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Mark Sheehan [49]Mark Patrick Sheehan [1]
  1.  26
    Standards of Practice in Empirical Bioethics Research: Towards a Consensus.Jonathan Ives, Michael Dunn, Bert Molewijk, Jan Schildmann, Kristine Bærøe, Lucy Frith, Richard Huxtable, Elleke Landeweer, Marcel Mertz, Veerle Provoost, Annette Rid, Sabine Salloch, Mark Sheehan, Daniel Strech, Martine de Vries & Guy Widdershoven - 2018 - BMC Medical Ethics 19 (1):68.
    This paper responds to the commentaries from Stacy Carter and Alan Cribb. We pick up on two main themes in our response. First, we reflect on how the process of setting standards for empirical bioethics research entails drawing boundaries around what research counts as empirical bioethics research, and we discuss whether the standards agreed in the consensus process draw these boundaries correctly. Second, we expand on the discussion in the original paper of the role and significance of the concept of (...)
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  2.  64
    Toward Methodological Innovation in Empirical Ethics Research.Michael Dunn, Mark Sheehan, Tony Hope & Michael Parker - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):466-480.
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  3.  61
    Research Led by Participants: A New Social Contract for a New Kind of Research.Effy Vayena, Roger Brownsword, Sarah Jane Edwards, Bastian Greshake, Jeffrey P. Kahn, Navjoyt Ladher, Jonathan Montgomery, Daniel O'Connor, Onora O'Neill, Martin P. Richards, Annette Rid, Mark Sheehan, Paul Wicks & John Tasioulas - 2016 - Journal of Medical Ethics 42 (4):216-219.
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  4.  16
    ‘Your Country Needs You’: The Ethics of Allocating Staff to High-Risk Clinical Roles in the Management of Patients with COVID-19.Michael Dunn, Mark Sheehan, Joshua Hordern, Helen Lynne Turnham & Dominic Wilkinson - 2020 - Journal of Medical Ethics 46 (7):436-440.
    As the COVID-19 pandemic impacts on health service delivery, health providers are modifying care pathways and staffing models in ways that require health professionals to be reallocated to work in critical care settings. Many of the roles that staff are being allocated to in the intensive care unit and emergency department pose additional risks to themselves, and new policies for staff reallocation are causing distress and uncertainty to the professionals concerned. In this paper, we analyse a range of ethical issues (...)
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  5.  31
    Developing a New Justification for Assent.Amanda Sibley, Andrew J. Pollard, Raymond Fitzpatrick & Mark Sheehan - 2016 - BMC Medical Ethics 17 (1):1-9.
    BackgroundCurrent guidelines do not clearly outline when assent should be attained from paediatric research participants, nor do they detail the necessary elements of the assent process. This stems from the fact that the fundamental justification behind the concept of assent is misunderstood. In this paper, we critically assess three widespread ethical arguments used for assent: children’s rights, the best interests of the child, and respect for a child’s developing autonomy. We then outline a newly-developed two-fold justification for the assent process: (...)
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  6.  14
    In Defence of Governance: Ethics Review and Social Research.Mark Sheehan, Michael Dunn & Kate Sahan - 2018 - Journal of Medical Ethics 44 (10):710-716.
    There is a growing body of literature that has sought to undermine systems of ethical regulation, and governance more generally, within the social sciences. In this paper, we argue that any general claim for a system of research ethics governance in social research depends on clarifying the nature of the stake that society has in research. We show that certain accounts of this stake—protecting researchers’ freedoms; ensuring accountability for resources; safeguarding welfare; and supporting democracy—raise relevant ethical considerations that are reasonably (...)
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  7.  8
    Patient and Public Involvement: Two Sides of the Same Coin or Different Coins Altogether?Matthew S. McCoy, Jonathan Warsh, Leah Rand, Michael Parker & Mark Sheehan - 2019 - Bioethics 33 (6):708-715.
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  8.  9
    Expertise, Ethics Expertise, and Clinical Ethics Consultation: Achieving Terminological Clarity.Ana S. Iltis & Mark Sheehan - 2016 - Journal of Medicine and Philosophy 41 (4):416-433.
