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Journal International de Bioéthique, International Journal of Bioethics

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https://www.readbyqxmd.com/read/27305801/-relationship-between-junior-and-senior-doctors-a-buberian-model
#1
Richard Pougnet, Laurence Pougnet
Doctors in training work in services under the supervision of senior doctors. These professional relationships may lead to frustrations, or ill-being at work. Indeed doctors are often very busy with care and can hardly communicate. The purpose of this article is to propose ways to think in its ethical dimension this relationship, by learning from Martin Buber's ideas. He thought a philosophy of relationship in two word pairs: I-Thou and I-It. This thought can be useful in the context of the médical relationship and mentorship...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305800/-proposal-of-an-observation-grid-to-decrypt-capabilities-an-illustration-in-an-organization-for-alzheimer-s-patients
#2
Alexandre Oboeuf, Agnès D'Arripe, Corinne Fantoni, Luc Collard
The capability approach (Sen, 2000) is a relevant theoretical choice to be interested in the lives of people with disabilities and/or loss of independence. However, this promising approach to social problems remain shaded by methodological problems. Thus, although its founder emphasizes the need to understand the meaning that the actors give their lives and their choices in the environment that is theirs, there is clearly rooted in a positivist approach, objectivist, quantitatively. This article's objective is to present a methodology for observation grid to overcome this pitfall...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305799/the-7-stage-model-for-facilitating-moral-case-deliberation-in-health-care-institutions-a-practical-illustration-of-a-meta-model
#3
Menno de Bree, Eite Veening
During a moral case deliberation-session, health care professionals come together in order to reflect on a moral issue they have to deal with. Since the whole process of sorting facts out, identifying moral issues, formulating and weighing arguments et cetera, can be quite complex, there should always be a well-trained facilitator present, who safeguards the flow of the session. In order to train and to assess the quality of these facilitators, we developed the so-called 7 stage model of moral case deliberation...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305798/-ict-s-and-ethics-an-e-learning-experience-at-the-faculty-of-medicine
#4
Cécile Bolly
A long-distance training course was implemented to the academic program which teaches ethics to future doctors. Its main objective was to develop students' individual patient care skills to carry out an analysis on ethically problematic situations. Such procedures may seem paradoxical in a training course which aims to develop one's sensitivity to others; it does however help to accommodate the geographical constraints linked to students accessing their practical training (in a country's different hospitals or abroad) and provides students with a introductory course on e-learning organised by their university's learning centre...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305797/-codesign-methodologies-a-enabling-resource
#5
Alexandre Oboeuf, Grégory Aiguier, Alain Loute
To reflect on the learning of the relationship in the care, seventeen people were mobilized to participate in a day of codesign. This methodology is to foster the creativity of a group with a succession creativity exercises. This article is primarily intended to reflect on the conditions by which such a methodology can become a resource for thinking learning ethics. The role of affectivity in the success of a codesign day is questioned. This work highlights include its central place in the construction of the innovative climate and the divergent thinking mechanism...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305796/education-of-good-care-lessons-learned-from-the-dignity-in-care-project
#6
Olaf Timmermans, De, Klerk-, Nicolette Jolink, Pierre Boitte
This paper defends a pragmatist ethical approach in education. Such an approach has fuelled a pedagogical experimentation approach within the scope the "Dignity in care" (www.dignity-in-care.eu) European project, focusing on ethical practice in health and social care. Its key objective was to enhance 'good care', by reinforcing health care workers'ability to conduct an ethical reflection on the way they would deliver care. Nevertheless, 'good care'is a concept that may seem hard to define and to implement. To clarify and validate the characteristics and conditions of such a good care, and to explore the way to educate the concept of what "good care" is in a more concrete way, this paper presents a summary of findings across which we have come during the final conference of this three-year project and through a focus-group organized by the Lille Dignity-in-Care partners...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305795/-accompany-the-learning-of-interprofessional-collaboration-a-required-reflexive-governance-of-the-training-project
