Results for 'Professional Autonomy'

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  1.  77
    Professional autonomy and the normative structure of medical practice.Jan Hoogland & Henk Jochemsen - 2000 - Theoretical Medicine and Bioethics 21 (5):457-475.
    Professional autonomy is often described as a claim of professionalsthat has to serve primarily their own interests. However, it can also beseen as an element of a professional ideal that can function as astandard for professional, i.e. medical practice. This normativeunderstanding of the medical profession and professional autonomy facesthree threats today. 1) Internal erosion of professional autonomy due toa lack of internal quality control by the medical profession; 2)the increasing upward pressure on (...)
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  2.  67
    Does professional autonomy protect medical futility judgments?Eric Gampel - 2006 - Bioethics 20 (2):92-104.
    Despite substantial controversy, the use of futility judgments in medicine is quite common, and has been backed by the implementation of hospital policies and professional guidelines on medical futility. The controversy arises when health care professionals (HCPs) consider a treatment futile which patients or families believe to be worthwhile: should HCPs be free to refuse treatments in such a case, or be required to provide them? Most physicians seem convinced that professional autonomy protects them from being forced (...)
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  3.  27
    Professional Autonomy.Michael Davis - 1996 - Business Ethics Quarterly 6 (4):441-460.
    Employed professionals (e.g., accountants or engineers)-and those who study them-sometimes claim that their status as employeesdenies them the “autonomy” necessary to be “true professionals.” Is this a conceptual claim or an empirical claim? How might it be proved or disproved? This paper draws on recent work on autonomy to try to answer these questions. In the course of doing that, it identifies three literatures concerned with autonomy and suggests an approach bringing them together in a way likely (...)
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  4.  31
    Professional Autonomy.Michael Davis - 1996 - Business Ethics Quarterly 6 (4):441-460.
    Employed professionals (e.g., accountants or engineers)-and those who study them-sometimes claim that their status as employeesdenies them the “autonomy” necessary to be “true professionals.” Is this a conceptual claim or an empirical claim? How might it be proved or disproved? This paper draws on recent work on autonomy to try to answer these questions. In the course of doing that, it identifies three literatures concerned with autonomy and suggests an approach bringing them together in a way likely (...)
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  5.  58
    Professional autonomy in the health care system.John J. Polder & Henk Jochemsen - 2000 - Theoretical Medicine and Bioethics 21 (5):477-491.
    Professional autonomy interferes at a structural level with the various aspects of the health care system. The health care systems that can be distinguished all feature a specific design of professional autonomy, but experience their own governance problems. Empirical health care systems in the West are a nationally coloured blend of ideal type healthcare systems. From a normative perspective, the optimal health care system should consist of elements of all the ideal types. A workable optimum taking (...)
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  6.  92
    The professional autonomy of the medical doctor in italy.Dario Sacchini & Leonardo Antico - 2000 - Theoretical Medicine and Bioethics 21 (5):441-456.
    This contribution deals with the issue of the professional autonomy ofthe medical doctor. Worldwide, the physician's autonomy is guaranteedand limited, first of all, by Codes of Medical Ethics. InItaly, the latest version of the national Code of MedicalEthics (Code 1998) was published in 1998 by the Federation ofprovincial Medical Associations (FnomCeO). The Code 1998acknowledges the physician's autonomy regarding the scheduling, thechoice and application of diagnostic and therapeutic means, within theprinciples of professional responsibility. This responsibility has (...)
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  7.  79
    Professional autonomy in belgium.Herman Nys & Paul Schotsmans - 2000 - Theoretical Medicine and Bioethics 21 (5):425-439.
    The Belgian health care system has a few features that may havecontributed to the rising costs of health care: patients' freechoice of physicians, large clinical freedom of physicians, essentiallya fee-for-service remuneration for medical specialists in which the feesare agreed between insurance funds and physicians. The increased medicalconsumption and costs have prompted the state and insurance companies totake measures that limit the professional autonomy of the physicians.Access to medical education, free until 1997, is now restricted. Themedical profession is organized (...)
