33 found
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  1.  73
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  2.  67
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  3.  51
    Charting the future.Nancy Neveloff Dubler, Mayris P. Webber & Deborah M. Swiderski - 2009 - Hastings Center Report 39 (6):23-33.
    Clinical ethics consultation has become an important resource, but unlike other health care disciplines, it has no accreditation or accepted curriculum for training programs, no standards for practice, and no way to measure effectiveness. The Clinical Ethics Credentialing Project was launched to pilot‐test approaches to train, credential, privilege, and evaluate consultants.
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  4.  17
    Bioethics Mediation: A Guide to Shaping Shared Solutions.Jacquelyn Slomka, Nancy Neveloff Dubler & Carol B. Liebman - 2005 - Hastings Center Report 35 (2):45.
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  5.  51
    Credentialing ethics consultants: An invitation to collaboration.Nancy Neveloff Dubler & Jeffrey Blustein - 2007 - American Journal of Bioethics 7 (2):35 – 37.
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  6.  19
    Building a New Consensus: Ethical Principles and Policies for Clinical Research on HIV / AIDS.Carol Levine, Nancy Neveloff Dubler & Robert J. Levine - 1991 - IRB: Ethics & Human Research 13 (1/2):194-210.
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  7.  49
    The Doctor-Proxy Relationship: The Neglected Connection.Nancy Neveloff Dubler - 1995 - Kennedy Institute of Ethics Journal 5 (4):289-306.
    Advance directives have been lauded by scholars and supported by professional organizations, Congress, and the United States Supreme Court. Despite this encouragement, only a small number of capable patients execute living wills or appoint health care agents. When patients do empower proxies, doctors may be uncertain about the scope of their duties and obligations to these persons who, in theory, stand in the shoes of the patient. This article argues for a conscious focus on the ethical duties, emotional supports, and (...)
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  8.  42
    Bringing the Hospital Home Ethical and Social Implications of High‐Tech Home Care.John D. Arras & Nancy Neveloff Dubler - 1994 - Hastings Center Report 24 (5):19-22.
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  9. Pain: Ethics, Culture, and Informed Consent to Relief.Linda Farber Post, Jeffrey Blustein, Elysa Gordon & Nancy Neveloff Dubler - 1996 - Journal of Law, Medicine and Ethics 24 (4):348-359.
    As medical technology becomes more sophisticate the ability to manipulate nature and manage disease forces the dilemma of when can becomes ought. Indeed, most bioethical discourse is framed in terms of balancing the values and interests and the benefits and burdens that inform principled decisions about how, when, and whether interventions should occur. Yet, despite advances in science and technology, one caregiver mandate remains as constant and compelling as it was for the earliest shaman—the relief of pain. Even when cure (...)
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  10.  71
    The Art of the Chart Note in Clinical Ethics Consultation and Bioethics Mediation: Conveying Information that Can Be Understood and Evaluated.Nancy Neveloff Dubler - 2013 - Journal of Clinical Ethics 24 (2):148-155.
    Unlike bioethics mediators who are employed by healthcare organizations as outside consultants, mediators who are embedded in an institution must be authorized to chronicle a clinical ethics consultation (CEC) or a mediation in a patient’s medical chart. This is an important privilege, as the chart is a legal document. In this article I discuss this important part of a bioethics mediator’s tool kit in my presentation of a case illustrating how bioethics mediation may proceed, and what this approach using both (...)
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  11.  29
    The Collision of Confinement and Care: End-of-Life Care in Prisons and Jails.Nancy Neveloff Dubler - 1998 - Journal of Law, Medicine and Ethics 26 (2):149-156.
    In 1997, the United States incarcerated over 1.7 million persons in local jails and in state and federal prisons. These inmates are disproportionately poor and persons of color. Many lack adequate access to health care before incarceration and present to correctional services with major unaddressed medical problems.Convictions for drug possession and use have increased the number of injection drug users with HIV and AIDS in prisons. Determinate sentencing and “three strikes and you’re out” laws have increased the number of inmates (...)
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  12.  48
    The Collision of Confinement and Care: End-of-Life Care in Prisons and Jails.Nancy Neveloff Dubler - 1998 - Journal of Law, Medicine and Ethics 26 (2):149-156.
