journal
https://read.qxmd.com/read/36790544/credentialing-character-a-virtue-ethics-approach-to-professionalizing-healthcare-ethics-consultation-services
#21
JOURNAL ARTICLE
Andrea Thornton
In the process of professionalization, the American Society for Bioethics and Humanities (ASBH) has emphasized process and knowledge as core competencies for clinical ethics consultants; however, the credentialing program launched in 2018 fails to address both pillars. The inadequacy of this program recalls earlier critiques of the professionalization effort made by Giles R. Scofield and H. Tristram Engelhardt, Jr.. Both argue that ethics consultation is not a profession and the effort to professionalize is motivated by self-interest...
February 15, 2023: HEC Forum
https://read.qxmd.com/read/36609719/islamic-jurisprudence-on-harm-versus-harm-scenarios-in-medical-confidentiality
#22
JOURNAL ARTICLE
Sayyed Mohamed Muhsin
Although medical confidentiality is widely recognized as an essential principle in the therapeutic relationship, its systematic and coherent practice has been an ethically challenging duty upon healthcare providers due to various concerns of clinical, moral, religious, social, ethical and legal natures. Medical confidentiality can be breached to protect the patient and/or others if maintaining confidentiality causes serious harm. Healthcare professionals may encounter complicated situations whereby the divulgence of a patient's confidential information may pose a threat to one party whereas the concealment of such information may cause harm to another...
January 7, 2023: HEC Forum
https://read.qxmd.com/read/36571631/life-extension-and-overpopulation-demography-morals-and-the-malthusian-objection
#23
JOURNAL ARTICLE
Shahin Davoudpour, John K Davis
One of the main objections to life extension is that life extension will cause severe overpopulation. This objection presents both moral and demographic issues. To explore the demographic issue, we present an updated and improved version of the formula in chapter six of New Methuselahs for projecting the demographic impact of life extension. The new version includes additional demographical factors such as non-aging related causes of death. According to projections generated with this revised formula, moderate life extension (a life expectancy of 120 years) will not significantly increase population at the fertility rates current in the developed world, but radical life expectancy (halting aging completely, leading to an average life expectancy of 1000 years) can lead to severe overpopulation even at very low fertility rates...
December 26, 2022: HEC Forum
https://read.qxmd.com/read/36547791/civility-in-health-care-a-moral-imperative
#24
JOURNAL ARTICLE
Joel M Geiderman, John C Moskop, Catherine A Marco, Raquel M Schears, Arthur R Derse
Civility is an essential feature of health care, as it is in so many other areas of human interaction. The article examines the meaning of civility, reviews its origins, and provides reasons for its moral significance in health care. It describes common types of uncivil behavior by health care professionals, patients, and visitors in hospitals and other health care settings, and it suggests strategies to prevent and respond to uncivil behavior, including institutional codes of conduct and disciplinary procedures...
December 22, 2022: HEC Forum
https://read.qxmd.com/read/36520271/democratizing-conscientious-refusal-in-healthcare
#25
JOURNAL ARTICLE
David C Scott
Settling the debate over conscientious refusal (CR) in liberal democracies requires us to develop a conception of the healthcare provider's moral role. Because CR claims and resulting policy changes take place in specific sociopolitical contexts with unique histories and diverse polities, the method we use for deriving the healthcare norms should itself be a democratic, context-dependent inquiry. To this end, I begin by describing some prerequisites-which I call publicity conditions-for any democratic account of healthcare norms that conflict or jibe with CR...
December 15, 2022: HEC Forum
https://read.qxmd.com/read/36355268/from-prohibition-to-permission-the-winding-road-of-medical-assistance-in-dying-in-canada
#26
JOURNAL ARTICLE
Jocelyn Downie
In this paper, I offer a personal and professional narrative of how Canada went from prohibition to permission for medical assistance in dying (MAiD). I describe the legal developments to date and flag what might be coming in the near future. I also offer some personal observations and reflections on the role and impact of bioethics and bioethicists, on what it was like to be a participant in Canada's law reform process, and on lessons that readers in other jurisdictions might take from Canada's experience.
December 2022: HEC Forum
https://read.qxmd.com/read/36371516/ethical-issues-in-sperm-egg-and-embryo-donation-islamic-shia-perspectives
#27
REVIEW
Md Shaikh Farid
Assisted Reproductive Technologies (ARTs) have been practiced in Islamic societies within married couples since their introduction. However, there are divergent views over the issue of third-party donation among Sunni and Shia scholars. This paper illustrates the different perspectives of Shia Muslims surrounding, sperm, egg, and embryo donation and ethical aspects thereof. The study reveals that there are different views regarding sperm, egg, and embryo donation among the Shia religious leaders around the world...