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  8.  49
    Professional autonomy: A stumbling Block for good medical practice. An analysis and interpretation.H. M. Dupuis - 2000 - Theoretical Medicine and Bioethics 21 (5):493-502.
    In this article the various descriptions and interpretations ofprofessional autonomy, as have been given in the articles from Belgium,Italy and the UK are subjected to a further analysis. The implicit claimthat professional autonomy of physicians is beneficial for the health ofpatients is scrutinized and is proven to be untrue and invalid. Theconclusion is that professional autonomy is more directed at theinterests of physicians than of those of patients and deserves nospecial place in health care.
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  9.  83
    Re-Evaluating Professional Autonomy in Health Care.Henk Ten Have - 2000 - Theoretical Medicine and Bioethics 21 (5):503-513.
    Professional autonomy, as the symbol of the traditional freedom ofdecision-making of medical professionals is criticized. This essayexamines the critique. It analyses the underlying assumption that theautonomy of health professionals is incompatible with the need fororganisation and management in order to control rising health carecosts. It is argued that the concept of professional autonomy should beredefined, not through restricting the decision-making freedom ofindividual health professionals, but through expanding the concept intothe sphere of management, so that managers will (...)
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  10. Relational Professional Autonomy.Chris Macdonald - 2002 - Cambridge Quarterly of Healthcare Ethics 11 (3):282-289.
    The notion of “relational” autonomy—as described by feminist scholars such as Susan Sherwin and Anne Donchin—has been the subject of a significant body of literature over the last few years and has recently generated some interest within the field of bioethics. Although the focus of this interest has been the autonomy of ordinary moral agents, the analysis of relational autonomy can usefully be extended to apply to the autonomy of professionals, not only as individual moral agents, (...)
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  11.  18
    Does professional autonomy protect medical futility judgments? Ericgampel - 2006 - Bioethics 20 (2):92–104.
  12.  16
    The effect of cognitive flexibility in nurses on attitudes to professional autonomy.Züleyha Kılıç, Nurcan Uzdil & Yurdagül Günaydın - 2024 - Nursing Ethics 31 (2-3):321-330.
    Background Professional autonomy, which directly affects the quality of professional nursing in patient care, and cognitive flexibility, which is an important factor for adaptation to change and developing nursing roles, are important concepts for nursing. Research objectives This research was carried out to determine the effect of cognitive flexibility on attitudes towards professional autonomy in nurses. Research design This was a descriptive study. Participants and research context The research was conducted with 415 nurses working in (...)
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  13.  2
    Physician-nurse collaboration in the relationship between professional autonomy and practice behaviors.Arzu Bulut, Halil Sengül, Çeçenya İrem Mumcu & Berkan Mumcu - forthcoming - Nursing Ethics.
    Background Nurses and physicians are key members of healthcare teams. While physicians are responsible for the diagnosis and treatment of patients, nurses are part of the treatment and the primary practitioners of patient care. Nurses’ professional autonomy, collaboration with physicians, and practice behaviors in treatment and patient care practices are interrelated. Objectives In the present study, we examined the mediating effect of physician–nurse collaboration on the relationship between nurses’ practice behaviors and their professional autonomy. Design The (...)
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  14.  38
    An evaluation of nurses’ professional autonomy in Turkey.Zehra Göçmen Baykara & Serap Şahinoğlu - 2014 - Nursing Ethics 21 (4):447-460.
    Background:The development of a profession’s autonomy closely relates to that profession’s level of autonomy in performing its specific role. For the nursing profession, this key role is nursing care.Objectives:This study was undertaken to evaluate the professional autonomy of nurses in care provision, from an ethical perspective.Research design:A mixed methods approach is employed in this research, which makes use of both quantitative and qualitative methods. The quantitative dimension of this research covers sociodemographic aspects and makes use of (...)
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  15.  48
    Professional Ethics and Collective Professional Autonomy A Conceptual Analysis.Asa Kasher - 2005 - Ethical Perspectives 12 (1):67-97.
