74 found
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  1.  10
    A Personalist Approach to Care Ethics.Linus Vanlaere & Chris Gastmans - 2011 - Nursing Ethics 18 (2):161-173.
    Notwithstanding the fact that care ethics has received increased attention, it has also faced much criticism. One of the focal points of critics is the normativity of care. Only when the objective normative basis of care is sufficiently clarified can care practices be evaluated and optimized from an ethical point of view. We emphasize that two levels of normativity can be identified: the context level and the foundational anthropology level. The personalist approach to care ethics is normatively stronger, at least (...)
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  2.  22
    Experiential Learning of Empathy in a Care-Ethics Lab.Linus Vanlaere, Trees Coucke & Chris Gastmans - 2010 - Nursing Ethics 17 (3):325-336.
    To generate empathy in the care of vulnerable older persons requires care providers to reflect critically on their care practices. Ethics education and training must provide them with tools to accomplish such critical reflection. It must also create a pedagogical context in which good care can be taught and cultivated. The care-ethics lab ‘sTimul’ originated in 2008 in Flanders with the stimulation of ethical reflection in care providers and care providers in training as its main goal. Also in 2008, sTimul (...)
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  3.  69
    Dignity-Enhancing Nursing Care A Foundational Ethical Framework.Chris Gastmans - 2013 - Nursing Ethics 20 (2):142-149.
    Starting from two observations regarding nursing ethics research in the past two decades, namely, the dominant influence of both the empirical methods and the principles approach, we present the cornerstones of a foundational argument-based nursing ethics framework. First, we briefly outline the general philosophical–ethical background from which we develop our framework. This is based on three aspects: lived experience, interpretative dialogue, and normative standard. Against this background, we identify and explore three key concepts—vulnerability, care, and dignity—that must be observed in (...)
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  4.  30
    Nursing Considered as Moral Practice: A Philosophical-Ethical Interpretation of Nursing.Chris Gastmans, Bernadette Dierckx de Casterle & Paul Schotsmans - 1998 - Kennedy Institute of Ethics Journal 8 (1):43-69.
    : Discussions of ethical approaches in nursing have been much enlivened in recent years, for instance by new developments in the theory of care. Nevertheless, many ethical concepts in nursing still need to be clarified. The purpose of this contribution is to develop a fundamental ethical view on nursing care considered as moral practice. Three main components are analyzed more deeply--i.e., the caring relationship, caring behavior as the integration of virtue and expert activity, and "good care" as the ultimate goal (...)
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  5.  1
    Dignity-Enhancing Nursing Care.Chris Gastmans - 2013 - Nursing Ethics 20 (2):142-149.
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  6.  5
    Ethics in Nursing Education: Learning To Reflect On Care Practices.Linus Vanlaere & Chris Gastmans - 2007 - Nursing Ethics 14 (6):758-766.
    Providing good care requires nurses to reflect critically on their nursing practices. Ethics education must provide nurses with tools to accomplish such critical reflection. It must also create a pedagogical context in which a caring attitude can be taught and cultivated. To achieve this twofold goal, we argue that the principles of a right-action approach, within which nurses conform to a number of minimum principles, must be integrated into a virtue ethics approach that cultivates a caring attitude. Ethics education that (...)
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  7.  12
    Trust in Nurse–Patient Relationships A Literature Review.Leyla Dinç & Chris Gastmans - 2013 - Nursing Ethics 20 (5):501-516.
    The aim of this study was to report the results of a literature review of empirical studies on trust within the nurse–patient relationship. A search of electronic databases yielded 34 articles published between 1980 and 2011. Twenty-two studies used a qualitative design, and 12 studies used quantitative research methods. The context of most quantitative studies was nurse caring behaviours, whereas most qualitative studies focused on trust in the nurse–patient relationship. Most of the quantitative studies used a descriptive design, while qualitative (...)
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  8. Living to the Bitter End? A Personalist Approach to Euthanasia in Persons with Severe Dementia.Jan de Lepeleire & Chris Gastmans - 2010 - Bioethics 24 (2):78-86.
