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  1.  51
    Autonomy, Discourse, and Power: A Postmodern Reflection on Principlism and Bioethics.Pam McGrath - 1998 - Journal of Medicine and Philosophy 23 (5):516 – 532.
    In recent years there has been an increasing critique of the philosophically based reasoning in bioethics which is known as principlism. This article seeks to make a postmodern contribution to this emerging debate by using notions of power and discourse to highlight the limits and superficiality of this , rationalistic mode of reflection. The focus of the discussion will be on the principle of autonomy. Recent doctoral research on a hospice organization (Karuna Hospice Service) will be used to contextualize the (...)
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  2.  41
    Western Notions of Informed Consent and Indigenous Cultures: Australian Findings at the Interface. [REVIEW]Pam McGrath & Emma Phillips - 2008 - Journal of Bioethical Inquiry 5 (1):21-31.
    Despite the extensive consideration the notion of informed consent has heralded in recent decades, the unique considerations pertaining to the giving of informed consent by and on behalf of Indigenous Australians have not been comprehensively explored; to the contrary, these issues have been scarcely considered in the literature to date. This deficit is concerning, given that a fundamental premise of the doctrine of informed consent is that of individual autonomy, which, while privileged as a core value of non-Indigenous Australian culture, (...)
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  3.  50
    Patient-Centred Care: Qualitative Findings on Health Professionals' Understanding of Ethics in Acute Medicine. [REVIEW]Pam McGrath, David Henderson & Hamish Holewa - 2006 - Journal of Bioethical Inquiry 3 (3):149-160.
    In recent years the literature on bioethics has begun to pose the sociological challenge of how to explore organisational processes that facilitate a systemic response to ethical concerns. The present discussion seeks to make a contribution to this important new direction in ethical research by presenting findings from an Australian pilot study. The research was initiated by the Clinical Ethics Committee of Redland Hospital at Bayside Health Service District in Queensland, Australia, and explores health professionals’ understanding of the nature of (...)
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  4.  39
    Ethical Decision Making in an Acute Medical Ward: Australian Findings on Dealing with Conflict and Tension.Pam McGrath & Hamish Holewa - 2006 - Ethics and Behavior 16 (3):233 – 252.
    It is now common in health care for a diverse range of professions and disciplines to work together in regular and close contact. Thus, there are now calls in the literature for research that documents insights on the ethical dimension of multidisciplinary relationships. Recent Australian research has responded to this call by examining how a multidisciplinary team of health professionals define and operationalize the notion of ethics in an acute ward hospital setting. This article provides findings from the research study (...)
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  5.  32
    Diagnosis and Treatment for Vulvar Cancer for Indigenous Women From East Arnhem Land, Northern Territory: Bioethical Reflections.Pam McGrath, Nicole Rawson & Leonora Adidi - 2015 - Journal of Bioethical Inquiry 12 (2):343-352.
    This paper explores the bioethical issues associated with the diagnosis and treatment of vulvar cancer for Indigenous women in East Arnhem Land, Northern Territory, Australia. Based on a qualitative study of a vulvar cancer cluster of Indigenous women, the article highlights four main topics of bioethical concern drawn from the findings: informed consent, removal of body parts, pain management, and issues at the interface of Indigenous and Western health care. The article seeks to make a contribution towards Indigenous health and (...)
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  6.  41
    Bioethics and Birth: Insights on Risk Decision-Making for an Elective Caesarean After a Prior Caesarean Delivery.Pam McGrath, Emma Phillips & Gillian Ray-Barruel - 2009 - Monash Bioethics Review 28 (3):22-1.
    This article presents the findings of qualitative research which explored, from the mothers’ perspective, the process of decision-making about mode of delivery for a subsequent birth after a previous Caesarean Section. In contradiction to the clinical literature, the majority of mothers in this study were strongly of the opinion that a vaginal birth after caesarean posed a higher risk than an elective caesarean. From the mothers’ perspective, risk discussions were primarily valuable for gaining support for their pre-determined choice, rather than (...)
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  7. The "Real World" of Ethical Decision-Making : Insights From Research.Pam McGrath - 2010 - In Tyler N. Pace (ed.), Bioethics: Issues and Dilemmas. Nova Science Publishers.
     
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  8.  3
    Multidisciplinary Insights on the Evolving Role of the Ethics Committee in an Australian Regional Hospital.Pam McGrath - 2006 - Monash Bioethics Review 25 (3):S59-S72.
    The insights provided by a multi-disciplinary mix of health professionals from an acute medical ward of a regional Australian hospital indicate the value in extending the role of Hospital Ethics Committees to incorporating both ethics consultation and ethics education. It is the hope and expectation that the findings will assist other HECs in a similar stage of development.
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  9.  9
    Benefits of Participation in a Longitudinal Qualitative Research Study.Pam McGrath - 2003 - Monash Bioethics Review 22 (1):63-78.
    Although mainstream research institutions and health care organisations are now starting to acknowledge the important contribution of qualitative research, there are still many obstacles to obtaining funding. Consequently, at all points along the continuum of obtaining funds, enrolling participants and conducting the research, qualitative researchers will benefit from being able to refer to, or reference, a body of empirical knowledge that addresses ethical issues raised by those who have responsibility for decision-making about the implementation of research proposals. This article has (...)
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  10.  17
    “Oh, That’s a Really Hard Question”: Australian Findings on Ethical Reflection in an Accident and Emergency Ward. [REVIEW]Pam McGrath & David Henderson - 2008 - HEC Forum 20 (4):357-373.
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  11.  1
    Ethical Decision-Making In An Emergency Department: Findings On Nursing Advocacy.Emma Phillips & Pam McGrath - 2009 - Monash Bioethics Review 28 (2):38-53.
    The purpose of this article is to share with the reader the specific findings on the role of nurse as consumer advocate from a study on ethical decision-making in an emergency department. Qualitative interviews were conducted with 11 health professionals working in the ED of a hospital. The interviews were audio-recorded, transcribed verbatim and thematically analysed.In ED, where the decision-making is described as medico-centric, advocacy ipso facto necessitates a challenge to doctor decision-making. The findings indicate that ED nurses experience with (...)
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