    The purpose of this article is to outline a systematic answer to the question of collective autonomy, its conceptual nature and lmimits, and apply it by way of example to the case of the engineering profession.In the first section, it is argued that a professional activity involves systematic knowledge and proficiency, a form of continuous improvement of the related bodies of knowledge and proficiency, as well as two levels of understanding: a local one, which is the ability to (...)
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  16.  8
    Birth plans and professional autonomy.Constance Perry, Linda Quinn & L. Nelson - 2002 - Hastings Center Report 32 (2):12.
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  17.  20
    An evaluation of nurses' professional autonomy in Turkey.Z. G. Baykara & S. Ahino Lu - 2014 - Nursing Ethics 21 (4):447-460.
  18.  25
    Selecting Treatment Options and Choosing Between them: Delineating Patient and Professional Autonomy in Shared Decision-Making.Emma Cave - 2020 - Health Care Analysis 28 (1):4-24.
    Professional control in the selection of treatment options for patients is changing. In light of social and legal developments emphasising patient choice and autonomy, and restricting medical paternalism and judicial deference, this article examines how far patients and families can demand NHS treatment in England and Wales. It considers situations where the patient is an adult with capacity, an adult lacking capacity and a child. In all three cases, there is judicial support for professional autonomy, but (...)
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  19.  68
    Codes of ethics and teachers’ professional autonomy.Marina Schwimmer & Bruce Maxwell - 2017 - Ethics and Education 12 (2):141-152.
    This article considers the value of adopting a code of professional ethics for teachers. After having underlined how a code of ethics stands to benefits a community of educators – namely, by providing a mechanism for regulating autonomy and promoting a shared professional ethic – the article examines the principal arguments against codes of ethics. Three arguments are presented and analyzed in light of the codes of teacher ethics in place elsewhere in Canada. We conclude that a (...)
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  20.  29
    Perceptions of the Ethical Infrastructure, Professional Autonomy, and Ethical Judgments in Accounting Work Environments.Spenser G. Seifert, Ethan G. LaMothe & Donna Bobek Schmitt - 2022 - Journal of Business Ethics 182 (3):821-850.
    Accounting professionals play an important role in the generation and auditing of financial statements and, given their understanding of business processes, may be relied upon in the development of organizations’ ethical infrastructures (i.e., the formal aspects of an organization’s ethical environment that are explicitly under the control of the organization). Thus, understanding and improving the work environments of accounting professionals is crucial to improving organizational ethical culture and reducing fraud. In this study, we extend prior research that documents the prevalence (...)
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  21.  38
    Rationing and Professional Autonomy.George J. Agich - 1990 - Journal of Law, Medicine and Ethics 18 (1-2):77-84.
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  22.  29
    Rationing and Professional Autonomy.George J. Agich - 1990 - Journal of Law, Medicine and Ethics 18 (1-2):77-84.
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  23.  18
    Legal Ethics, Moral Agency and Professional Autonomy: The Unbearable Ethics of Being (a Legal Executive).Andrew M. Francis - 2007 - Legal Ethics 10 (2):131-153.
  24.  27
    Amartya Sen as a social and political theorist – on personhood, democracy, and ‘description as choice’.Sage India, Development Ethics Public, Ashgate Professional Ethics, Routledge Co-Edited & Asuncion Lera St Clair) - 2023 - Journal of Global Ethics 19 (3):386-409.
    Economist-philosopher Amartya Sen's writings on social and political issues have attracted wide audiences. Section 2 introduces his contributions on: how people reason as agents within society; social determinants of people's (lack of) access to goods and of the effective freedoms and agency they enjoy or lack; and associated advocacy of self-specification of identity and high expectations for ‘voice’ and reasoning democracy. Section 3 considers his relation to social theory, his tools for theorizing action in society, and his limited degree of (...)
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  25.  13
    Case Study: Birth Plans and Professional Autonomy.Constance Perry, Linda Quinn & James Lindemann Nelson - 2002 - Hastings Center Report 32 (2):12.
