13 found
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  1.  35
    Evaluating the effectiveness of clinical ethics committees: a systematic review.Chiara Crico, Virginia Sanchini, Paolo Giovanni Casali & Gabriella Pravettoni - 2021 - Medicine, Health Care and Philosophy 24 (1):135-151.
    Clinical Ethics Committees (CECs), as distinct from Research Ethics Committees, were originally established with the aim of supporting healthcare professionals in managing controversial clinical ethical issues. However, it is still unclear whether they manage to accomplish this task and what is their impact on clinical practice. This systematic review aims to collect available assessments of CECs’ performance as reported in literature, in order to evaluate CECs’ effectiveness. We retrieved all literature published up to November 2019 in six databases (PubMed, Ovid (...)
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  2.  35
    The concept of vulnerability in aged care: a systematic review of argument-based ethics literature.Chris Gastmans, Roberta Sala & Virginia Sanchini - 2022 - BMC Medical Ethics 23 (1):1-20.
    BackgroundVulnerability is a key concept in traditional and contemporary bioethics. In the philosophical literature, vulnerability is understood not only to be an ontological condition of humanity, but also to be a consequence of contingent factors. Within bioethics debates, vulnerable populations are defined in relation to compromised capacity to consent, increased susceptibility to harm, and/or exploitation. Although vulnerability has historically been associated with older adults, to date, no comprehensive or systematic work exists on the meaning of their vulnerability. To fill this (...)
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  3.  44
    L’allocazione delle risorse sanitarie durante la pandemia da Covid-19: un’analisi comparativa dei documenti della SIAARTI e del CNB.Davide Battisti, Luca Marelli, Mario Picozzi, Massimo Reichlin & Virginia Sanchini - 2021 - Notizie di Politeia 141:25-45.
    In Italy, during the first wave of the Covid-19 pandemic, the Italian Society of Resuscitators and Pain Therapists (SIAARTI) and the Italian National Bioethics Committee (CNB) published ethical guidance on the allocation of scarce intensive care resources. In this paper, we outline and compare these documents in detail, highlighting differences and similarities. In particular, we argue that major differences exist with respect to the principles and values underpinning the documents and the normative allocation criteria proposed. Conversely, similarities can be traced (...)
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  4.  53
    Informed consent as an ethical requirement in clinical trials: an old, but still unresolved issue. An observational study to evaluate patient's informed consent comprehension.Virginia Sanchini, Michele Reni, Giliola Calori, Elisabetta Riva & Massimo Reichlin - 2014 - Journal of Medical Ethics 40 (4):269-275.
    We explored the comprehension of the informed consent in 77 cancer patients previously enrolled in randomised phase II or phase III clinical trials, between March and July 2011, at the San Raffaele Scientific Institute in Milano. We asked participants to complete an ad hoc questionnaire and analysed their answers. Sixty-two per cent of the patients understood the purpose and nature of the trial they were participating in; 44% understood the study procedures and 40% correctly listed at least one of the (...)
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  5.  32
    A Trust‐Based Pact in Research Biobanks. From Theory to Practice.Virginia Sanchini, Giuseppina Bonizzi, Davide Disalvatore, Massimo Monturano, Salvatore Pece, Giuseppe Viale, Pier Paolo Di Fiore & Giovanni Boniolo - 2015 - Bioethics 30 (4):260-271.
    Traditional Informed Consent is becoming increasingly inadequate, especially in the context of research biobanks. How much information is needed by patients for their consent to be truly informed? How does the quality of the information they receive match up to the quality of the information they ought to receive? How can information be conveyed fairly about future, non-predictable lines of research? To circumvent these difficulties, some scholars have proposed that current consent guidelines should be reassessed, with trust being used as (...)
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  6.  43
    Potential Pitfalls in the Evaluation of Ethics Consultation: The Case of Ethical Counseling.Alma Linkeviciute, Kris Dierickx, Virginia Sanchini & Giovanni Boniolo - 2016 - American Journal of Bioethics 16 (3):56-57.