    The language of ethics expertise has become particularly important in bioethics in light of efforts to establish the value of the clinical ethics consultation, to specify who is qualified to function as a clinical ethics consultant, and to characterize how one should evaluate whether or not a person is so qualified. Supporters and skeptics about the possibility of ethics expertise use the language of ethics expertise in ways that reflect competing views about what ethics expertise entails. We argue for clarity (...)
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  9.  7
    Trust, Trustworthiness and Sharing Patient Data for Research.Mark Sheehan, Phoebe Friesen, Adrian Balmer, Corina Cheeks, Sara Davidson, James Devereux, Douglas Findlay, Katharine Keats-Rohan, Rob Lawrence & Kamran Shafiq - forthcoming - Journal of Medical Ethics:medethics-2019-106048.
    When it comes to using patient data from the National Health Service for research, we are often told that it is a matter of trust: we need to trust, we need to build trust, we need to restore trust. Various policy papers and reports articulate and develop these ideas and make very important contributions to public dialogue on the trustworthiness of our research institutions. But these documents and policies are apparently constructed with little sustained reflection on the nature of trust (...)
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  10.  30
    National Standards for Public Involvement in Research: Missing the Forest for the Trees.Matthew S. McCoy, Karin Rolanda Jongsma, Phoebe Friesen, Michael Dunn, Carolyn Plunkett Neuhaus, Leah Rand & Mark Sheehan - 2018 - Journal of Medical Ethics 44 (12):801-804.
    Biomedical research funding bodies across Europe and North America increasingly encourage—and, in some cases, require—investigators to involve members of the public in funded research. Yet there remains a striking lack of clarity about what ‘good’ or ‘successful’ public involvement looks like. In an effort to provide guidance to investigators and research organisations, representatives of several key research funding bodies in the UK recently came together to develop the National Standards for Public Involvement in Research. The Standards have critical implications for (...)
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  11. The Duty to Disclose Adverse Clinical Trial Results.S. Matthew Liao, Mark Sheehan & Steve Clarke - 2009 - American Journal of Bioethics 9 (8):24-32.
    Participants in some clinical trials are at risk of being harmed and sometimes are seriously harmed as a result of not being provided with available, relevant risk information. We argue that this situation is unacceptable and that there is a moral duty to disclose all adverse clinical trial results to participants in clinical trials. This duty is grounded in the human right not to be placed at risk of harm without informed consent. We consider objections to disclosure grounded in considerations (...)
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  12.  22
    Exploring the Ethics of Global Health Research Priority-Setting.Bridget Pratt, Mark Sheehan, Nicola Barsdorf & Adnan A. Hyder - 2018 - BMC Medical Ethics 19 (1):94.
    Thus far, little work in bioethics has specifically focused on global health research priority-setting. Yet features of global health research priority-setting raise ethical considerations and concerns related to health justice. For example, such processes are often exclusively disease-driven, meaning they rely heavily on burden of disease considerations. They, therefore, tend to undervalue non-biomedical research topics, which have been identified as essential to helping reduce health disparities. In recognition of these ethical concerns and the limited scholarship and dialogue addressing them, we (...)
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  13. The Ashley Treatment: Best Interests, Convenience, and Parental Decision Making.S. Matthew Liao, Julian Savulescu & Mark Sheehan - 2007 - Hastings Center Report 37 (2):16-20.
    The story of Ashley, a nine-year-old from Seattle, has caused a good deal of controversy since it appeared in the Los Angeles Times on January 3, 2007.1 Ashley was born with a condition called static encephalopathy, a severe brain impairment that leaves her unable to walk, talk, eat, sit up, or roll over. According to her doctors, Ashley has reached, and will remain at, the developmental level of a three-month-old.
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  14.  10
    Variation in University Research Ethics Review: Reflections Following an Inter-University Study in England.Claudia Vadeboncoeur, Nick Townsend, Charlie Foster & Mark Sheehan - 2016 - Research Ethics 12 (4):217-233.
    Conducting large multi-site research within universities highlights inconsistencies between universities in approaches, requirements and responses of research ethics committees. Within the context of a social science research study, we attempted to obtain ethical approval from 101 universities across England to recruit students for a short online survey. We received varied responses from research ethics committees of different universities with the steps to obtaining ethics approval ranging from those that only required proof of approval from our home institution, to universities that (...)