#7
Grégory Aiguier, Sabine Poirette, Marie-France Pélissier
Comprehensive care for patients in hospital requires a collective practice of care. Interprofessional collaboration becomes a major issue for organizations of care but also for health schools. This text questions the pedagogical practices that promote an effective interprofessional collaboration of actors in caregiving situation. Theoretical reflection will lead to consider interprofessionality education as a collective learning process actors and organizations. Therefore, this learning must necessarily supported by an inter-institutional project (the care and training institutions) making this a common learning problems and requiring a reflective governance...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305794/-support-co-operative-education-programmes-pragmatic-code-of-ethics-a-clinical-approach-of-executive-training
#8
Véronique Cabaret
This article aims at introducing an educational sequence completed at l'Institut de Formation des Cadres de Santé (IFCS) at the CHRU in Lille in France, entitled "training project and educational project" present in the "training duties" module whose goal is to generate students'knowledge through co-operative education programmes. By creating this innovative sequence, the educational aim is to use the Institut ground as a ground of learning, associated with the various internship grounds, in order to get the most of co-operative education programmes...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305793/-the-application-of-an-integrated-model-of-partnership-patient-in-the-professionals-of-the-health-training-towards-new-one-humanist-paradigm-and-ethics-of-co-construction-knowledges-in-health
#9
Luigi Flora, Alexandre Berkesse, Antoine Payot, Vincent Dumez, Philippe Karazivan
This article presents the "Montreal model", offering the patient, if he wishes, to become a patient partner for all the decisions that concerns him. We are presently witnessing, presently, major transformations in western societies. Chronic diseases affect a growing proportion of the population, leading a transition from the ascendancy of acute care to an ascendancy of chronic care. Other societal factors such as the consumerism, the individualism, the democratization of the medical information (accelerated by the advent of Internet) and the casualization of a growing part of citizens influence this evolution...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305792/-a-sociological-approach-to-care-as-relationnal-work
#10
Eliane Rothier Bautzer
The article draws on sociological research conducted in the early 2000, about the training of French nurses. The author shows the transformation of a model of work and training of caring professions. The model that was traditionally focused on curative dimensions evolves into an organization that requires articulating both care and cure dimensions. It also points out the role and the growing importance of the value of autonomy. This transformation is all the more difficult, as it is hindered by corporative defenses by the existing medical establishment, which goes unchallenged by the public authorities in France...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305791/-pragmatic-turn-in-healthcare-ethics-challenges-and-opportunities-for-training
#11
Grégory Aiguier, Jean-Philippe Cobbaut
The complexity of health care practices has given rise to a new need for ethics. Ethics is indeed less mobilized to produce a moral discourse on practices, then as a resource for action, a skill, for the development, by the actors, of autonomous, responsible and critical acting. This pragmatic approach to ethics requires changes in teaching practices, in a more experiential, reflexive and situational perspective. However, an epistemological rereading of the notion of competence will lead us to question its use in ethics...
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27305790/-introduction-what-pedagogical-innovations-for-what-healthcare-ethics
#12
Grégory Aiguier, Pierre Boitte, Jean-Philippe Cobbaut
No abstract text is available yet for this article.
