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Bryanna Moore
University of Texas Medical Branch
  1.  21
    From Bridge to Destination? Ethical Considerations Related to Withdrawal of ECMO Support over the Objections of Capacitated Patients.Andrew Childress, Trevor Bibler, Bryanna Moore, Ryan H. Nelson, Joelle Robertson-Preidler, Olivia Schuman & Janet Malek - 2022 - American Journal of Bioethics 23 (6):5-17.
    Extracorporeal membrane oxygenation (ECMO) is typically viewed as a time-limited intervention—a bridge to recovery or transplant—not a destination therapy. However, some patients with decision-making capacity request continued ECMO support despite a poor prognosis for recovery and lack of viability as a transplant candidate. In response, critical care teams have asked for guidance regarding the ethical permissibility of unilateral withdrawal over the objections of a capacitated patient. In this article, we evaluate several ethical arguments that have been made in favor of (...)
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  2.  26
    Bioethics and the Moral Authority of Experience.Ryan H. Nelson, Bryanna Moore, Holly Fernandez Lynch, Miranda R. Waggoner & Jennifer Blumenthal-Barby - 2022 - American Journal of Bioethics 23 (1):12-24.
    While experience often affords important knowledge and insight that is difficult to garner through observation or testimony alone, it also has the potential to generate conflicts of interest and unrepresentative perspectives. We call this tension the paradox of experience. In this paper, we first outline appeals to experience made in debates about access to unproven medical products and disability bioethics, as examples of how experience claims arise in bioethics and some of the challenges raised by these claims. We then motivate (...)
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  3.  36
    Two Minds, One Patient: Clearing up Confusion About “Ambivalence”.Bryanna Moore, Ryan H. Nelson, Peter A. Ubel & Jennifer Blumenthal-Barby - 2021 - American Journal of Bioethics 22 (6):37-47.
    Patients who experience difficulty making medical decisions are often referred to as “ambivalent.” However, the current lack of attention to the nuances between a cluster of phenomena that resemble...
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  4.  20
    What Do Psychiatrists Think About Caring for Patients Who Have Extremely Treatment-Refractory Illness?Natalie J. Dorfman, Jennifer Blumenthal-Barby, Peter A. Ubel, Bryanna Moore, Ryan Nelson & Brent M. Kious - 2024 - American Journal of Bioethics Neuroscience 15 (1):51-58.
    Questions about when to limit unhelpful treatments are often raised in general medicine but are less commonly considered in psychiatry. Here we describe a survey of U.S. psychiatrists intended to characterize their attitudes about the management of suicidal ideation in patients with severely treatment-refractory illness. Respondents (n = 212) received one of two cases describing a patient with suicidal ideation due to either borderline personality disorder or major depressive disorder. Both patients were described as receiving all guideline-based and plausible emerging (...)
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  5.  14
    Why only common morality?Bryanna Moore - 2019 - Journal of Medical Ethics 45 (12):788-789.
    ‘Why Not Common Morality?’ revisits an important and enduring question: is medical ethics distinct from ‘everyday’ ethics? In her paper, Rosamond Rhodes undertakes the ambitious project of answering this question, in addition to clarifying what constitutes a profession, how professions differ from ‘roles’ and how medical ethics relates to medical professionalism. Rhodes aims to challenge the status quo within medical ethics by departing from the views of certain giants within the field. The paper’s central contention is that the ethics of (...)
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  6.  9
    The Fraught Notion of a “Good Death” in Pediatrics.Bryanna Moore - 2023 - Journal of Medicine and Philosophy 48 (1):60-72.
    In this article, I sort through some of the confusion surrounding what constitutes the controversial notion of a “good death” for children. I distinguish, first, between metaphysical and practical disagreements about the notion of a good death, and, second, between accounts of a good death that minimally and maximally promote the dying child’s interests. I propose a narrowed account of the dying child’s interests, because they differ from the interests of non-dying children. Importantly, this account illustrates how disagreements at the (...)
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  7.  16
    Moral Intimacy, Authority, and Discretion.Ryan H. Nelson & Bryanna Moore - 2020 - American Journal of Bioethics 20 (2):66-68.
    Volume 20, Issue 2, February 2020, Page 66-68.
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  8.  31
    Killing in the name of: A merciful death?Bryanna Moore - 2022 - Bioethics 36 (6):613-620.
    Bioethics, Volume 36, Issue 6, Page 613-620, July 2022.