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  26.  14
    Autonomy and Clinical Medicine: Renewing the Health Professional Relation with the Patient.Jurrit Bergsma & David C. Thomasma - 2000 - Springer Verlag.
    This book is the result of a long-standing clinical and educational cooperation between a medical psychologist (Bergsma) and a medical ethicist/philosopher (Thomasma). It is thoroughly interdisciplinary in its examination of the difficulties of honoring the patient's and the physician's autonomy, especially in light of the changes in health care worldwide today. Although autonomy has become the primary standard of bioethics, little has been done to link it to the ways people actually behave, nor to its roots in the (...)
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  27.  45
    Relational autonomy in the care of the vulnerable: health care professionals’ reasoning in Moral Case Deliberation.Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt & Mia Svantesson - 2018 - Medicine, Health Care and Philosophy 21 (4):467-477.
    In Moral Case Deliberation, healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals’ moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis. (...)
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  28.  18
    Limited autonomy and partnership: professional relationships in health care.J. Wilson-Barnett - 1989 - Journal of Medical Ethics 15 (1):12-16.
    Principles of autonomy and self-determination have been upheld as vital to modern-day medical and ethical practice. However, the complexities of current health care and changes in the expectation of some patients and their families justify a review of such concepts. Their limitations and relativities may suggest that other descriptions of partnership and negotiated goal-setting, while based on respect for autonomy, reflect more modern and ideal multi-disciplinary practices. Discussion should extend beyond the 'classic' participants of patient and doctor to (...)
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  29.  81
    Autonomy, Candour and Professional Teacher Practice: A Discussion Inspired by the Later Works of Michel Foucault.Finn Daniel Raaen - 2011 - Journal of Philosophy of Education 45 (4):627-641.
    Autonomy is considered to be an important feature of professionals and to provide a necessary basis for their informed judgments. In this article these notions will be challenged. In this article I use Michel Foucault's deconstruction of the idea of the autonomous citizen, and his later attempts to reconstruct that idea, in order to bring some new perspectives to the discussion about the foundation of professionalism. The turning point in Foucault's discussion about autonomy is to be found in (...)
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  30.  13
    Continuing Professional Development: Accountability, Autonomy, Efficiency and Equity in Five Professions.Hywel Thomas & Tian Qiu - 2013 - British Journal of Educational Studies 61 (2):161-186.
    ABSTRACT We examine the influence of neo-liberalism in re-shaping the accountability of five professional groups (accountants, solicitors, social workers, nurses and doctors) and its consequence for their CPD policies. Documentary analysis and Quarterly Labour Force Survey data (n=31,260) from the 1990s to the present are integrated in a comparative method which examines whether changes are specific to a profession or represent more general patterns. Using complementary theories from neo-liberal economics and the sociology of professionalism, we show how regulatory oversight (...)
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  31. Patients' autonomy: Three models of the professional-lay relationship in medicine.David T. Ozar - 1984 - Theoretical Medicine and Bioethics 5 (1).
    Health care is not merely a matter of individual encounters between patients and physicians or other health care personnel. For patients and those who provide health care come to these encounters already possessed of learned habits of perception and judgment, valuation and action, which define their roles in relation to one another and affect every aspect of their encounter. So the presuppositions of these encounters must be examined if our understanding of patients' autonomy is to be complete. In this (...)
     
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  32.  58
    Technology and ethical dilemmas in a medical setting: Privacy, professional autonomy, life and death. [REVIEW]Gloria Lankshear & David Mason - 2001 - Ethics and Information Technology 3 (3):223-233.
    A growing literature addresses the ethical implications of electronic surveillance at work, frequently assigning ethical priority to values such as the right to privacy. This paper suggests that, in practice, the issues are sociologically more complex than some accounts suggest. This is because many workplace electronic technologies not designed or deployed for surveillance purposes nevertheless embody surveillance capacity. This capacity may not be immediately obvious to participants or lend itself to simple deployment. Moreover, because of their primary functions, such systems (...)
