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Rosalind Mcdougall [24]Rosalind J. McDougall [7]
  1.  47
    Overriding Parents’ Medical Decisions for Their Children: A Systematic Review of Normative Literature.Rosalind Mcdougall & Lauren Notini - 2014 - Journal of Medical Ethics 40 (7):448-452.
    This paper reviews the ethical literature on conflicts between health professionals and parents about medical decision-making for children. We present the results of a systematic review which addressed the question ‘when health professionals and parents disagree about the appropriate course of medical treatment for a child, under what circumstances is the health professional ethically justified in overriding the parents’ wishes?’ We identified nine different ethical frameworks that were put forward by their authors as applicable across various ages and clinical scenarios. (...)
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  2.  44
    Computer Knows Best? The Need for Value-Flexibility in Medical AI.Rosalind J. McDougall - 2019 - Journal of Medical Ethics 45 (3):156-160.
    Artificial intelligence is increasingly being developed for use in medicine, including for diagnosis and in treatment decision making. The use of AI in medical treatment raises many ethical issues that are yet to be explored in depth by bioethicists. In this paper, I focus specifically on the relationship between the ethical ideal of shared decision making and AI systems that generate treatment recommendations, using the example of IBM’s Watson for Oncology. I argue that use of this type of system creates (...)
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  3.  10
    Indeterminacy and the Normative Basis of the Harm Threshold for Overriding Parental Decisions: A Response to Birchley.Rosalind J. McDougall - 2016 - Journal of Medical Ethics 42 (2):119-120.
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  4.  12
    Reviewing Literature in Bioethics Research: Increasing Rigour in Non‐Systematic Reviews.Rosalind McDougall - 2015 - Bioethics 29 (7):523-528.
    The recent interest in systematic review methods in bioethics has highlighted the need for greater transparency in all literature review processes undertaken in bioethics projects. In this article, I articulate features of a good bioethics literature review that does not aim to be systematic, but rather to capture and analyse the key ideas relevant to a research question. I call this a critical interpretive literature review. I begin by sketching and comparing three different types of literature review conducted in bioethics (...)
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  5.  93
    Parental Virtue: A New Way of Thinking About the Morality of Reproductive Actions.Rosalind Mcdougall - 2007 - Bioethics 21 (4):181–190.
  6.  19
    Should Parental Refusal of Puberty-Blocking Treatment Be Overridden? The Role of the Harm Principle.Lauren Notini, Rosalind McDougall & Ken C. Pang - 2019 - American Journal of Bioethics 19 (2):69-72.
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  7.  15
    Can Families Have Interests?Rosalind McDougall - 2017 - American Journal of Bioethics 17 (11):27-29.
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  8.  9
    Collaboration in Clinical Ethics Consultation: A Method for Achieving “Balanced Accountability”.Rosalind McDougall, Clare Delany, Merle Spriggs & Lynn Gillam - 2014 - American Journal of Bioethics 14 (6):47-48.
  9.  33
    Understanding Doctors' Ethical Challenges as Role Virtue Conflicts.Rosalind Mcdougall - 2013 - Bioethics 27 (1):20-27.
    This paper argues that doctors' ethical challenges can be usefully conceptualised as role virtue conflicts. The hospital environment requires doctors to be simultaneously good doctors, good team members, good learners and good employees. I articulate a possible set of role virtues for each of these four roles, as a basis for a virtue ethics approach to analysing doctors' ethical challenges. Using one junior doctor's story, I argue that understanding doctors' ethical challenges as role virtue conflicts enables recognition of important moral (...)
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  10.  5
    What Kinds of Cases Do Paediatricians Refer to Clinical Ethics? Insights From 184 Case Referrals at an Australian Paediatric Hospital.Rosalind J. McDougall & Lauren Notini - 2016 - Journal of Medical Ethics 42 (9):586-591.
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  11.  11
    Ethics of Fertility Preservation for Prepubertal Children: Should Clinicians Offer Procedures Where Efficacy is Largely Unproven?Rosalind J. McDougall, Lynn Gillam, Clare Delany & Yasmin Jayasinghe - 2018 - Journal of Medical Ethics 44 (1):27-31.
    Young children with cancer are treated with interventions that can have a high risk of compromising their reproductive potential. ‘Fertility preservation’ for children who have not yet reached puberty involves surgically removing and cryopreserving reproductive tissue prior to treatment in the expectation that strategies for the use of this tissue will be developed in the future. Fertility preservation for prepubertal children is ethically complex because the techniques largely lack proven efficacy for this age group. There is professional difference of opinion (...)