    The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...)
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  9.  10
    A Fundamental Ethical Approach to Nursing: Some Proposals for Ethics Education.Chris Gastmans - 2002 - Nursing Ethics 9 (5):494-507.
    The purpose of this article is to explore a fundamental ethical approach to nursing and to suggest some proposals, based on this approach, for nursing ethics education. The major point is that the kind of nursing ethics education that is given reflects the theory that is held of nursing. Three components of a fundamental ethical view on nursing are analysed more deeply: (1) nursing considered as moral practice; (2) the intersubjective character of nursing; and (3) moral perception. It is argued (...)
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  10.  9
    Trust and Trustworthiness in Nursing: An Argument-Based Literature Review.Leyla Dinç & Chris Gastmans - 2012 - Nursing Inquiry 19 (3):223-237.
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  11.  33
    Nursing and Euthanasia: A Review of Argument-Based Ethics Literature. [REVIEW]Toon Quaghebeur, Bernadette Dierckx de Casterlé & Chris Gastmans - 2009 - Nursing Ethics 16 (4):466-486.
    This article gives an overview of the nursing ethics arguments on euthanasia in general, and on nurses' involvement in euthanasia in particular, through an argument-based literature review. An in-depth study of these arguments in this literature will enable nurses to engage in the euthanasia debate. We critically appraised 41 publications published between January 1987 and June 2007. Nursing ethics arguments on (nurses' involvement in) euthanasia are guided primarily by the principles of respect for autonomy, nonmaleficence, beneficence and justice. Ethical arguments (...)
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  12. Care, Compassion and Recognition: An Ethical Discussion.Carlo Leget, Chris Gastmans & Marian Verkerk (eds.) - 2011 - Peeters.
     
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  13.  38
    Living to the Bitter End? A Personalist Approach to Euthanasia in Persons with Severe Dementia.Chris Gastmans & Jan de Lepeleire - 2010 - Bioethics 24 (2):78-86.
    The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...)
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  14.  45
    Clarifying the Concept of Human Dignity in the Care of the Elderly.Win Tadd, Linus Vanlaere & Chris Gastmans - 2010 - Ethical Perspectives 17 (2):253-281.
    The need for dignity is frequently mentioned in policy documents relating to the care of the elderly. It is also described as an important value in professional codes. Yet concerns about the standards of care for an important number of elderly people abound, despite global ageing being a challenging phenomenon. Not least among these is how to ensure that the elderly will be able to live out their days with dignity.In the present paper, we begin with an empirical exploration of (...)
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  15.  8
    Cancer Patients' Perceptions of the Good Nurse: A Literature Review.Leila Rchaidia, Bernadette Dierckx de Casterlé, Liesbeth De Blaeser & Chris Gastmans - 2009 - Nursing Ethics 16 (5):528-542.
    This article discusses findings from a mixed method literature review that investigated cancer patients’ perceptions of what constitutes a good nurse. To find pertinent articles, we conducted a systematic key word search of five journal databases (1998—2008). The application of carefully constructed inclusion criteria and critical appraisal identified 12 relevant articles. According to the patients, good nurses were shown to be characterized by specific, but inter-related, attitudes, skills and knowledge; they engage in person-to-person relationships, respect the uniqueness of patients, and (...)
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  16.  57
    Nurses' Attitudes to Euthanasia: A Review of the Literature. [REVIEW]Charlotte Verpoort, Chris Gastmans, Nele De Bal & Bernadette Dierckx de Casterlé - 2004 - Nursing Ethics 11 (4):349-365.
    This article provides an overview of the scarce international literature concerning nurses’ attitudes to euthanasia. Studies show large differences with respect to the percentage of nurses who are (not) in favour of euthanasia. Characteristics such as age, religion and nursing specialty have a significant influence on a nurse’s opinion. The arguments for euthanasia have to do with quality of life, respect for autonomy and dissatisfaction with the current situation. Arguments against euthanasia are the right to a good death, belief in (...)
