15 found

Year:

  1.  5
    Workplace Silence Behavior and its Consequences on Nurses: A New Egyptian Validation Scale of Nursing Motives.Nagah Abd El-Fattah Mohamed Aly, Safaa M. El-Shanawany & Maha Ghanem - 2022 - Clinical Ethics 17 (1):71-82.
    Background Workplace silence behavior is a social collective phenomenon. It refers to nurses choosing to withhold their ideas, opinions and concerns about critical issues in their workplace. Workplace silence behavior poses a threat to organizational ethics and success. It also has adverse effects on the performance of nurses in health organizations. Underlying nursing causes of silence behaviors could be related to individual, social and organizational attributes in health care settings. Objectives The study aimed to develop a new Egyptian validation scale (...)
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  2.  2
    Physician Use of the Phrase “Due to Old Age” to Address Complaints of Elderly Symptoms in Japanese Medical Settings: The Merits and Drawbacks.Atsushi Asai, Taketoshi Okita, Masashi Tanaka, Seiji Bito & Motoki Ohnishi - 2022 - Clinical Ethics 17 (1):14-21.
    In everyday medical settings in Japan, physicians occasionally tell an elderly patient that their symptoms are “due to old age,” and there is some concern that patient care might be negatively impacted as a result. That said, as this phrase can have multiple connotations and meanings, there are certain instances in which the use of this phrase may not necessarily be indicative of ageism, or prejudice against the elderly. One of the goals in medical care is to address pain and (...)
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  3.  6
    Dementia, Beauty, and Play: A Way of Seeing and Being with the Wearisome Patient.Abram Brummett & Michelle Bach - 2022 - Clinical Ethics 17 (1):87-89.
    We describe a case of an elderly patient suffering from advanced dementia whose chronic confusion has become a source of frustration for her caregivers. Mrs. M experiences a touching interaction with a new nurse who takes a different approach with her. We describe this interaction and elaborate upon it by drawing from Catholic social teaching and the philosophy of play. Cases like these do not involve dramatic or esoteric ethical problematics, but rather the sort of dilemma born of the everyday (...)
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  4.  1
    How to Continue COVID-19 Vaccine Clinical Trials? The Ethics of Vaccine Research in a Time of Pandemic.Silvia Ceruti, Marco Cosentino & Mario Picozzi - 2022 - Clinical Ethics 17 (1):32-40.
    Between December 2020 and March 2021, the US Food and Drug Administration and the European Medicines Agency issued Emergency Use Authorizations and Conditional Marketing Authorizations for the distribution of the first COVID-19 vaccines. Although these vaccines were thoroughly assessed before their approval, regulators required companies to continue ongoing placebo-controlled clinical trials in order to gather further reliable scientific information on their safety and efficacy, as well as to start new studies to evaluate additional candidates. The aim of this paper is (...)
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  5.  7
    Ethical Dimensions in Randomized Trials and Off-Label Use of Investigational Drugs for COVID-19 Treatment.Pooja Dhupkar & Seema Mukherjee - 2022 - Clinical Ethics 17 (1):95-104.
    Coronavirus disease 2019 is a fast-developing viral pandemic spreading across the globe. Due to lack of availability of proven medicines against COVID-19, physicians have resorted to treatments through large trials of investigational drugs with poor evidence or those used for similar diseases. Large trials randomize 100–500+ patients at multiple hospitals in different countries to either receive these drugs or standard treatment. In order to expedite the process, some regulatory agencies had also given permission to use drugs approved for other diseases, (...)
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  6.  15
    A Taxonomy of Conscientious Objection in Healthcare.Nathan Gamble & Toni Saad - 2022 - Clinical Ethics 17 (1):63-70.
    Conscientious Objection has become a highly contested topic in the bioethics literature and public policy. However, when CO is discussed, it is almost universally referred to as a single entity. Reality reveals a more nuanced picture. Healthcare professionals may object to a given action on numerous grounds. They may oppose an action because of its ends, its means, or because of factors that lay outside of both ends and means. Our paper develops a taxonomy of CO, which makes it possible (...)
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  7.  1
    Bone Marrow Donation in Poland: 2021 Update, and the Impact of the Coronavirus Disease 2019 Pandemic on Haematopoietic Stem Cell Transplantation. [REVIEW]Aleksandra Janowiak-Majeranowska, Filip Lebiedziński & Alan Majeranowski - 2022 - Clinical Ethics 17 (1):22-31.
    Haematopoietic stem cell transplantation is a treatment modality that saves the health and lives of a growing number of patients around the world. In the majority of cases, the procedure is conducted to treat haematologic neoplasms, although it can also be used as a therapy for some non-haematooncological diseases. The progress that has been taking place in the field of haematopoietic stem cell transplantation involves the need for recruiting more and more potential unrelated bone marrow donors for allotransplantation. In Poland, (...)
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  8.  3
    Ethical Pause as a Framework for High-Value Care of Hospitalized COVID-19 Patients.Benjamin J. Martin, Margaret Plews-Ogan & Andrew S. Parsons - 2022 - Clinical Ethics 17 (1):1-4.