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  15.  28
    Assent is Not Consent.Amanda Sibley, Mark Sheehan & Andrew J. Pollard - 2012 - Journal of Medical Ethics 38 (1):3-3.
    A recent article from Archives of Disease in Childhood outlined problems with the act of gaining child assent for research participation. However the arguments used in the article are incomplete or misguided. Rather than being harmful, assent should be seen as an ethically-appropriate way in which we can engage with the child about his participation in research. While additional clarification of the concept of assent is needed, the child's family context can provide us with a valuable guide to the way (...)
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  16.  34
    Resources and the Rule of Rescue.Mark Sheehan - 2007 - Journal of Applied Philosophy 24 (4):352–366.
    The central issue that I consider in this paper is the use of the so‐called ‘Rule of Rescue’ in the context of resource allocation. This ‘Rule’ has played an important role in resource allocation decisions in various parts of the world. It was invoked in Ontario to overturn a decision not to fund treatment for Gaucher's Disease and it has also been used to justify resource decisions in Israel concerning the same condition. -/- In the paper I consider the nature (...)
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  17.  4
    Authority and the Future of Consent in Population-Level Biomedical Research.Mark Sheehan, Rachel Thompson, Jon Fistein, Jim Davies, Michael Dunn, Michael Parker, Julian Savulescu & Kerrie Woods - forthcoming - Public Health Ethics.
    Population-level biomedical research has become crucial to the health system’s ability to improve the health of the population. This form of research raises a number of well-documented ethical concerns, perhaps the most significant of which is the inability of the researcher to obtain fully informed specific consent from participants. Two proposed technical solutions to this problem of consent in large-scale biomedical research that have become increasingly popular are meta-consent and dynamic consent. We critically examine the ethical and practical credentials of (...)
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  18.  28
    On the Nature and Sociology of Bioethics.Mark Sheehan & Michael Dunn - 2013 - Health Care Analysis 21 (1):54-69.
    Much has been written in the last decade about how we should understand the value of the sociology of bioethics. Increasingly the value of the sociology of bioethics is interpreted by its advocates directly in terms of its relationship to bioethics. It is claimed that the sociology of bioethics (and related disciplinary approaches) should be seen as an important component of work in bioethics. In this paper we wish to examine whether, and how, the sociology of bioethics can be defended (...)
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  19.  6
    Public Involvement in the Governance of Population-Level Biomedical Research: Unresolved Questions and Future Directions.Sonja Erikainen, Phoebe Friesen, Leah Rand, Karin Jongsma, Michael Dunn, Annie Sorbie, Matthew McCoy, Jessica Bell, Michael Burgess, Haidan Chen, Vicky Chico, Sarah Cunningham-Burley, Julie Darbyshire, Rebecca Dawson, Andrew Evans, Nick Fahy, Teresa Finlay, Lucy Frith, Aaron Goldenberg, Lisa Hinton, Nils Hoppe, Nigel Hughes, Barbara Koenig, Sapfo Lignou, Michelle McGowan, Michael Parker, Barbara Prainsack, Mahsa Shabani, Ciara Staunton, Rachel Thompson, Kinga Varnai, Effy Vayena, Oli Williams, Max Williamson, Sarah Chan & Mark Sheehan - forthcoming - Journal of Medical Ethics:medethics-2020-106530.
    Population-level biomedical research offers new opportunities to improve population health, but also raises new challenges to traditional systems of research governance and ethical oversight. Partly in response to these challenges, various models of public involvement in research are being introduced. Yet, the ways in which public involvement should meet governance challenges are not well understood. We conducted a qualitative study with 36 experts and stakeholders using the World Café method to identify key governance challenges and explore how public involvement can (...)
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  20.  2
    Ethical Issues in Consent for the Reuse of Data in Health Data Platforms.Alex McKeown, Miranda Mourby, Paul Harrison, Sophie Walker, Mark Sheehan & Ilina Singh - 2021 - Science and Engineering Ethics 27 (1):1-21.