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  7.  56
    The ethics of non-inferiority trials: A consequentialist analysis.Marco Annoni, Virginia Sanchini & Cecilia Nardini - 2013 - Research Ethics 9 (3):109-120.
    Discussions about the merits and shortcomings of non-inferiority trials are becoming increasingly common in the medical community and among regulatory agencies. However, criticisms targeting the ethical standing of non-inferiority trials have often been mistargeted. In this article we review the ethical standing of trials of non-inferiority. In the first part of the article, we outline a consequentialist position according to which clinical trials are best conceived as epistemic tools aimed at fostering the proper ends of medicine. According to this view, (...)
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  8.  24
    Measuring the impact of clinical ethics support services: further points for consideration.Virginia Sanchini, Chiara Crico, Paolo G. Casali & Gabriella Pravettoni - 2022 - Journal of Medical Ethics 48 (11):877-878.
    In their contribution, Kok et al raise a relevant, though often underestimated, issue: clinical ethics support services are often assumed to lead to an improvement of quality of care at the organisational level, but evidence in support of this claim is weak, if not completely lacking.1 Therefore, the authors propose a complex theoretical model connecting a specific kind of CESS, moral case deliberation, with mechanisms for quality of care improvement at the individual and the organisational level. The proposal is original, (...)
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  9.  13
    The role of caregivers in the clinical pathway of patients newly diagnosed with breast and prostate cancer: A study protocol.Clizia Cincidda, Serena Oliveri, Virginia Sanchini & Gabriella Pravettoni - 2022 - Frontiers in Psychology 13.
    BackgroundCaregivers may play a fundamental role in the clinical pathway of cancer patients. They provide emotional, informational, and functional support as well as practical assistance, and they might help mediate the interaction and communication with the oncologists when care options are discussed, or decisions are made. Little is known about the impact of dyadic dynamics on patient-doctor communication, patient's satisfaction, or adherence to the therapies. This study protocol aims to evaluate the efficacy of a psychological support intervention on patients-caregivers relationship (...)
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  10.  12
    Imagining Human Reproduction. Introduction: Imagining Human Reproduction.Simona Corso, Florian Mussgnug & Virginia Sanchini - 2020 - Phenomenology and Mind 19 (19):12.
    Questions about human reproduction and parental responsibility run through our lives. They shape our experience as natal and mortal beings and orient our thinking about generation: the process by which we come to be; the activity in which we engage or choose not to engage as procreative beings; our syncopated sense of time; our responsibility for the continuity of human life on a finite and vulnerable planet. Like all living species, humans tend to reproduce. For this reason, assumptions abou...
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  11.  20
    Ethics Review in Anti-Doping Research: Experiences of Stakeholders.Thijs Devriendt, Virginia Sanchini & Pascal Borry - 2020 - AJOB Empirical Bioethics 11 (2):125-133.
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  12.  15
    Ethical issues in oncology practice: a qualitative study of stakeholders’ experiences and expectations.Gabriella Pravettoni, Paolo G. Casali, Virginia Sanchini & Chiara Crico - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundClinical Ethics Support Services have been established to support healthcare professionals in addressing ethically sensitive issues in clinical practice and, in many countries, they are under development. In the context of growing CESS, exploring how healthcare professionals experience and address clinical ethics issues in their daily practice represents a fundamental step to understand their potential needs. This is even more relevant in the context of extremely sensitive diseases, such as cancer. On this basis, we carried out a qualitative study conducting (...)
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  13.  22
    Deliberation and Public Bioethics: A Test Case in Reproductive Genetics.Virginia Sanchini, Davide Disalvatore, Sarah Songhorian, Paolo Spada & Pier Paolo Di Fiore - 2020 - Phenomenology and Mind 19 (19):150.
    Background. Since the nineties, policymakers and theorists working across several disciplines started to entertain the notion of directly engaging the public in matters of public concern. Accompanying this was the attempt to resort to deliberative democracy in order to make such an involvement effective. Seizing on its intrinsic dialogic nature, some scholars proposed the application of public deliberation to the realm of public bioethics. Drawing upon the theory and practice of deliberative public bioethics, the purpose of this paper is to (...)
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