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  17.  8
    Belgian Nurses' Views on Codes of Ethics: Development, Dissemination, Implementation.Ellen Verpeet, Bernadette Dierckx de Casterlé, Joke Lemiengre & Chris Gastmans - 2006 - Nursing Ethics 13 (5):531-545.
    The aim of this study was to explore how Belgian nurses view issues related to the development, dissemination and implementation of a code of ethics for nurses. Fifty nurses took part in eight focus groups. The participants stated that, on the whole, a code of ethics for nurses would be useful. They stressed that a code should be a practical and useful instrument developed by nurses for nurses, and that it should be formulated and presented in a practical way, just (...)
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  18.  12
    Ethics Meetings in Support of Good Nursing Care: Some Practice-Based Thoughts.Bernadette Dierckx de Casterlé, Tom Meulenbergs, Lut van de Vijver, Anne Tanghe & Chris Gastmans - 2002 - Nursing Ethics 9 (6):612-622.
    The purpose of this article is to clarify both the role of nurses in ethics meetings and the way in which ethics meetings can function as a catalyst for good nursing care. The thoughts presented are practice based; they arose from our practical experiences as nurses and ethicists with ethics meetings in health care organizations in Belgium. Our reflections are written from the perspective of the nurse in the field who is participating in (inter)professional ethical dialogue. First, the difficulties that (...)
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  19.  27
    “It’s Intense, You Know.” Nurses’ Experiences in Caring for Patients Requesting Euthanasia.Yvonne Denier, Bernadette Dierckx de Casterlé, Nele De Bal & Chris Gastmans - 2010 - Medicine, Health Care and Philosophy 13 (1):41-48.
    The Belgian Act on Euthanasia came into force on 23 September 2002, making Belgium the second country—after the Netherlands—to decriminalize euthanasia under certain due-care conditions. Since then, Belgian nurses have been increasingly involved in euthanasia care. In this paper, we report a qualitative study based on in-depth interviews with 18 nurses from Flanders (the Dutch-speaking part of Belgium) who have had experience in caring for patients requesting euthanasia since May 2002 (the approval of the Act). We found that the care (...)
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  20.  20
    A Review and Taxonomy of Argument-Based Ethics Literature Regarding Conscientious Objections to End-of-Life Procedures.Jerome R. Wernow & Chris Gastmans - 2010 - Christian Bioethics 16 (3):274-295.
    Our study provides a review of argument-based scientific literature to address conscientious objections to end-of-life procedures. We also proposed a taxonomy based on this study that might facilitate clarification of this discussion at a basic level. The three clusters of our taxonomy include (1) nonconventional compatibilists that claim that conscientious objection against morally repugnant social conventions is compatible with professional obligation, (2) conventional compatibilists that suggest that conscientious objection against social convention is permissible under certain terms of compromise, and (3) (...)
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  21.  7
    “It’s Intense, You Know.” Nurses’ Experiences in Caring for Patients Requesting Euthanasia.Yvonne Denier, Bernadette Dierckx de Casterlé, Nele De Bal & Chris Gastmans - 2010 - Medicine, Health Care and Philosophy 13 (1):41-48.
  22.  1
    Trust in Nurse–Patient Relationships.Leyla Dinç & Chris Gastmans - 2013 - Nursing Ethics 20 (5):501-516.
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  23.  13
    'Because We See Them Naked' – Nurses' Experiences in Caring for Hospitalized Patients with Dementia: Considering Artificial Nutrition or Hydration (Anh).Els Bryon, Bernadette Dierckx de Casterlé & Chris Gastmans - 2012 - Bioethics 26 (6):285-295.
    The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...)
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  24.  22
    Nurses’ Ethical Reasoning in Cases of Physical Restraint in Acute Elderly Care: A Qualitative Study.Sabine Goethals, Bernadette Dierckx de Casterlé & Chris Gastmans - 2013 - Medicine, Health Care and Philosophy 16 (4):983-991.