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  9.  20
    Pediatric Authenticity: Hiding in Plain Sight.Ryan H. Nelson, Bryanna Moore & Jennifer Blumenthal-Barby - 2022 - Hastings Center Report 52 (1):42-50.
    Hastings Center Report, Volume 52, Issue 1, Page 42-50, January/February 2022.
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  10.  13
    Death and the neonate.Bryanna Moore & John D. Lantos - 2021 - Journal of Medical Ethics 47 (4):227-228.
    Dominic Wilkinson suggests that one of Schubert’s songs has relevance for neonatologists today. In the song, Schubert suggests that death sometimes comes as a friend. Wilkinson ponders whether the song has a message for doctors and parents, who sometimes struggle to figure out whether death is an enemy or a friend to a dying baby. Wilkinson reflects on the case of baby ‘Hal’, who was born with serious cardiomyopathy. Hal’s parents and doctors disagree about whether to withdraw life-support. Through his (...)
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  11.  8
    Variation in Clinical Ethics Fellowship Programs: Lessons from the Field.Claire Horner & Bryanna Moore - 2020 - Journal of Clinical Ethics 31 (3):277-282.
    Given the enduring debate over what constitutes quality, and therefore appropriate training, in clinical ethics consultation, it is unsurprising that there is variation in the structure and content of clinical ethics fellowship programs. However, this variation raises questions about the value of fellowship training when the ethicists that emerge from these programs might be quite different. The specifics of fellowship programs are largely internal. As such, the extent of variation and whether such variation is problematic remains unclear. In this article, (...)
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  12.  62
    The responsibility to prevent, the duty to educate.Zohar Lederman, Alexandra Cernat, Eleonora Gregori Ferri, Franco Galbo, Guiomar Micol Andrea Levi-Setti, Mayli Mertens, Bryanna Moore, Olga Riklikiene, Jamie Vescio & Sheena Eagan Chamberlin - 2016 - Theoretical Medicine and Bioethics 37 (3):233-236.
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  13.  29
    Ethically permissible inequity in access to experimental therapies.Bryanna Moore - 2019 - Clinical Ethics 14 (1):1-8.
    Clinical ethics services are increasingly receiving case referrals regarding requests for access to experimental therapies. Sometimes, patients or families seek access to an experimental therapy that has not been subsidised by any government scheme, and for which no local clinical trial is underway. All else being equal, a patient may benefit from receiving an experimental therapy without making any other patient worse off. However, within public healthcare systems, treating only one patient with an experimental therapy, when others might also benefit (...)
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  14.  13
    Healthcare organizations and high profile disagreements.Bryanna Moore & John D. Lantos - 2019 - Bioethics 34 (3):281-287.
    In this paper, we examine healthcare organizations’ responses to high profile cases of doctor–parent disagreement. We argue that, once a conflict crosses a certain threshold of public interest, the stakes of the disagreement change in important ways. They are no longer only the stakes of the child’s interests or who has decision‐making authority, but also the stakes of public trust in healthcare practitioners and organizations and the wide scale spread of medical misinformation. These higher stakes call for robust organization‐level responses. (...)
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  15.  6
    The Right to Refusal of Unwanted End-of-Life Interventions for Pregnant Persons: Additional Challenges to Reproductive Rights Post-Roe.Hannah Carpenter & Bryanna Moore - 2024 - American Journal of Bioethics 24 (2):61-63.
    In their article, ‘The Two Front War on Reproductive Rights,’ Minkoff, Vullikanti, and Marshall (2024) highlight the challenges faced by pregnant persons following the overturn of Roe v. Wade (Dobb...
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  16.  14
    Consistently Inconsistent: Does Inconsistency Really Indicate Incapacity?Bryanna Moore, Ryan H. Nelson, Nicole Meredyth & Nekee Pandya - 2023 - HEC Forum 35 (3):215-222.
    While it is not explicitly included in capacity assessment tools, “consistency” has come to feature as a central concern when assessing patients’ capacity. In order to determine whether inconsistency indicates incapacity, clinicians must determine the source of the inconsistency with respect to the process or content of a patient’s decision-making. In this paper, we outline common types of inconsistency and analyze them against widely accepted elements of capacity. We explore the question of whether inconsistency necessarily entails a deficiency in a (...)
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  17.  22
    The Strange Tale of Three Identical Strangers: Cinematic Lessons in Bioethics.Bryanna Moore, Jeremy R. Garrett, Leslie Ann McNolty & Maria Cristina Murano - 2019 - Hastings Center Report 49 (1):21-23.