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  12.  28
    Conflicts Between Parents and Health Professionals About a Child’s Medical Treatment: Using Clinical Ethics Records to Find Gaps in the Bioethics Literature.Rosalind McDougall, Lauren Notini & Jessica Phillips - 2015 - Journal of Bioethical Inquiry 12 (3):429-436.
    Clinical ethics records offer bioethics researchers a rich source of cases that clinicians have identified as ethically complex. In this paper, we suggest that clinical ethics records can be used to point to types of cases that lack attention in the current bioethics literature, identifying new areas in need of more detailed bioethical work. We conducted an analysis of the clinical ethics records of one paediatric hospital in Australia, focusing specifically on conflicts between parents and health professionals about a child’s (...)
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  13.  18
    No We Shouldn’T Be Afraid of Medical AI; It Involves Risks and Opportunities.Rosalind J. McDougall - 2019 - Journal of Medical Ethics 45 (8):559-559.
    In contrast to Di Nucci’s characterisation, my argument is not a technoapocalyptic one. The view I put forward is that systems like IBM’s Watson for Oncology create both risks and opportunities from the perspective of shared decision-making. In this response, I address the issues that Di Nucci raises and highlight the importance of bioethicists engaging critically with these developing technologies.
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  14.  12
    Making Concepts Work.Rosalind J. McDougall - 2019 - Journal of Medical Ethics 45 (9):569-570.
    The articles in this issue direct our attention to the role of concepts in medical ethics. The issue includes research that defines a concept,1 research that applies concepts to illuminate the moral aspects of various elements of medicine,2 3 and research investigating the appropriate set of concepts to teach medical students.4 In their in-depth exploration of the concept of disease in this issue, Powell and Scarffe argue that our understanding of a concept should be ‘tailored to the role that the (...)
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  15.  43
    Developing “Ethical Mindfulness” in Continuing Professional Development in Healthcare: Use of a Personal Narrative Approach.Marilys Guillemin, Rosalind Mcdougall & Lynn Gillam - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (2):197.
  16.  37
    The Ethics of Fertility Preservation for Paediatric Cancer Patients: From Offer to Rebuttable Presumption.Rosalind McDougall - 2015 - Bioethics 29 (9):639-645.
    Given advances in the science of fertility preservation and the link between fertility choices and wellbeing, it is time to reframe our ethical thinking around fertility preservation procedures for children and young people with cancer. The current framing of fertility preservation as a possible offer may no longer be universally appropriate. There is an increasingly pressing need to discuss the ethics of failing to preserve fertility, particularly for patient groups for whom established techniques exist. I argue that the starting point (...)
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  17.  7
    Therapeutic Appropriation: A New Concept in the Ethics of Clinical Research.Rosalind McDougall, Dominique Martin, Lynn Gillam, Nina Hallowell, Alison Brookes & Marilys Guillemin - 2016 - Journal of Medical Ethics 42 (12):805-808.
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  18.  25
    Restricting Access to ART on the Basis of Criminal Record: An Ethical Analysis of a State-Enforced “Presumption Against Treatment” With Regard to Assisted Reproductive Technologies.Kara Thompson & Rosalind McDougall - 2015 - Journal of Bioethical Inquiry 12 (3):511-520.
    As assisted reproductive technologies become increasingly popular, debate has intensified over the ethical justification for restricting access to ART based on various medical and non-medical factors. In 2010, the Australian state of Victoria enacted world-first legislation that denies access to ART for all patients with certain criminal or child protection histories. Patients and their partners are identified via a compulsory police and child protection check prior to commencing ART and, if found to have a previous relevant conviction or child protection (...)
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  19.  2
    The Practice of Balancing in Clinical Ethics Case Consultation.Rosalind McDougall, Cade Shadbolt & Lynn Gillam - forthcoming - Clinical Ethics:147775091989737.
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  20.  16
    The Zone of Parental Discretion and the Complexity of Paediatrics: A Response to Alderson.Rosalind McDougall, Lynn Gillam, Merle Spriggs & Clare Delany - 2018 - Clinical Ethics 13 (4):172-174.