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  25.  6
    'Because We See Them Naked'–Nurses 'Experiences in Caring for Hospitalized Patients with Dementia: Considering Artificial Nutrition or Hydration (Anh)'.Els Bryon, Bernadette Dierckx De Casterlé & Chris Gastmans - 2012 - Bioethics 26 (6):285-295.
  26.  5
    Elderly Patients' and Residents' Perceptions of 'the Good Nurse': A Literature Review.Elisa Van der Elst, Bernadette Dierckx de Casterlé & Chris Gastmans - 2012 - Journal of Medical Ethics 38 (2):93-97.
    This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial skills to care for patients. They are at their disposal, promptly recognising the patients' needs. Good nurses like their job and are sincere and affectionate. They are understanding and caring. They do not (...)
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  27.  11
    Dutch Nurses' Views on Codes of Ethics.Regien Heymans, Arie van der Arend & Chris Gastmans - 2007 - Nursing Ethics 14 (2):156-170.
    This study explored the experiences and views of Dutch nurses on the content, function, dissemination and implementation of their codes of ethics. A total of 39 participants, who differed in age, qualifications, length of work experience and health care setting, took part in focus groups. The findings revealed common unfamiliarity with and a rather implicit use of codes, and negative comments on the growing number of codes available in the Netherlands. Limited dissemination, implementation and functioning of codes of ethics were (...)
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  28. From Birth to Death? A Personalist Approach to End-of-Life Care of Severely Ill Newborns.Chris Gastmans, Gunnar Naulaers, Chris Vanhole & Yvonne Denier - 2013 - Christian Bioethics 19 (1):7-24.
    In this paper, a personalist ethical perspective on end-of-life care of severely ill newborns is presented by posing two questions. (1) Is it ethically justified to decide not to start or to withdraw life-sustaining treatment in severely ill newborns? (2) Is it ethically justified, in exceptional cases, to actively terminate the life of severely ill newborns? Based on five values—respect for life and for the dignity of the human person, quality of life, respect for the process of dying, relational autonomy, (...)
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  29.  33
    Nurses' Ethical Reasoning in Cases of Physical Restraint in Acute Elderly Care: A Qualitative Study.Sabine Goethals, Bernadette Dierckx de Casterlé & Chris Gastmans - 2013 - Medicine, Health Care and Philosophy 16 (4):983-991.
    In their practice, nurses make daily decisions that are ethically informed. An ethical decision is the result of a complex reasoning process based on knowledge and experience and driven by ethical values. Especially in acute elderly care and more specifically decisions concerning the use of physical restraint require a thoughtful deliberation of the different values at stake. Qualitative evidence concerning nurses’ decision-making in cases of physical restraint provided important insights in the complexity of decision-making as a trajectory. However a nuanced (...)
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  30.  1
    Nurses’ Attitudes to Euthanasia: A Review of the Literature. [REVIEW]Charlotte Verpoort, Chris Gastmans, Nele Bal & Bernadette de Casterlé - 2004 - Nursing Ethics 11 (4):349-365.
    This article provides an overview of the scarce international literature concerning nurses’ attitudes to euthanasia. Studies show large differences with respect to the percentage of nurses who are in favour of euthanasia. Characteristics such as age, religion and nursing specialty have a significant influence on a nurse’s opinion. The arguments for euthanasia have to do with quality of life, respect for autonomy and dissatisfaction with the current situation. Arguments against euthanasia are the right to a good death, belief in the (...)
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  31.  6
    Eternal Sunshine of the Spotless Mind? An Anthropological-Ethical Framework for Understanding and Dealing with Sexuality in Dementia Care.Lieslot Mahieu, Luc Anckaert & Chris Gastmans - 2014 - Medicine, Health Care and Philosophy 17 (3):377-387.
  32.  2
    Professional Values and Norms for Nurses in Belgium.Ellen Verpeet, Tom Meulenbergs & Chris Gastmans - 2003 - Nursing Ethics 10 (6):654-665.