    In 1997, the United States incarcerated over 1.7 million persons in local jails and in state and federal prisons. These inmates are disproportionately poor and persons of color. Many lack adequate access to health care before incarceration and present to correctional services with major unaddressed medical problems.Convictions for drug possession and use have increased the number of injection drug users with HIV and AIDS in prisons. Determinate sentencing and “three strikes and you’re out” laws have increased the number of inmates (...)
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  13.  10
    Lying is Not an Option for Clinical Ethics Consultants.Nancy Neveloff Dubler - 2021 - American Journal of Bioethics 21 (5):13-15.
    How one reacts to lying depends on individual temperament, intellectual training and value commitments, freedom status,, consideration of consequences, emotional resilience an...
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  14.  35
    The Dual Epidemics of Tuberculosis and AIDS.Ronald Bayer, Nancy Neveloff Dubler & Lawrence O. Gostin - 1993 - Journal of Law, Medicine and Ethics 21 (3-4):277-278.
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  15.  63
    Introduction: The Doctor-Proxy Relationship: An Untapped Resource.Linda Farber Post, Jeffrey Blustein & Nancy Neveloff Dubler - 1999 - Journal of Law, Medicine and Ethics 27 (1):5-12.
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  16.  23
    Commentary on Fiester's "Ill-placed democracy: ethics consultations and the moral status of voting".Nancy Neveloff Dubler - 2011 - Journal of Clinical Ethics 22 (4):373-379.
    Autumn Fiester identifies an important element in clinical ethics consultation (CEC) that she labels, from the Greek, aporia, “state of perplexity,” evidenced in CEC as ethical ambiguity. Fiester argues that the inherent difficulties of cases so characterized render them inappropriate for voting and more amenable to mediation and the search for consensus. This commentary supports Fiester’s analysis and adds additional reasons for rejecting voting as a process for resolving disputes in CEC including: it distorts the analysis by empowering individual voters (...)
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  17.  33
    The Dual Epidemics of Tuberculosis and AIDS.Ronald Bayer, Nancy Neveloff Dubler & Lawrence O. Gostin - 1993 - Journal of Law, Medicine and Ethics 21 (3-4):277-278.
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  18.  2
    Commentary on Bergman: “Yes … But”.Nancy Neveloff Dubler - 2013 - Journal of Clinical Ethics 24 (1):25-31.
    In “Surmounting Elusive Barriers: The Case for Bioethics Mediation,” Bergman argues that professionals trained in bioethics, reluctant to acquire the skills of mediation, would better be replaced by a cadre of mediators with some bioethics knowledge, to which I respond, “yes … but.”.
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  19.  21
    The Doctor-Proxy Relationship: Perception and Communication.Jomarie Zeleznik, Linda Farber Post, Michael Mulvihill, Laurie G. Jacobs, William B. Burton & Nancy Neveloff Dubler - 1999 - Journal of Law, Medicine and Ethics 27 (1):13-19.
    Health care decision making has changed profoundly during the past several decades. Advances in scientific knowledge, technology, and professional skill enable medical providers to extend and enhance life by increasing the ability to cure disease, manage disability, and palliate suffering. Ironically, the same interventions can prolong painful existence and protract the dying process. Recognizing that medical interventions, especially lifesustaining measures, are not always medically appropriate or even desired by a patient or family, health care professionals endeavor to determine who should (...)
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  20.  18
    The Doctor-Proxy Relationship: Perception and Communication.Jomarie Zeleznik, Linda Farber Post, Michael Mulvihill, Laurie G. Jacobs, William B. Burton & Nancy Neveloff Dubler - 1999 - Journal of Law, Medicine and Ethics 27 (1):13-19.
    Health care decision making has changed profoundly during the past several decades. Advances in scientific knowledge, technology, and professional skill enable medical providers to extend and enhance life by increasing the ability to cure disease, manage disability, and palliate suffering. Ironically, the same interventions can prolong painful existence and protract the dying process. Recognizing that medical interventions, especially lifesustaining measures, are not always medically appropriate or even desired by a patient or family, health care professionals endeavor to determine who should (...)