    Caring for hospitalized patients with COVID-19 raises ethical dilemmas in which clinicians must weigh the unknown value of an intervention against the unknown risk of viral transmission. Current guidelines for delivering high-value care in the time of the COVID-19 pandemic do not directly address ethical dilemmas that arise from the unique concerns of individual patients. We propose an “ethical pause” in which clinicians address ethical dilemmas by taking time to ask three questions that invoke the major bioethical principles of beneficence, (...)
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  9.  4
    Death, Taxes and Uncertainty: Economic Motivations in End-of-Life Decision Making.George Slade Mellgard & Jacob M. Appel - 2022 - Clinical Ethics 17 (1):90-94.
    Economic motivations are key drivers of human behavior. Unfortunately, they are largely overlooked in literature related to medical decisionmaking, particularly with regard to end-of-life care. It is widely understood that the directions of a proxy acting in bad faith can be overridden. But what of cases in which the proxy or surrogate appears to be acting in good faith to effectuate the patient’s values, yet doing so directly serves the decision-maker’s financial interests? Such situations are not uncommon. Many patients care (...)
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  10.  4
    Main Challenges in Adoption of Consultation Services of Hospital Ethics Committees: A Systematic Review of the Literature.Mir Sajjad Seyyed Mousavi, Rahim Khodayari-Zarnaq & Alireza Hajizadeh - 2022 - Clinical Ethics 17 (1):41-50.
    Background There are numerous challenges in the consultation services of the Hospital Ethics Committees that can impact the means of providing healthcare. This review aimed to identify the main challenges in the application of consultation services of the HEC and propose possible solutions. Methods This systematic review was conducted through searching electronic databases including PubMed, Scopus, Science Direct, ProQuest, and Embase. Inclusion criteria included studies published in English language in a peer-reviewed journal, from 2000 to 2019 were identified, which clearly (...)
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  11.  1
    Slow Motion Ethics: Narrative Responsibility in Clinical Care.Daryl Pullman - 2022 - Clinical Ethics 17 (1):105-109.
    Narrative theory is a dynamic and evolving field of inquiry that has made tremendous inroads in the medical humanities over the past 40 years. Numerous authors have popularized the idea that “thinking narratively” can produce important insights about the illness experience for physician and patient alike. This paper draws on aspects of narrative theory to emphasize the moral responsibilities that arise when we step into another person's life narrative, becoming a character in her or his story. This has especially significant (...)
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  12.  5
    Moral Sensitivity and Moral Distress Correlation in Nurses Caring of Patients with Spinal Cord Injury.Naser Sedghi Goyaghaj, Amir Zoka & Mohaddeseh Mohsenpour - 2022 - Clinical Ethics 17 (1):51-56.
    Background and aim Ethical sensitivity of nurses often plays an important role in their occupational commitment and moral decision-making. In some working conditions, nurses are affected by ethical distress and fail to pursue correct ethical actions despite having knowledge and a tendency for moral practice. Therefore, the present study aimed to investigate the correlation between sensitivity and ethical distress in the nurses of patients with spinal cord injuries. Materials and methods This descriptive-analytical study was performed on 160 of the nurses (...)
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  13.  7
    The Practice of Obtaining Informed Consent for Elective Surgery and Anesthesia From Patients’ Perspective: An Institutional Based Cross-Sectional Study.Tadese Tamire & Aragaw Tesfaw - 2022 - Clinical Ethics 17 (1):57-62.
    Introduction Informed consent is a body of shared decision-making process and voluntary authorization of patients to receive medical or surgical intervention. There are limited studies conducted so far to examine the practice of informed consent in Ethiopia. This study aimed to assess the practice of informed consent process for surgery and Anesthesia. Method A cross-sectional study was conducted from March to May 2019. The data were collected using interviewer-administered structured questionnaire and analyzed in SPSS version 23. Results A total of (...)
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  14.  2
    Confronting Medication Scarcity in the Era of COVID-19.Yoram Unguru - 2022 - Clinical Ethics 17 (1):83-86.
    Over the past decade, US patients and clinicians have endured medication shortages of nearly every class, including many lifesaving medications. These shortages have persisted despite determined efforts by federal, academic, and professional organizations. Medication shortages have resulted in lost lives, medication errors, and substantial financial cost. Economic drivers are the primary cause for drug shortages, exacerbated by manufacturing and quality problems, and unreliable and uncertain sources for many raw materials required to synthesize these drugs. Drug shortages force clinicians to make (...)
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  15.  1
    Administration of Pro Re Nata Medications by the Nurse to Incapacitated Patients: An Ethical Perspective.Mojtaba Vaismoradi, Cathrine Fredriksen Moe, M. Flores Vizcaya-Moreno & Piret Paal - 2022 - Clinical Ethics 17 (1):5-13.
    The administration of pro re nata medications is the responsibility of the nurse. However, ethical uncertainties often happen due to the inability of incapacitated patients to collaborate with the nurse in the process of decision making for pro re nata medication administration. There is a lack of integrative knowledge and insufficient understanding regarding ethical considerations surrounding the administration of pro re nata medications to incapacitated patients. Therefore, they have been discussed in this paper and practical strategies to avoid unethical practices (...)
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