    Because of their responsibilities for providing high-quality care, at times when they are continuously confronted with inherent professional and ethical challenges, nurses should meet high ethical standards of practice and conduct. Contrary to other countries, where codes of ethics for nurses are formulated to support those standards and to guide nurses’ professional practice, Belgian nurses do not have a formal code of ethics. Nevertheless, professional ethics is recognized as an important aspect in legal and other professional documents. The aim of (...)
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  33.  1
    Written Institutional Ethics Policies on Euthanasia: An Empirical-Based Organizational-Ethical Framework.Joke Lemiengre, Bernadette Dierckx de Casterlé, Paul Schotsmans & Chris Gastmans - 2014 - Medicine, Health Care and Philosophy 17 (2):215-228.
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  34.  23
    Pluralism and Ethical Dialogue in Christian Healthcare Institutions: The View of Caritas Catholica Flanders.Chris Gastmans, Fernand Van Neste & Paul Schotsmans - 2006 - Christian Bioethics 12 (3):265-280.
    In this article, the place and the nature of an ethical dialogue that develops within Christian healthcare institutions in Flanders, Belgium is examined. More specifically, the question is asked how Christian healthcare institutions should position themselves ethically in a context of a pluralistic society. The profile developed by Caritas Catholica Flanders must take seriously not only the external pluralistic context of our society and the internal pluralistic worldviews by personnel/employees and patients, but also the inherent inspiration of a Christian healthcare (...)
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  35.  42
    What If Patients with Dementia Use Decision Aids to Make an Advance Euthanasia Request?Chris Gastmans & Yvonne Denier - 2010 - American Journal of Bioethics 10 (4):25 – 26.
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  36.  32
    Dehydration Among Terminally Ill Patients: An Integrated Ethical and Practical Approach for Caregivers.Dolf De Ridder & Chris Gastmans - 1996 - Nursing Ethics 3 (4):305-316.
    The purpose of this paper is to examine the possibilities and limitations of an ethical and practical approach to terminal dehydration. We have argued that dehydration among terminally ill patients offers an important key to a better understanding of the dying process, and that the caregivers' reactions can lead to a deepening of holistic palliative care. This article makes clear that the moral question of terminal dehydration can only be treated by an interdisciplinary approach. Therefore, before studying the question of (...)
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  37.  10
    Telepsychiatry and the Meaning of in-Person Contact: A Preliminary Ethical Appraisal.Aimee van Wynsberghe & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (4):469-476.
    Pioneering researchers claim that telepsychiatry presents the possibility of improving both the quality and quantity of patient care for populations in general as well as for those in rural and remote locations. The prevalence of, and literature on telepsychiatry has increased dramatically in the last decade, covering all aspects of research endeavors. However, little can be found on the topic of ethics in telepsychiatry. Using various clinical scenarios we may provide insight into the moral challenge in telepsychiatry—the lack of in-person (...)
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  38.  4
    Content Analysis of Euthanasia Policies of Nursing Homes in Flanders (Belgium).Joke Lemiengre, Bernadette Dierckx de Casterlé, Yvonne Denier, Paul Schotsmans & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (3):313-322.
    Objectives To describe the form and content of ethics policies on euthanasia in Flemish nursing homes and to determine the possible influence of religious affiliation on policy content. Methods Content analysis of euthanasia policy documents. Results Of the 737 nursing homes we contacted, 612 (83%) completed and returned the questionnaire. Of 92 (15%) nursing homes that reported to have a euthanasia policy, 85 (92%) provided a copy of their policy. Nursing homes applied the euthanasia law with additional palliative procedures and (...)
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  39.  9
    Nurses' Views on Their Involvement in Euthanasia: A Qualitative Study in Flanders (Belgium).B. Dierckx De Casterle, C. Verpoort, Nele De Bal & Chris Gastmans - 2006 - Journal of Medical Ethics 32 (4):187-192.
    Background: Although nurses worldwide are confronted with euthanasia requests from patients, the views of palliative care nurses on their involvement in euthanasia remain unclear.Objectives: In depth exploration of the views of palliative care nurses on their involvement in the entire care process surrounding euthanasia.Design: A qualitative Grounded Theory strategy was used.Setting and participants: In anticipation of new Belgian legislation on euthanasia, we conducted semistructured interviews with 12 nurses working in a palliative care setting in the province of Vlaams-Brabant .Results: Palliative (...)