    Data platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and/or personalised medicine approaches can be derived from their integration. If the integration of diverse datasets enables development of more accurate risk indicators, prognostic factors, or better treatments and interventions, this obviates the need for the sharing and reuse of data; and a platform-based approach is an appropriate model for facilitating (...)
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  21.  13
    Ethical Understandings of Proxy Decision Making for Research Involving Adults Lacking Capacity: A Systematic Review of Empirical Research.Victoria Shepherd, Kerenza Hood, Mark Sheehan, Richard Griffith, Amber Jordan & Fiona Wood - forthcoming - Ajob Empirical Bioethics:1-20.
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  22.  25
    Healthcare Professionals’ Understanding of the Legislation Governing Research Involving Adults Lacking Mental Capacity in England and Wales: A National Survey.Victoria Shepherd, Richard Griffith, Mark Sheehan, Fiona Wood & Kerenza Hood - 2018 - Journal of Medical Ethics 44 (9):632-637.
    ObjectiveTo examine health and social care professionals’ understanding of the legislation governing research involving adults lacking mental capacity in England and Wales.MethodsA cross-sectional online survey was conducted using a series of vignettes. Participants were asked to select the legally authorised decision-maker in each scenario and provide supporting reasons. Responses were compared with existing legal frameworks and analysed according to their level of concordance.ResultsOne hundred and twenty-seven professionals participated. Levels of discordance between responses and the legal frameworks were high across all (...)
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  23.  8
    Reasonable Disagreement and the Justification of Pre-Emptive Ethics Governance in Social Research: A Response to Hammersley.Mark Sheehan, Michael Dunn & Kate Sahan - 2018 - Journal of Medical Ethics 44 (10):719-720.
    In this response, we first tackle what we take to be the core disagreement between ourselves and Hammersley, namely the justification for our model of social research ethics governance. We then consider what follows from our defence of governance for ethics review and show how these claims attend to the specific concerns outlined by Hammersley.
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  24.  8
    Resources and the Rule of Rescue 1.Mark Sheehan - 2007 - Journal of Applied Philosophy 24 (4):352-366.
  25. Making Sense of the Immorality of Unnaturalness.Mark Sheehan - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (2):177.
    "Dissecting Bioethics," edited by Tuija Takala and Matti Häyry, welcomes contributions on the conceptual and theoretical dimensions of bioethics. The section is dedicated to the idea that words defined by bioethicists and others should not be allowed to imprison people's actual concerns, emotions, and thoughts. Papers that expose the many meanings of a concept, describe the different readings of a moral doctrine, or provide an alternative angle to seemingly self-evident issues are therefore particularly appreciated. The themes covered in the section (...)
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  26.  3
    Caring About the Social Determinants of Health.Peter Sheehan & Mark Sheehan - 2015 - American Journal of Bioethics 15 (3):48-50.
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  27.  19
    The Role of Emotion in Ethics and Bioethics: Dealing with Repugnance and Disgust.Mark Sheehan - 2016 - Journal of Medical Ethics 42 (1):1-2.
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  28.  19
    Minimal Risk Remains an Open Question.Ariella Binik, Charles Weijer & Mark Sheehan - 2011 - American Journal of Bioethics 11 (6):25 - 27.
    The American Journal of Bioethics, Volume 11, Issue 6, Page 25-27, June 2011.
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  29.  34
    Ethical Review of Research on Human Subjects at Unilever: Reflections on Governance.Mark Sheehan, Vernon Marti & Tony Roberts - 2014 - Bioethics 28 (6):284-292.
    This article considers the process of ethical review of research on human subjects at a very large multinational consumer products company. The commercial context of this research throws up unique challenges and opportunities that make the ethics of the process of oversight distinct from mainstream medical research. Reflection on the justification of governance processes sheds important, contrasting light on the ethics of governance of other forms and context of research.
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  30.  23
    Position Statement on Ethics, Equipoise and Research on Charged Particle Radiation Therapy.Mark Sheehan, Claire Timlin, Ken Peach, Ariella Binik & Wilson Puthenparampil - 2014 - Journal of Medical Ethics 40 (8):572-575.
