BMC Medical Ethics

ISSN: 1472-6939

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  1.  5
    Cross-cultural perspectives on intelligent assistive technology in dementia care: comparing Israeli and German experts’ attitudes.Hanan AboJabel, Johannes Welsch & Silke Schicktanz - 2024 - BMC Medical Ethics 25 (1).
    Background Despite the great benefits of intelligent assistive technology (IAT) for dementia care – for example, the enhanced safety and increased independence of people with dementia and their caregivers – its practical adoption is still limited. The social and ethical issues pertaining to IAT in dementia care, shaped by factors such as culture, may explain these limitations. However, most studies have focused on understanding these issues within one cultural setting only. Therefore, the aim of this study was to explore and (...)
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  2.  5
    Evaluating the understanding of the ethical and moral challenges of Big Data and AI among Jordanian medical students, physicians in training, and senior practitioners: a cross-sectional study.Abdallah Al-Ani, Abdallah Rayyan, Ahmad Maswadeh, Hala Sultan, Ahmad Alhammouri, Hadeel Asfour, Tariq Alrawajih, Sarah Al Sharie, Fahed Al Karmi, Ahmad Azzam, Asem Mansour & Maysa Al-Hussaini - 2024 - BMC Medical Ethics 25 (1):1-14.
    Aims To examine the understanding of the ethical dilemmas associated with Big Data and artificial intelligence (AI) among Jordanian medical students, physicians in training, and senior practitioners. Methods We implemented a literature-validated questionnaire to examine the knowledge, attitudes, and practices of the target population during the period between April and August 2023. Themes of ethical debate included privacy breaches, consent, ownership, augmented biases, epistemology, and accountability. Participants’ responses were showcased using descriptive statistics and compared between groups using t-test or ANOVA. (...)
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  3.  2
    The role of bioethics services in paediatric intensive care units: a qualitative descriptive study.Denise Alexander, Mary Quirke, Jo Greene, Lorna Cassidy, Carol Hilliard & Maria Brenner - 2024 - BMC Medical Ethics 25 (1):1-12.
    Background There is considerable variation in the functionality of bioethical services in different institutions and countries for children in hospital, despite new challenges due to increasing technology supports for children with serious illness and medical complexity. We aimed to understand how bioethics services address bioethical concerns that are increasingly encountered in paediatric intensive care. Methods A qualitative descriptive design was used to describe clinician’s perspectives on the functionality of clinical bioethics services for paediatric intensive care units. Clinicians who were members (...)
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  4.  2
    Moral approval of xenotransplantation in Egypt: associations with religion, attitudes towards animals and demographic factors.Gabriel Andrade, Eid AboHamza, Yasmeen Elsantil, AlaaEldin Ayoub & Dalia Bedewy - 2024 - BMC Medical Ethics 25 (1):1-15.
    Xenotransplantation has great potential as an alternative to alleviate the shortage of organs for donation. However, given that the animal most suited for xenotransplantation is the pig, there are concerns that people in Muslim countries may be more hesitant to morally approve of these procedures. In this study, the moral approval of xenotransplantation was assessed in a group of 895 participants in Egypt. The results showed that religiosity itself does not predict moral approval of xenotransplantation, but religious identity does, as (...)
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  5.  8
    Integrating ethics in AI development: a qualitative study.Laura Arbelaez Ossa, Giorgia Lorenzini, Stephen R. Milford, David Shaw, Bernice S. Elger & Michael Rost - 2024 - BMC Medical Ethics 25 (1):1-11.
    Background While the theoretical benefits and harms of Artificial Intelligence (AI) have been widely discussed in academic literature, empirical evidence remains elusive regarding the practical ethical challenges of developing AI for healthcare. Bridging the gap between theory and practice is an essential step in understanding how to ethically align AI for healthcare. Therefore, this research examines the concerns and challenges perceived by experts in developing ethical AI that addresses the healthcare context and needs. Methods We conducted semi-structured interviews with 41 (...)
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  6.  7
    Perceptions of COVID-19 patients in the use of bioethical principles and the physician-patient relationship: a qualitative approach.Guillermo Cantú Quintanilla, Irma Eloisa Gómez-Guerrero, Nuria Aguiñaga-Chiñas, Mariana López Cervantes, Ignacio David Jaramillo Flores, Pedro Alonso Slon Rodríguez, Carlos Francisco Bravo Vargas, America Arroyo-Valerio & María del Carmen García-Higuera - 2024 - BMC Medical Ethics 25 (1).
    Background The COVID-19 pandemic has influenced the approach to the health-disease system, raising the question about the principles of bioethics present in physician–patient relations. The principles while widely accepted may not be sufficient for a comprehensive ethical analysis. Therefore, the aim of this study was to explore the perception of these principles and the physician–patient relationship during a hospital stay through a qualitative approach. Method Sixteen semi-structured interviews took place to know the patients’ perception during their 2020 hospitalization for COVID-19. (...)
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  7.  7
    A scoping review of the ethical impacts of international medical electives on local students and patient care.Magdalena Chmura & Shobhana Nagraj - 2024 - BMC Medical Ethics 25 (1):1-8.