November 12, 2022: HEC Forum
https://read.qxmd.com/read/36370224/author-index-to-volume-34-2022
#28
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
November 12, 2022: HEC Forum
https://read.qxmd.com/read/36355267/living-organ-donation-for-transplantation-in-bangladesh-reality-and-problems
#29
JOURNAL ARTICLE
Md Sanwar Siraj
The stipulation of living organ transplantation policy and practice in Bangladesh is family-oriented, with relatives being the only people legally eligible to donate organs. There have been very few transplantations of bone marrows, liver lobes, and kidneys from related-living donors in Bangladesh. The major question addressed in this study is why Bangladesh is not getting adequate organs for transplantation. In this study, I examin the stipulations of the policy and practice of living organ donation through the lens of 32 key stakeholders including physicians and nurses, a health administrator, organ donors and recipients, and their family members, as they can shed light on the realities and problems of organ donation for transplantation in Bangladesh...
November 10, 2022: HEC Forum
https://read.qxmd.com/read/36348214/aging-equality-and-the-human-healthspan
#30
JOURNAL ARTICLE
Colin Farrelly
John Davis (New Methuselahs: The Ethics of Life Extension, The MIT Press, Cambridge, 2018) advances a novel ethical analysis of longevity science that employs a three-fold methodology of examining the impact of life extension technologies on three distinct groups: the "Haves", the "Have-nots" and the "Will-nots". In this essay, I critically examine the egalitarian analysis Davis deploys with respect to its ability to help us theorize about the moral significance of an applied gerontological intervention. Rather than focusing on futuristic scenarios of radical life extension, I offer a rival egalitarian analysis that takes seriously (1) the health vulnerabilities of today's aging populations, (2) the health inequalities of the "aging status quo" and, (3) the prospects for the fair diffusion of an aging intervention over the not-so-distant future...
November 8, 2022: HEC Forum
https://read.qxmd.com/read/36125648/clinical-ethics-consultations-and-the-necessity-of-not-meeting-expectations-i-never-promised-you-a-rose-garden
#31
JOURNAL ARTICLE
Stuart G Finder, Virginia L Bartlett
Clinical ethics consultants (CECs) work in complex environments ripe with multiple types of expectations. Significantly, some are due to the perspectives of professional colleagues and the patients and families with whom CECs consult and concern how CECs can, do, or should function, thus adding to the moral complexity faced by CECs in those particular circumstances. We outline six such common expectations: Ethics Police, Ethics Equalizer, Ethics Superhero, Ethics Expediter, Ethics Healer or Ameliorator, and, finally, Ethics Expert...
September 20, 2022: HEC Forum
https://read.qxmd.com/read/36094775/maid-to-last-creating-a-care-ecology-for-sustainable-medical-assistance-in-dying-services
#32
JOURNAL ARTICLE
Andrea Frolic, Paul Miller, Will Harper, Allyson Oliphant
This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A "care ecology" strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians...
September 12, 2022: HEC Forum
https://read.qxmd.com/read/36074196/the-implementation-of-assisted-dying-in-quebec-and-interdisciplinary-support-groups-what-role-for-ethics
#33
JOURNAL ARTICLE
Marie-Eve Bouthillier, Catherine Perron, Delphine Roigt, Jean-Simon Fortin, Michelle Pimont
The purpose of this text is to tell the story of the implementation of the Act Respecting End-of-Life Care, referred to hereafter as Law 2 (Gouvernement du Québec, 2014) with an emphasis on the ambiguous role of ethics in the Interdisciplinary Support Groups (ISGs), created by Quebec's Ministère de la santé et des services sociaux (MSSS). As established, ISGs provide "clinical, administrative and ethical support to health care professionals responding to a request for Medical aid in dying (MAiD)" (Gouvernement du Québec, 2015)...