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  21.  11
    An Interdisciplinary Ethics Panel Approach to End-of-Life Decision Making for Unbefriended Nursing Home Residents.Nancy Neveloff Dubler, Rani N. Rao, Giorgio R. Sansone, Cheryl A. Dury & Howard J. Finger - 2022 - Journal of Clinical Ethics 33 (2):101-111.
    For those with advanced life-limiting illness, the optimization of quality of life and avoidance of nonbeneficial treatments at the end of life are key ethical concerns. This article evaluates the efficacy of an Interdisciplinary Ethics Panel (IEP) approach to decision making at the end of life for unbefriended nursing home residents who lack decisional capacity and have advanced life-limiting illness, through the use of a ninestep algorithm developed for this purpose. We reviewed the outcomes of three quality-of-care phased initiatives conducted (...)
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  22.  43
    Elizabeth Mitchell Armstrong is asso.Nancy Berlinger, Pauline W. Chen, Rebecca Dresser, Nancy Neveloff Dubler, Anne Lederman Flamm, Susan Gilbert, Mark A. Hall & Lisa H. Harris - forthcoming - Hastings Center Report.
  23.  34
    A Farewell Note.Nancy Neveloff Dubler - 1994 - Journal of Law, Medicine and Ethics 22 (2):102-102.
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  24.  30
    A Farewell Note.Nancy Neveloff Dubler - 1994 - Journal of Law, Medicine and Ethics 22 (2):102-103.
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  25.  28
    ""Commentary on" Beyond Schiavo": beyond theory.Nancy Neveloff Dubler - 2007 - Journal of Clinical Ethics 18 (4):346-349.
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  26.  43
    Case Studies: 'My Husband Won't Tell the Children!'.Nancy Neveloff Dubler & Lawrence J. Schneiderman - 1984 - Hastings Center Report 14 (4):26.
    This factual case study is one of a series demonstrating ethical dilemmas in medicine, science, the social sciences, and public policy. Although the case is based on fact, it has been edited to preserve confidentiality and to emphasize the ethical questions. Readers are invited to submit cases for consideration for this series. Case descriptions should be typed, doubled‐spaced, and should not exceed 750 words.
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  27.  36
    Depriving Prisoners of Medical Care: A 'Cruel and Unusual' Punishment.Nancy Neveloff Dubler - 1979 - Hastings Center Report 9 (5):7-10.
  28.  44
    Refusals of Medical Care in the Home Setting.Nancy Neveloff Dubler - 1990 - Journal of Law, Medicine and Ethics 18 (3):227-233.
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  29.  25
    Refusals of Medical Care in the Home Setting.Nancy Neveloff Dubler - 1990 - Journal of Law, Medicine and Ethics 18 (3):227-233.
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  30.  10
    The Business of Medicine Fails Many American Patients.Nancy Neveloff Dubler - 2023 - Hastings Center Report 53 (2):46-47.
    The People's Hospital: Hope and Peril in American Medicine, by Ricardo Nuila (Scribner, 2023), is a brilliant analysis of the reasons for the failure of our present health care system to meet the needs of patients. It is also a setting for the stories of patients whom Nuila encounters as a hospitalist at Ben Taub, a safety‐net hospital (in the shadow of the medical metropolis of Houston) that cares for all who arrive at its doors. The book is a masterful (...)
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  31.  41
    Treating Research Subjects Fairly.Nancy Neveloff Dubler - 1986 - IRB: Ethics & Human Research 8 (5):7.
  32.  46
    Working on the Clinton Administration's Health Care Reform Task Force.Nancy Neveloff Dubler - 1993 - Kennedy Institute of Ethics Journal 3 (4):421-431.
    In lieu of an abstract, here is a brief excerpt of the content:Working on the Clinton Administration's Health Care Reform Task ForceNancy Neveloff Dubler (bio)This narrative is based on my understanding of the elements of the Health Security Act that may have ethical implications. I have reconstructed these elements from my experience on the Health Care Reform Task Force and they are part of the health care plan that the President presented to Congress. (At the time this article went to (...)
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  33.  40
    Do research subjects have the right not to know their HIV antibody test results?Alvin Novick, Nancy Neveloff Dubler & Sheldon H. Landesman - 1986 - IRB: Ethics & Human Research 8 (5):6.
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