    Background International electives are often considered a valuable learning opportunity for medical students. Yet, as travelling to lower and middle income countries (LMICs) becomes more common, ethical considerations of such practices emerge. We conducted a scoping review to assess the extent to which five ethical themes were addressed in existing literature about electives, with the aim of investigating the ethical impacts of medical student electives on local resources, patients and clinicians in LMICs. Methods We systematically searched PubMed, Global Health and (...)
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  8.  5
    AI-driven decision support systems and epistemic reliance: a qualitative study on obstetricians’ and midwives’ perspectives on integrating AI-driven CTG into clinical decision making.Rachel Dlugatch, Antoniya Georgieva & Angeliki Kerasidou - 2024 - BMC Medical Ethics 25 (1):1-11.
    Background Given that AI-driven decision support systems (AI-DSS) are intended to assist in medical decision making, it is essential that clinicians are willing to incorporate AI-DSS into their practice. This study takes as a case study the use of AI-driven cardiotography (CTG), a type of AI-DSS, in the context of intrapartum care. Focusing on the perspectives of obstetricians and midwives regarding the ethical and trust-related issues of incorporating AI-driven tools in their practice, this paper explores the conditions that AI-driven CTG (...)
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  9.  2
    Questionable research practices of medical and dental faculty in Pakistan – a confession.Ayesha Fahim, Aysha Sadaf, Fahim Haider Jafari, Kashif Siddique & Ahsan Sethi - 2024 - BMC Medical Ethics 25 (1):1-8.
    Purpose Intellectual honesty and integrity are the cornerstones of conducting any form of research. Over the last few years, scholars have shown great concerns over questionable research practices (QRPs) in academia. This study aims to investigate the questionable research practices amongst faculty members of medical and dental colleges in Pakistan. Method A descriptive multi-institutional online survey was conducted from June-August 2022. Based on previous studies assessing research misconduct, 43 questionable research practices in four domains: Data collection & storage, Data analysis, (...)
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  10.  5
    Ethics rounds in the ambulance service: a qualitative evaluation.Catharina Frank, Andreas Rantala, Anders Svensson, Anders Sterner, Jessica Green, Anders Bremer & Bodil Holmberg - 2024 - BMC Medical Ethics 25 (1):1-10.
    Background It is a common ethical challenge for ambulance clinicians to care for patients with impaired decision-making capacities while assessing and determining the degree of decision-making ability and considering ethical values. Ambulance clinicians’ ethical competence seems to be increasingly important in coping with such varied ethical dilemmas. Ethics rounds is a model designed to promote the development of ethical competence among clinicians. While standard in other contexts, to the best of our knowledge, it has not been applied within the ambulance (...)
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  11.  5
    Conscientious objection and barriers to abortion within a specific regional context - an expert interview study.Robin Krawutschke, Tania Pastrana & Dagmar Schmitz - 2024 - BMC Medical Ethics 25 (1).
    Background While most countries that allow abortion on women’s request also grant physicians a right to conscientious objection (CO), this has proven to constitute a potential barrier to abortion access. Conscientious objection is regarded as an understudied phenomenon the effects of which have not yet been examined in Germany. Based on expert interviews, this study aims to exemplarily reconstruct the processes of abortion in a mid-sized city in Germany, and to identify potential effects of conscientious objection. Methods Five semi-structured interviews (...)
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  12.  6
    The Diversity Compass: a clinical ethics support instrument for dialogues on diversity in healthcare organizations.Charlotte Kröger, Bert Molewijk, Maaike Muntinga & Suzanne Metselaar - 2024 - BMC Medical Ethics 25 (1):1-14.
    Background Increasing social pluralism adds to the already existing variety of heterogeneous moral perspectives on good care, health, and quality of life. Pluralism in social identities is also connected to health and care disparities for minoritized patient (i.e. care receiver) populations, and to specific diversity-related moral challenges of healthcare professionals and organizations that aim to deliver diversity-responsive care in an inclusive work environment. Clinical ethics support (CES) services and instruments may help with adequately responding to these diversity-related moral challenges. However, (...)
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  13.  5
    Analyzing the composition of the editorial boards in high-impact medical ethics journals: a survey study.Wei Li, Xiyan Zhao, Tianlin Wen, Xingxuan Li, Donghua Liu & Zhiwei Jia - 2024 - BMC Medical Ethics 25 (1):1-8.
    BackgroundThe underrepresentation of scholarly works from low- and middle-income countries (LMICs) in academic literature is a documented concern, attributed partly to editorial biases. This trend, prevalent across various disciplines, has been less explored in the context of medical ethics journals. This study aimed to examine the composition of editorial board members (EBM) in high-impact medical ethics journals and to evaluate the extent of international diversity within these editorial teams.MethodsThis study incorporated an analysis of 16 high-impact medical ethics journals. Information regarding (...)
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  14.  5
    “That’s just Future Medicine” - a qualitative study on users’ experiences of symptom checker apps.Regina Müller, Malte Klemmt, Roland Koch, Hans-Jörg Ehni, Tanja Henking, Elisabeth Langmann, Urban Wiesing & Robert Ranisch - 2024 - BMC Medical Ethics 25 (1):1-19.