September 8, 2022: HEC Forum
https://read.qxmd.com/read/36069966/clinical-ethics-consultation-in-chronic-illness-challenging-epistemic-injustice-through-epistemic-modesty
#34
JOURNAL ARTICLE
Tatjana Weidmann-Hügle, Settimio Monteverde
Leading paradigms of clinical ethics consultation closely follow a biomedical model of care. In this paper, we present a theoretical reflection on the underlying biomedical model of disease, how it shaped clinical practices and patterns of ethical deliberation within these practices, and the repercussions it has on clinical ethics consultations for patients with chronic illness. We contend that this model, despite its important contribution to capturing the ethical issues of day-to-day clinical ethics deliberation, might not be sufficient for patients presenting with chronic illnesses and navigating as "lay experts" of their medical condition(s) through the health care system...
September 7, 2022: HEC Forum
https://read.qxmd.com/read/36053402/introducing-medical-assistance-in-dying-in-canada-lessons-on-pragmatic-ethics-and-the-implementation-of-a-morally-contested-practice
#35
JOURNAL ARTICLE
Andrea Frolic, Allyson Oliphant
Medical Assistance in Dying (MAiD) in Canada has had a tumultuous social and legal history. In the 6 years since assisted dying was decriminalized by the Canadian Parliament in June 2016, the introduction of this practice into the Canadian healthcare system has been fraught with ethical challenges, practical hurdles and grass-roots innovation. In 2021, MAiD accounted for approximately 3.3% of all Canadian deaths annually, and more patients are seeking MAiD year over year as this option becomes more widely know...
September 2, 2022: HEC Forum
https://read.qxmd.com/read/36018528/access-isn-t-enough-evaluating-the-quality-of-a-hospital-medical-assistance-in-dying-program
#36
JOURNAL ARTICLE
Andrea Frolic, Marilyn Swinton, Allyson Oliphant, Leslie Murray, Paul Miller
Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families perceived the quality of MAiD services, and determining if the program successfully accommodated the diverse needs and perspectives of HCPs, rounded out this quality evaluation...
August 26, 2022: HEC Forum
https://read.qxmd.com/read/36001242/implementation-of-medical-assistance-in-dying-as-organizational-ethics-challenge-a-method-of-engagement-for-building-trust-keeping-peace-and-transforming-practice
#37
JOURNAL ARTICLE
Andrea Frolic, Paul Miller
This paper focuses on the ethics of how to approach the introduction of MAiD as an organizational ethics challenge, a focus that diverges from the traditional focus in healthcare ethics on the ethics of why MAiD is right or wrong. It describes a method co-designed and implemented by ethics and medical leadership at a tertiary hospital to develop a values-based, grassroots response to the decriminalization of assisted dying in Canada. This organizational ethics engagement method embodied core tenants that drew inspiration from a variety of sources, including poetic ones...
August 24, 2022: HEC Forum
https://read.qxmd.com/read/35997912/getting-beyond-pros-and-cons-results-of-a-stakeholder-needs-assessment-on-physician-assisted-dying-in-the-hospital-setting
#38
JOURNAL ARTICLE
Andrea Frolic, Leslie Murray, Marilyn Swinton, Paul Miller
This study assessed the attitudes and needs of physicians and health professional staff at a tertiary care hospital in Canada regarding the introduction of physician assisted dying (PAD) during 2015-16. This research aimed to develop an understanding of the wishes, concerns and hopes of stakeholders related to handling requests for PAD; to determine what supports/structures/resources health care professionals (HCP) require in order to ensure high quality and compassionate care for patients requesting PAD, and a supportive environment for all healthcare providers across the moral spectrum...
August 23, 2022: HEC Forum
https://read.qxmd.com/read/35984586/correction-medical-assistance-in-dying-maid-care-coordination-navigating-ethics-and-access-in-the-emergence-of-a-new-health-profession
#39
Marta Simpson-Tirone, Samantha Jansen, Marilyn Swinton
No abstract text is available yet for this article.
August 19, 2022: HEC Forum
https://read.qxmd.com/read/35943673/responding-to-cultural-limitations-on-patient-autonomy-a-clinical-ethics-case-study
#40
JOURNAL ARTICLE
Sara Kolmes, Christine Ha, Jordan Potter
This paper is a clinical ethics case study which sheds light on several important dilemmas which arise in providing care to patients from cultures with non-individualistic conceptions of autonomy. Medical professionals face a difficult challenge in determining how to respond when families of patients ask that patients not be informed of bad medical news. These requests are often made for cultural reasons, by families seeking to protect patients. In these cases, the right that patients have to their own medical information in order to make autonomous decisions is in tension with the possibility that patients could hold values that require limiting their autonomy with regard to medical information disclosure, often based on the idea that family should take on difficult decision-making as an act of care...
August 9, 2022: HEC Forum
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