurses working in intensive care units. Methods PubMed, EMBASE, Web of Science, Scopus, and Science Direct were systematically searched for papers published between 2009 and 2019. (...)
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  3.  7
    Challenges in Shared Decision-Making in Pediatric Neuro-Oncology: Two Illustrative Cases of the Pursuit of Postoperative Alternative Medicine.Mandana Behbahani, Laura S. McGuire, Laura Burokas, Emily Obringer & Demetrios Nikas - 2021 - Clinical Ethics 16 (1):49-52.
    In caring for pediatric patients, a multifaceted approach in decision-making is utilized. The role of the medical team in complementary and alternative medicine is controversial. In cases of conventional treatment refusal by parents in pursuit of complementary and alternative medicine, there must be balanced decision-making, autonomy, and the best interest of the child. This report highlights two illustrative cases of patients with brain tumor, whereby parents refused postoperative conventional therapy involving chemoradiotherapy, in pursuit of complementary and alternative medicine alone. Parental (...)
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  4.  12
    The Prisoner Dilemma: Inconsistent Decisions for Continuing Life-Sustaining Treatment Between a Patient with Very Limited Communication and Their Surrogate.Abram Brummett - 2021 - Clinical Ethics 16 (1):46-48.
    This case raises the difficult question of how to respond to patients who appear to lack decision-making capacity, yet retain limited communication that allows them to state a preference for life-sustaining treatment that conflicts with the choice of their surrogate. I argue that the patient’s preference should be honored, even though the patient lacks decision-making capacity, and the preference contradicts the wishes of the surrogate.
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  5.  6
    Does a Comic Style Informed Assent Form Improve Comprehension for Minors Participating in Clinical Trials?Cristina Ferrer-Albero & Javier Díez-Domingo - 2021 - Clinical Ethics 16 (1):37-45.
    Background Several authors have shown that children and adolescents have limited understanding of critical elements of the research studies in which they are participating. The inclusion of graphic elements is a promising approach to increase the understandability of assent forms of clinical trials. Objectives To design a new assent form in comic strip format for minors participating in clinical trials and to compare the comprehension of this new document with a traditional assent form. Methods This study included an assessment of (...)
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  6.  5
    Possible Advantages of the Clinical Policy Ethics Assessment Tool: Institutional Support or Unnecessary Bureaucracy?Alfonso Rubio-Navarro, Diego Jose Garcia-Capilla, Maria Jose Torralba-Madrid & Jane Rutty - 2021 - Clinical Ethics 16 (1):1-8.
    Contemporary healthcare practice has been progressively more regulated to increase efficiency, service user safety and practice quality. However, ethical issues in clinical practice that have not been implemented into regulations are undervalued by policymakers and healthcare institutions Considering the issues found by other authors, the use of a simple tool for policymakers to consider recurrent ethical issues could reduce those issues in a policy-driven clinical practice. The lack of tools to support structured ethical assessment of clinical policies was the main (...)
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  7.  8
    Perceptions of Intensive Care Unit Nurses of Therapeutic Futility: A Scoping Review.João V. Vieira, Sérgio Deodato & Felismina Mendes - 2021 - Clinical Ethics 16 (1):17-24.
    Introduction Intensive care units are contexts in which, due to the remarkable existence of particularly technological resources, interventions are promoted to extend the life of people who experience highly complex health situations. This ability can lead to a culture of death denial where the possibility of implementing futile care and treatment cannot be excluded. Objective To describe nurses’ perceptions of adult intensive care units regarding the therapeutic futility of interventions implemented to persons in critical health conditions. Method Review of the (...)
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