    Background Symptom checker apps (SCAs) are mobile or online applications for lay people that usually have two main functions: symptom analysis and recommendations. SCAs ask users questions about their symptoms via a chatbot, give a list with possible causes, and provide a recommendation, such as seeing a physician. However, it is unclear whether the actual performance of a SCA corresponds to the users’ experiences. This qualitative study investigates the subjective perspectives of SCA users to close the empirical gap identified in (...)
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  15.  6
    Community engagement in genetics and genomics research: a qualitative study of the perspectives of genetics and genomics researchers in Uganda.Harriet Nankya, Edward Wamala, Vincent Pius Alibu & John Barugahare - 2024 - BMC Medical Ethics 25 (1):1-13.
    Background Generally, there is unanimity about the value of community engagement in health-related research. There is also a growing tendency to view genetics and genomics research (GGR) as a special category of research, the conduct of which including community engagement (CE) as needing additional caution. One of the motivations of this study was to establish how differently if at all, we should think about CE in GGR. Aim To assess the perspectives of genetics and genomics researchers in Uganda on CE (...)
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  16.  6
    Culturally appropriate consent processes for community-driven indigenous child health research: a scoping review.Cindy Peltier, Sarah Dickson, Viviane Grandpierre, Irina Oltean, Lorrilee McGregor, Emilie Hageltorn & Nancy L. Young - 2024 - BMC Medical Ethics 25 (1):1-12.
    Background Current requirements for ethical research in Canada, specifically the standard of active or signed parental consent, can leave Indigenous children and youth with inequitable access to research opportunities or health screening. Our objective was to examine the literature to identify culturally safe research consent processes that respect the rights of Indigenous children, the rights and responsibilities of parents or caregivers, and community protocols. Methods We followed PRISMA guidelines and Arksey and O’Malley’s approach for charting and synthesizing evidence. We searched (...)
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  17.  3
    Towards the implementation of law n. 219/2017 on informed consent and advance directives for patients with psychiatric disorders and dementia. Physicians’ knowledge, attitudes and practices in four northern Italian health care facilities. [REVIEW]Corinna Porteri, Giulia Ienco, Mariassunta Piccinni & Patrizio Pasqualetti - 2024 - BMC Medical Ethics 25 (1):1-11.
    Background On December 2017 the Italian Parliament approved law n. 219/2017 “Provisions for informed consent and advance directives” regarding challenging legal and bioethical issues related to healthcare decisions and end-of life choices. The law promotes the person’s autonomy as a right and provides for the centrality of the individual in every scenario of health care by mean of three tools: informed consent, shared care planning and advance directives. Few years after the approval of the law, we conducted a survey among (...)
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  18.  4
    Ethical dilemmas in prioritizing patients for scarce radiotherapy resources.Cyprien Shyirambere, Vincent K. Cubaka, Scott A. Triedman, Lawrence N. Shulman, Katherine Van Loon, Nicaise Nsabimana, Jean Bosco Bigirimana, Grace Umutesi, Cam Nguyen, Espérance Mutoniwase, Anita Ho & Rebecca J. DeBoer - 2024 - BMC Medical Ethics 25 (1).
    BackgroundRadiotherapy is an essential component of cancer treatment, yet many countries do not have adequate capacity to serve all patients who would benefit from it. Allocation systems are needed to guide patient prioritization for radiotherapy in resource-limited contexts. These systems should be informed by allocation principles deemed relevant to stakeholders. This study explores the ethical dilemmas and views of decision-makers engaged in real-world prioritization of scarce radiotherapy resources at a cancer center in Rwanda in order to identify relevant principles.MethodsSemi-structured interviews (...)
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  19.  6
    Compliance with research ethics in epidemiological studies targeted to conflict-affected areas in Western Ethiopia: validity of informed consent (VIC) by information comprehension and voluntariness (ICV).Nicki Tiffin, Anja Bedeker, Michelle Nichols, Lami Bayisa, Eba Abdisa, Bizuneh Wakuma, Mekdes Yilma & Gemechu Tiruneh - 2024 - BMC Medical Ethics 25 (1):1-9.
    BackgroundThe conduct of research is critical to advancing human health. However, there are issues of ethical concern specific to the design and conduct of research in conflict settings. Conflict-affected countries often lack strong platform to support technical guidance and monitoring of research ethics, which may lead to the use of divergent ethical standards some of which are poorly elaborated and loosely enforced. Despite the growing concern about ethical issues in research, there is a dearth of information about ethical compliance in (...)
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  20.  9
    Family roles in informed consent from the perspective of young Chinese doctors: a questionnaire study.Hanhui Xu & Mengci Yuan - 2024 - BMC Medical Ethics 25 (1):1-10.
    Background Based on the principle of informed consent, doctors are required to fully inform patients and respect their medical decisions. In China, however, family members usually play a special role in the patient’s informed consent, which creates a unique “doctor-family-patient” model of the physician-patient relationship. Our study targets young doctors to investigate the ethical dilemmas they may encounter in such a model, as well as their attitudes to the family roles in informed consent. Methods A questionnaire was developed including general (...)
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