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  40.  1
    Content Analysis of Euthanasia Policies of Nursing Homes in Flanders.Joke Lemiengre, Bernadette Dierckx de Casterlé, Yvonne Denier, Paul Schotsmans & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (3):313-322.
  41.  10
    Research Abstract.Nele De Bal, Bernadette Dierckx de Casterlé, Maria Berghs & Chris Gastmans - 2005 - Nursing Ethics 12 (1):110-111.
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  42. Telepsychiatry and the Meaning of in-Person Contact: A Preliminary Ethical Appraisal.Aimee Wynsberghe & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (4):469-476.
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  43.  5
    Sorge für ein menschenwürdiges Lebensende in katholischen Pflegeeinrichtungen in Flandern (Belgien).Chris Gastmans - 2005 - Ethik in der Medizin 17 (4):284-297.
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  44.  2
    Research Abstract.Linus Vanlaere & Chris Gastmans - 2005 - Nursing Ethics 12 (2):200-201.
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  45.  2
    Caring for a Dignified End of Life in a Christian Health Care Institution: The View of Caritas Catholica Vlaanderen.Chris Gastmans - 2002 - Ethical Perspectives 9 (2-3):134-145.
    Immediately following the approval of the Belgian law on euthanasia, Caritas Catholica Vlaanderen sent a position paper to all affiliated institutions in which its standpoint regarding care for a dignified end of life is clarified. We would like to sketch very briefly the context in which this position paper should be placed, before reproducing the complete text of the recommendation.Caritas Catholica Vlaanderen is an umbrella organization for cooperation and consultation between the Verbond der Verzorgingsinstellingen [Association of Care Institutions], grouping health-care (...)
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  46.  2
    Editorial Comment.Chris Gastmans - 2003 - Nursing Ethics 10 (4):352-353.
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  47.  2
    Finnish Nurses’ Attitudes Towards Their Role in the Euthanasia Process.Anja Terkamo-Moisio, Chris Gastmans, Olli-Pekka Ryynänen & Anna-Maija Pietilä - forthcoming - Nursing Ethics:096973301772085.
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  48.  6
    How Do Ethnic Minority Patients Experience the Intercultural Care Encounter in Hospitals? A Systematic Review of Qualitative Research.Liesbet Degrie, Chris Gastmans, Lieslot Mahieu, Bernadette Dierckx de Casterlé & Yvonne Denier - 2017 - BMC Medical Ethics 18 (1):2.
    BackgroundIn our globalizing world, caregivers are increasingly being confronted with the challenges of providing intercultural healthcare, trying to find a dignified answer to the vulnerable situation of ethnic minority patients. Until now, international literature lacks insight in the intercultural care process as experienced by the ethnic minority patients themselves. We aim to fill this gap by analysing qualitative literature on the intercultural care encounter in the hospital setting, as experienced by ethnic minority patients.MethodsA systematic search was conducted for papers published (...)
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  49.  14
    The Significance of the Convention on Human Rights and Biomedicine of the Council of Europe for Healthcare Ethics Committees.Chris Gastmans - 1998 - HEC Forum 10 (3-4):350-358.
  50.  13
    Intimacy and Sexuality in Institutionalized Dementia Care: Clinical-Ethical Considerations.Lieslot Mahieu, Luc Anckaert & Chris Gastmans - 2017 - Health Care Analysis 25 (1):52-71.
    Intimacy and sexuality expressed by nursing home residents with dementia remains an ethically sensitive issue for care facilities, nursing staff and family members. Dealing with residents’ sexual longings and behaviour is extremely difficult, putting a burden on the caregivers as well as on the residents themselves and their relatives. The parties in question often do not know how to react when residents express themselves sexually. The overall aim of this article is to provide a number of clinical-ethical considerations addressing the (...)
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