    Tim Wardle’s 2018 documentary film Three Identical Strangers is an exploration of identity, family, and loss. It’s also about nature versus nurture and the boundaries of ethically permissible research, particularly research involving children. The film tells the story of identical triplets who were separated soon after birth in 1961. A different family adopted each boy, without being told that their son had two identical brothers. The adoption agency responsible for finding the families was collaborating with a group of researchers working (...)
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  18.  11
    Exploring the Ethics of the Parental Role in Parent‐Clinician Conflict.Bryanna Moore & Rosalind McDougall - 2022 - Hastings Center Report 52 (6):33-43.
    In pediatric health care, parents and clinicians sometimes have competing ideas of what should be done for a child. In this article, we explore the idea that notions of what should be done for a child partly depend on one's perception of one's role in the child's life and care. Although role‐based appeals are common in health care, role‐differentiated approaches to understanding parent‐clinician conflicts are underexplored in the pediatric bioethics literature. We argue that, while the parental role is recognized as (...)
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  19.  17
    Building Effective Mentoring Relationships During Clinical Ethics Fellowships: Pedagogy, Programs, and People.Trevor M. Bibler, Ryan H. Nelson, Bryanna Moore, Janet Malek & Mary A. Majumder - 2024 - HEC Forum 36 (1):1-29.
    How should clinical ethicists be trained? Scholars have stated that clinical ethics fellowships create well-trained, competent ethicists. While this appears intuitive, few features of fellowship programs have been publicly discussed, let alone debated. In this paper, we examine how fellowships can foster effective mentoring relationships. These relationships provide the foundation for the fellow’s transition from novice to competent professional. In this essay, we begin by discussing our pedagogical commitments. Next, we describe the structures our program has created to assist our (...)
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  20.  8
    Consistently Inconsistent: Does Inconsistency Really Indicate Incapacity?Bryanna Moore, Ryan H. Nelson, Nicole Meredyth & Nekee Pandya - 2021 - HEC Forum 35 (3):1-8.
    While it is not explicitly included in capacity assessment tools, “consistency” has come to feature as a central concern when assessing patients’ capacity. In order to determine whether inconsistency indicates incapacity, clinicians must determine the source of the inconsistency with respect to the process or content of a patient’s decision-making. In this paper, we outline common types of inconsistency and analyze them against widely accepted elements of capacity. We explore the question of whether inconsistency necessarily entails a deficiency in a (...)
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  21.  22
    Dying during Covid‐19.Bryanna Moore - 2020 - Hastings Center Report 50 (3):13-15.
    I had been on the phone with Madeleine's mother for fifteen minutes, and she had sobbed throughout. She pleaded with me, “You won't even let our family visit her together. If you really want to help my daughter, you will let us stay with her.” Madeleine, who was twenty‐four years old, was dying of end‐stage acute myeloid leukemia and was intubated in one of our intensive care units. Her intensivist had requested a clinical ethics consultation for potentially inappropriate medical treatment—in (...)
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  22.  30
    Medical crowdfunding and the virtuous donor.Bryanna Moore - 2018 - Bioethics 33 (2):238-244.
    Patients and families are increasingly turning to crowdfunding to help them cover the cost of medical care. The ethics of crowdfunding has garnered some attention in the bioethical literature. In this paper I examine an ethical aspect of medical crowdfunding (MCF) that has received limited attention: the role of donors. I defend a virtue ethical approach to analyzing the role of donors in MCF. Vicious donation, where donors do not exercise the relevant virtues, can compound some of the ethical risks (...)
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  23.  14
    The Three Moral Dimensions of Grief.Bryanna Moore - 2017 - Colloquy 34:24-42.
    The moral status of the emotion of grief has garnered little recognition in philosophical literature. Existing inquiry has consisted for the most part of deontological and virtue ethical approaches to evaluating grief. In my paper I build upon established understandings of the morality grief and move beyond them, towards an understanding of what I call “eros-transformative grief” as a gateway or intermediary emotion that enables a powerful reassessment and revaluation of the self’s relation to the world. This fundamental moral revaluation (...)
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  24.  7
    When Parents Prefer to Defer: Is ‘Deferral’ Always Problematic in Pediatric Decision-Making?Bryanna Moore, Georgia Loutrianakis & Johnna Wellesley - 2022 - American Journal of Bioethics 22 (6):24-26.
    In “Acquiescence Is Not Agreement: The Problem of Marginalization in Pediatric Decision Making,” Caruso Brown argues that clinicians and ethicists should attend to voices marginalized by hie...
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