    The use of charged-particle radiation therapy is an increasingly important development in the treatment of cancer. One of the most pressing controversies about the use of this technology is whether randomised controlled trials are required before this form of treatment can be considered to be the treatment of choice for a wide range of indications. Equipoise is the key ethical concept in determining which research studies are justified. However, there is a good deal of disagreement about how this concept is (...)
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  31.  8
    Reining in Patient and Individual Choice.Mark Sheehan - 2014 - Journal of Medical Ethics 40 (5):291-292.
    Patient choice, we might think, is the popular version of the ideas of informed consent and the principle of respect for autonomy and intimately connected to the politics of liberal individualism. There are various accounts to be given for why patient choice, in all its forms, has dominated thinking in bioethics and popular culture. All of them, I suggest, will make reference to the decline of paternalism. The bad old days of ‘doctor knows best’ are gone and were replaced by (...)
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  32.  9
    Is the Community Consultation Requirement Necessary?Mark Sheehan - 2006 - American Journal of Bioethics 6 (3):38 – 40.
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  33.  60
    No Sex Please, We're Social Scientists?Mark Sheehan & Michael Dunn - 2010 - American Journal of Bioethics 10 (7):39-41.
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  34.  9
    Randomization Should Be Disclosed to Potential Research Subjects.Ariella Binik & Mark Sheehan - 2013 - American Journal of Bioethics 13 (12):35-37.
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  35.  5
    Misuse of “Usual Care” in Emergency Care Research: A Call for Adapting Rules Governing Exception From Informed Consent (EFIC) Studies.Ethan Cowan, Kate Sahan & Mark Sheehan - 2020 - American Journal of Bioethics 20 (1):59-61.
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  36.  12
    Disclosing Clinical Trial Results: Publicity, Significance and Independence.S. Matthew Liao, Mark Sheehan & Steve Clarke - 2009 - American Journal of Bioethics 9 (8):3-5.
    Participants in some clinical trials are at risk of being harmed and sometimes are seriously harmed as a result of not being provided with available, relevant risk information. We argue that this situation is unacceptable and that there is a moral duty to disclose all adverse clinical trial results to participants in clinical trials. This duty is grounded in the human right not to be placed at risk of harm without informed consent. We consider objections to disclosure grounded in considerations (...)
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  37.  10
    Tragic Choices in Intensive Care During the COVID-19 Pandemic: On Fairness, Consistency and Community.Chris Newdick, Mark Sheehan & Michael Dunn - 2020 - Journal of Medical Ethics 46 (10):646-651.
    Tragic choices arise during the COVID-19 pandemic when the limited resources made available in acute medical settings cannot be accessed by all patients who need them. In these circumstances, healthcare rationing is unavoidable. It is important in any healthcare rationing process that the interests of the community are recognised, and that decision-making upholds these interests through a fair and consistent process of decision-making. Responding to recent calls to safeguard individuals’ legal rights in decision-making in intensive care, and for new authoritative (...)
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  38.  5
    Constructing Authentic Decisions: Proxy Decision Making for Research Involving Adults Who Lack Capacity to Consent.Victoria Shepherd, Mark Sheehan, Kerenza Hood, Richard Griffith & Fiona Wood - forthcoming - Journal of Medical Ethics:medethics-2019-106042.
    Research involving adults who lack capacity to consent relies on proxy decision making. Proxy decisions about participation are ethically complex, with a disparity between normative accounts and empirical evidence. Concerns about the accuracy of proxies’ decisions arise, in part, from the lack of an ethical framework which takes account of the complex and morally pluralistic world in which proxy decisions are situated. This qualitative study explored the experiences of family members who have acted as a research proxy in order to (...)
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  39.  3
    ¿De quién es el conocimiento? El papel del conocimiento en un currículum de gran autonomía.Mark Sheehan - 2018 - Arbor 194 (788):442.
    El plan de estudios no preceptivo de historia de Educación Secundaria de Nueva Zelanda les permite a los maestros que tienen una gran experiencia intelectual en el conocimiento disciplinar la oportunidad de desarrollar programas innovadores que aborden los intereses de sus alumnos. El currículo o el marco de evaluación no requieren conocimiento de eventos históricos particulares, de personalidades o de temas concretos. Sin embargo, para el profesorado que no tiene una comprensión sólida de cómo funciona la disciplina de la historia, (...)