    Alderson critiques our recent book on the basis that it overlooks children’s own views about their medical treatment. In this response, we discuss the complexity of the paediatric clinical context and the value of diverse approaches to investigating paediatric ethics. Our book focuses on a specific problem: entrenched disagreements between doctors and parents about a child’s medical treatment in the context of a paediatric hospital. As clinical ethicists, our research question arose from clinicians’ concerns in practice: What should a clinician (...)
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  21.  10
    Diversity of Scholarship in Medical Ethics.Rosalind J. McDougall - 2018 - Journal of Medical Ethics 44 (10):655-656.
    In their essay arguing for ethical review of social research, Sheehan et al write: > Inquiry and human life are intertwined and interdependent. To be human is to be curious, to ask questions about yourself, the world, and your place in the world. This process of inquiry is undertaken individually, but is a social activity.1 As researchers in medical ethics, all the authors in this issue have chosen to ask a particular type of question about the world: questions about ethical (...)
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  22.  15
    Beyond the Waiver: An Ethical Approach to Discharge Against Medical Advice.Jeremy Chin & Rosalind Mcdougall - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (2):348-352.
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  23.  15
    What Ethical Resources Are Available to Alcohol and Other Drug Practitioners? A Systematic Review.David Silkoff, Marilys Guillemin, Richard Chenhall & Rosalind McDougall - 2017 - Clinical Ethics 13 (1):34-52.
    Clinical work in Alcohol and Other Drugs has not generally been an area of focus for ethicists. Likewise, ethics is not usually part of Alcohol and Other Drugs training or practice. This means that resources available to Alcohol and Other Drugs clinicians navigating ethical challenges are not widely available. This paper describes a systematic review of literature at the intersection of ethics and clinical practice in Alcohol and Other Drugs. The review will potentially benefit Alcohol and Other Drug practitioners by (...)
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  24. Impairment, Flourishing and the Moral Nature of Parenthood.Rosalind McDougall - 2009 - In Kimberley Brownlee & Adam Cureton (eds.), Disability and Disadvantage. Oxford University Press.
     
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  25.  13
    Best Interests, Dementia, and End of Life Decision-Making: The Case of Mrs S.Rosalind McDougall - 2005 - Monash Bioethics Review 24 (3):36-46.
    In this paper, I present an ethical analysis of the case of an elderly woman with dementia, Mrs S. The hospital treating Mrs S sought to cease her dialysis treatment despite Mrs S’s family’s protestations that continuing the treatment was in her best interests. Assuming Brock’s framework as a theoretical background, I consider the case in terms of three questions. Firstly, was ‘best interests ’ the appropriate basis for deciding on a course of action in this situation? Secondly, assuming the (...)
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  26.  3
    The Value of Open Deliberation in Clinical Ethics, and the Role of Parents’ Reasons in the Zone of Parental Discretion.Rosalind McDougall, Clare Delany & Lynn Gillam - 2018 - American Journal of Bioethics 18 (8):47-49.
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  27.  10
    Making Meaning From Experience: A Working Typology for Pediatrics Ethics Consultations.Lynn Gillam, Rosalind McDougall & Clare Delany - 2015 - American Journal of Bioethics 15 (5):24-26.
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  28.  5
    Primary Care Physicians' Views About Gatekeeping in Clinical Research Recruitment: A Qualitative Study.Marilys Guillemin, Rosalind McDougall, Dominique Martin, Nina Hallowell, Alison Brookes & Lynn Gillam - 2017 - Ajob Empirical Bioethics 8 (2):99-105.
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  29.  9
    Rethinking the ‘Right Not to Know’.Rosalind McDougall - 2004 - Monash Bioethics Review 23 (1):22-36.
    The idea that an individual has a ‘right not to know’ genetic information about himself or herself is entrenched in both the policy sphere and the genetic counselling ethos. In this paper, I interrogate this idea of a ‘right not to know’, questioning particularly its status as a right. I identify the conception of rights that seems to underlie the posited ‘right not to know’ as a conception of rights in which they are prioritised non-outweighable interests. Turning to a series (...)
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  30.  5
    Do We Need Ethical Theory to Achieve Quality Critical Engagement in Clinical Ethics?Ainsley J. Newson & Rosalind McDougall - 2016 - American Journal of Bioethics 16 (9):43-45.
  31. And the Moral Nature of Parenthood.Rosalind Mcdougall - 2009 - In Kimberley Brownlee & Adam Cureton (eds.), Disability and Disadvantage. Oxford University Press.
     
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