March 2016: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120827/-between-usage-and-polemic-an-argument-in-favour-of-clarifying-the-terminology-for-preimplantation-genetic-diagnosis
#13
Stéphanie Côté, Vardit Ravitsky, Pavel Hamet, Chantal Bouffard
Over 30 years ago, preimplantation genetic diagnosis (PGD) was developed to help couples at risk of transmitting a serious genetic disease to their offspring. Today, the range of medical and non-medical uses of PGD has expanded considerably and some raise much controversy. This is the case, for example, with In-Vitro Fertilization to select embryos as 'saviour siblings' or to screen for susceptibility and predisposition to late onset diseases or conditions of variable penetrance. The situation is even more problematic in the case of sex selection or selection of traits that are culturally valued or discredited (such as deafness, behavioral traits, or height)...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120826/-the-forms-of-deliberation-involved-in-the-field-of-bioethics-technique-deliberation-and-ethics-deliberation
#14
Gerson Neves Pinto
In this article the author examines the formulation of the problem of new technologies with their ethical limits and legal. To do this, in a first it is d'assess the contribuitions of the two most important contemporary philosophers who have treated this subject: Jürgen Habermas and Ronald Dworkin, while trying to put them into dialog with the one who has been one of the founders of l'classic ethics: Aristotle. Then, it tries to answer the question of how could we understand this notion that Dworkin nome "moral dislocation" between the random and the choice or well, as the appointed Habermas, "l'extension of the contingency"...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120825/-ethno-medical-ethics-in-globalizing-china-tracing-local-knowledge-and-adaptation-of-biomedicine
#15
Evelyne Micollier
Encounters between several bodies of therapeutic knowledge have led to a restructuring of the entire health system, including a transformation in medical ethics. Defining "new ethics" with both Chinese and international characteristics, is part of the ongoing knowledge production process: plural health ideas, practices and medical sciences develop within the broader framework of social and economic transition. Such transition simultaneously reveals and encourages China's influence and position in an era of globalization including in the technical and knowledge production domains...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120824/-ethical-conduct-for-research-involving-indigenous-people-in-france-a-comment-of-the-cnrs-ethics-committee-opinion-on-the-imperative-of-fairness-in-the-relationship-between-researchers-and-indigenous-peoples
#16
Thomas Burelli, Tamatoa Bambridge
Historically, scientific research and colonization process have maintained very close ties. In order to frame research involving indigenous peoples and to avoid situations of abuse, some States have developed very detailed ethicalframeworks. In France, there are no ethicalframework comparable to those observed in particular in Anglo-Saxon countries like Canada. Extensive discussions were conducted by the Ethics Committee of the CNRS leading to the adoption of an opinion of a high quality but which appears largely unknown and under-exploited...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120823/-ethical-principals-and-a-posteriori-justifications
#17
Monica Heintz
It is difficult to conceive that the human being, while being the same everywhere, could be cared for in such different ways in other societies. Anthropologists acknowledge that the diversity of cultures implies a diversity of moral values, thus that in a multicultural society the individual could draw upon different moral frames to justify the peculiarities of her/his demand of care. But how could we determine what is the moral frame that catalyzes behaviour while all we can record are a posteriori justifications of actions? In most multicultural societies where several moralframes coexist, there is an implicit hierarchy between ethical systems derived from a hierarchy of power which falsifies these a posteriori justifications...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120822/between-reason-science-and-culture-biomedical-decision-making
#18
Sylvie Fortin
Over the last decade, we have extensively examined clinical practice in the context of sociocultural, religious and ethnic diversity. Stemming mainly from data collected amongst physicians we reflect, in this paper, upon the norms and values which guide decision-making processes in tertiary pediatric hospital contexts. Clinical ethics is portrayed a neutral guide between competing choices and obligations of hospital units, healthcare professionals, and families, when there is a conflict or divergence in the perspectives concerning the progression of the clinical trajectory...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120821/-ethnomedical-ethics-with-regard-to-patient-plurivocality-between-autonomy-and-heteronomy
#19
Mathieu Bujold
BACKGROUND: In a contemporary multicultural context that stimulates new dynamics within the plural health systems, the universality of the patient autonomy principle is questioned. Wishing to contribute to the discussion on the topic, this article presents a reflection drawn from a case study in an integrative health care (IHC) clinic. This type of organization, polarizing a variety of care traditions, is an exceptional social laboratory for the analysis of the convergence of values and ethical principles, marked by various cultural foundations...
December 2015: Journal International de Bioéthique, International Journal of Bioethics
https://www.readbyqxmd.com/read/27120820/foreword-the-merging-of-ethnomedicine-and-ethno-ethics
#20
Chantal Bouffard, Ana Marin
No abstract text is available yet for this article.
December 2015: Journal International de Bioéthique, International Journal of Bioethics
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