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  40.  88
    Do We Need Research Ethics Committees?Mark Sheehan - 2013 - Journal of Medical Ethics 39 (8):485-485.
    This issue of the journal sees a number of exchanges on significant ethical problems. ‘Nudges’ have attracted a good deal of attention recently in the context of the ethics of public health interventions. Martin Wilkinson writes a guest editorial introducing important debate on Yashar Saghai's featured article, Salvaging the concept of nudge . Also, Timothy Murphy locks horns with Katrien Devolder and Ezio Di Nucci on the doctrine of double effect as it applies to research on embryos.One of the exchanges (...)
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  41. Enzyme Replacement Therapy and the Rule of Rescue.Mark Sheehan - 2010 - In Matti Häyry (ed.), Arguments and Analysis in Bioethics. Rodopi.
     
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  42.  6
    Highlights From This Issue.Mark Sheehan - 2012 - Journal of Medical Ethics 38 (4):193-193.
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  43.  6
    Highlights From This Issue.Mark Sheehan - 2012 - Journal of Medical Ethics 38 (8):449-450.
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  44.  12
    Just Wars and Doctors' Strikes.Mark Sheehan - 2016 - Journal of Medical Ethics 42 (11):693-694.
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  45.  14
    Moral Narcissism and Moral Complicity in Global Health and Humanitarian Aid.Mark Sheehan - 2018 - Journal of Medical Ethics 44 (5):287-288.
    Some of the best instances of bioethics are applications of ethical conceptual analysis to real-world cases that is done in a way that prompts both reflection on the part of the practitioners involved in the real-world case and reflection by the bioethicist on the way in which the field of bioethics understands the concept in question. Buth et al ’s paper in this issue is a fine example of just this. Their paper brings together three important concepts that straddle the (...)
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  46.  27
    Religious Red Herrings.Mark Sheehan - 2013 - Journal of Medical Ethics 39 (9):585-586.
    Brierley et al take big polarised political debates deep into the context of paediatric intensive care. They are concerned that ‘deeply held belief in religion leads to children being potentially subjected to burdensome care’. However, it can be argued that they make a mistake in categorising this as a problem derived from religion, religious belief or the depth of religious conviction. Religion here is a red herring.
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  47.  4
    The Right to Know and Genetic Testing.Mark Sheehan - 2015 - Journal of Medical Ethics 41 (4):287-288.
  48.  5
    Ethics Review of Big Data Research: What Should Stay and What Should Be Reformed?Effy Vayena, Minerva Rivas Velarde, Mahsa Shabani, Gabrielle Samuel, Camille Nebeker, S. Matthew Liao, Peter Kleist, Walter Karlen, Jeff Kahn, Phoebe Friesen, Bobbie Farsides, Edward S. Dove, Alessandro Blasimme, Mark Sheehan, Marcello Ienca & Agata Ferretti - 2021 - BMC Medical Ethics 22 (1):1-13.
    BackgroundEthics review is the process of assessing the ethics of research involving humans. The Ethics Review Committee is the key oversight mechanism designated to ensure ethics review. Whether or not this governance mechanism is still fit for purpose in the data-driven research context remains a debated issue among research ethics experts.Main textIn this article, we seek to address this issue in a twofold manner. First, we review the strengths and weaknesses of ERCs in ensuring ethical oversight. Second, we map these (...)
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  49.  6
    The Ethics of Grandfather Clauses in Healthcare Resource Allocation.Gry Wester, Leah Zoe Gibson Rand, Christine Lu & Mark Sheehan - 2021 - Bioethics 35 (2):151-160.
    A grandfather clause is a provision whereby an old rule continues to apply to some existing situation while a new rule applies to all future cases. This paper focuses on the use of grandfather clauses in health technology appraisals (HTAs) issued by the National Institute for Health and Care Excellence (NICE) in the United Kingdom. NICE provides evidence‐based guidance on healthcare technologies and public health interventions that influence resource allocation decisions in the National Health Service (NHS) and the broader public (...)
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