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  33.  45
    Resurrecting autonomy during resuscitation--the concept of professional substituted judgment.M. Ardagh - 1999 - Journal of Medical Ethics 25 (5):375-378.
    The urgency of the resuscitation and the impaired ability of the patient to make a reasonable autonomous decision both conspire against adequate consideration of the principles of medical ethics. Informed consent is usually not possible for these reasons and this leads many to consider that consent is not required for resuscitation, because resuscitation brings benefit and prevents harm and because the patient is not in a position to give or withhold consent. However, consent for resuscitation is required and the common (...)
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  34.  30
    How Health Care Complexity Leads to Cooperation and Affects the Autonomy of Health Care Professionals.Eric Molleman, Manda Broekhuis, Renee Stoffels & Frans Jaspers - 2008 - Health Care Analysis 16 (4):329-341.
    Health professionals increasingly face patients with complex health problems and this pressurizes them to cooperate. The authors have analyzed how the complexity of health care problems relates to two types of cooperation: consultation and multidisciplinary teamwork (MTW). Moreover, they have analyzed the impact of these two types of cooperation on perceived professional autonomy. Two teams were studied, one team dealing with geriatric patients and another treating oncology patients. The authors conducted semi-structured interviews, studied written documents, held informal discussions (...)
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  35.  36
    Autonomy and professional responsibility in care for persons with intellectual disabilities.Herman P. Meininger - 2001 - Nursing Philosophy 2 (3):240–250.
  36.  57
    Autonomy in the medical profession in the united kingdom – an historical perspective.J. Stuart Horner - 2000 - Theoretical Medicine and Bioethics 21 (5):409-423.
    This paper reviews the concept of professional autonomy from anhistorical perspective. It became formalised in the United Kingdom onlyafter a long struggle throughout most of the nineteenth century. In itspure form professional autonomy implies unlimited powers to undertakemedical investigations and to prescribe treatment, irrespective of cost.Doctors alone should determine the quality of care and the levels ofremuneration to which they should be entitled. In the second half of thetwentieth century a steady erosion of professional (...) occurred inthe United Kingdom. The level of remuneration has been restricted formost doctors for nearly fifty years, whilst the costs of health carehave steadily reduced the doctor's ability to provide unrestricted carewithin the health care system. Reorganisation of the National HealthService in 1983 and 1991 has substantially eroded professional autonomy,to the point where research developments, clinical judgement and ethicalstandards are all now being placed at risk. (shrink)
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  37. Respect for autonomy and human dignity in codes of conduct of health care professionals (in Slovakia).Katarína Komenská - 2012 - Ethics and Bioethics (in Central Europe) 2 (3-4):192-200.
    The aim of the paper is to present and reflect on some of the current theories of human dignity and autonomy. The understanding of autonomy in the 4 principles theory of Beauchamp and Childress will be the starting point of this paper as it presents medical ethics and health care ethics as patient-orientated model with special attention paid to the needs and rights of the patient. According to this orientation of health care ethics, the concept of human dignity (...)
     
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  38.  8
    Patient autonomy and professional expertise in decisions near the end of life: commentary on Francis Kamm.Robert D. Truog - 2017 - Journal of Medical Ethics 43 (9):587-588.
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  39.  20
    The autonomy of the health care provider: Advertising by health professionals.Linda S. Scheirton - 2001 - In H. Ten Have & Bert Gordijn (eds.), Bioethics in a European perspective. Boston, MA: Kluwer Academic Publishers. pp. 93--109.
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  40.  24
    Whose Autonomy? Which Obligations? Preserving the Right to (Professional) Self-Determination at the Margins of Viability.Anna-Henrikje Seidlein & Sabine Salloch - 2017 - American Journal of Bioethics 17 (5):31-33.
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  41.  9
    Teacher Autonomy: A Professional Hazard?Howard Woodhouse - 1990 - Paideusis: Journal of the Canadian Philosophy of Education Society 4 (1):32-38.
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  42.  46
    Farming ethics in practice: from freedom to professional moral autonomy for farmers.Franck L. B. Meijboom & Frans R. Stafleu - 2016 - Agriculture and Human Values 33 (2):403-414.
    Food production, water management, land use, and animal and public health are all topics of extensive public debate. These themes are linked to the core activities of the agricultural sector, and more specifically to the work of farmers. Nonetheless, the ethical discussions are mostly initiated by interest groups in society rather than by farmers. At least in Europe, consumer organizations and animal welfare and environmental organizations are more present in the public debate than farmers. This is not how it should (...)
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  43.  23
    Supporting, Promoting, Respecting and Advocating: A Scoping Study of Rehabilitation Professionals’ Responses to Patient Autonomy.Emilie Blackburn, Evelyne Durocher, Debbie Feldman, Anne Hudon, Maude Laliberté, Barbara Mazer & Matthew Hunt - unknown
    Background: Autonomy is a central concept in both bioethics and rehabilitation. Bioethics has emphasized autonomy as self-governance and its application in treatment decision-making. In addition to discussing decisional autonomy, rehabilitation also focuses on autonomy as functional independence. In practice, responding to patients with diminished autonomy is an important component of rehabilitation care, but also gives rise to tensions and challenges. Our objective was to better understand the complex and distinctive ways that autonomy is understood (...)
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  44.  17
    Supporting, Promoting, Respecting and Advocating: A Scoping Study of Rehabilitation Professionals' Responses to Patient Autonomy.Emilie Blackburn, Evelyne Durocher, Debbie Feldman, Anne Hudon, Maude Laliberté, Barbara Mazer & Matthew Hunt - 2018 - Canadian Journal of Bioethics/Revue canadienne de bioéthique 1 (3):22-34.
    Background: Autonomy is a central concept in both bioethics and rehabilitation. Bioethics has emphasized autonomy as self-governance and its application in treatment decision-making. In addition to discussing decisional autonomy, rehabilitation also focuses on autonomy as functional independence. In practice, responding to patients with diminished autonomy is an important component of rehabilitation care, but also gives rise to tensions and challenges. Our objective was to better understand the complex and distinctive ways that autonomy is understood (...)
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  45.  30
    Professionals’ Responsibilities to Foster the Autonomy of Future Adults.Marilyn L. Bach, Jeffery Smith, Kristine A. Diemer, Erin L. Magnus, Nicholas A. Bryant & Charles N. Oberg - 1996 - Professional Ethics, a Multidisciplinary Journal 5 (3):73-91.
  46.  14
    Autonomy, well‐being, justice, professional responsibility and personal values: A commentary on Roger Crisp, ‘Religious Preferences in Health Care: A Welfarist Approach’.Julian Savulescu - 2022 - Bioethics 37 (1):12-14.
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  47.  27
    The Professional Responsibility Model of Respect for Autonomy in Decision Making About Cesarean Delivery.Frank A. Chervenak & Laurence B. McCullough - 2012 - American Journal of Bioethics 12 (7):1 - 2.
    The American Journal of Bioethics, Volume 12, Issue 7, Page 1-2, July 2012.
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  48.  4
    The Autonomy of the Health Professional: An Introduction.Henk Jochemsen & Henk Have - 2000 - Theoretical Medicine and Bioethics 21 (5):405-408.
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  49.  29
    Should healthcare professionals respect autonomy just because it promotes welfare?D. Molyneux - 2009 - Journal of Medical Ethics 35 (4):245-250.
    Respect for autonomy is an important moral principle within medical ethics. However, the question of whether the normative importance of respect for autonomy is derived from other moral principles (such as welfare) or has independent moral value is debatable. In this paper it is argued that the normative importance of autonomy is derived from both welfare and non-welfare considerations. Welfare considerations provide two types of reason to respect autonomy, one related to the role of autonomy (...)
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  50. Autonomy and Long-Term Care.George J. Agich - 1993 - Oxford University Press.
    The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis (...)
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