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https://www.readbyqxmd.com/read/27913987/a-moral-normative-framework-for-the-judgment-of-actions-and-decisions-in-the-construction-industry-and-engineering-part-ii
#1
Omar J Alkhatib
The construction industry is typically characterized as a fragmented, multi-organizational setting in which members from different technical backgrounds and moral values join together to develop a particular business or project. The most challenging obstacle in the construction process is to achieve a successful practice and to identify and apply an ethical framework to manage the behavior of involved specialists and contractors and to ensure the quality of all completed construction activities. The framework should reflect a common moral ground for myriad people involved in this process to survive and compete ethically in today's turbulent construction market...
December 2, 2016: Science and Engineering Ethics
https://www.readbyqxmd.com/read/27908943/planning-for-deactivation-of-implantable-cardioverter-defibrillators-at-the-end-of-life-in-patients-with-heart-failure
#2
Destiny R Brady
Implantable cardioverter defibrillators (ICDs) may be burdensome in end-stage heart failure. At the end of life, as many as one-fifth to one-third of patients experience an ICD shock. Critical care nurses should be aware of the potential burden of these shocks at the end of life as well as the ethics and organizational policies surrounding ICD deactivation. This literature review examines the issues surrounding ICD therapy at the end of life. Based on this author's findings, recommendations for discussing and implementing ICD deactivation are offered...
December 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27880987/assessing-surgical-research-at-the-teaching-hospital-level
#3
Kate E McBride, Jane M Young, Paul G Bannon, Michael J Solomon
BACKGROUND: To undertake a comprehensive needs assessment to determine the baseline of surgical research activity at a tertiary referral hospital in Sydney, Australia. METHOD: The comprehensive needs assessment comprised three components: a retrospective audit of the hospital ethics committee records to identify surgical research activity; a survey of all 17 surgical departments about the availability of 10 potential research resources and a survey of surgical staff to ascertain perceptions of research culture at the organizational, team and individual levels...
November 23, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27877212/early-integration-of-palliative-care-in-oncology-practice-results-of-the-italian-association-of-medical-oncology-aiom-survey
#4
Vittorina Zagonel, Riccardo Torta, Vittorio Franciosi, Antonella Brunello, Guido Biasco, Daniela Cattaneo, Luigi Cavanna, Domenico Corsi, Gabriella Farina, Luisa Fioretto, Teresa Gamucci, Gaetano Lanzetta, Roberto Magarotto, Marco Maltoni, Cataldo Mastromauro, Barbara Melotti, Fausto Meriggi, Ida Pavese, Erico Piva, Cosimo Sacco, Giuseppe Tonini, Leonardo Trentin, Paola Ermacora, Antonella Varetto, Federica Merlin, Stefania Gori, Stefano Cascinu, Carmine Pinto
BACKGROUND: Early integration of palliative care in oncology practice ("simultaneous care", SC) has been shown to provide better care resulting in improved quality-of-life and also survival. We evaluated the opinions of Italian Association of Medical Oncology (AIOM) members. PATIENTS AND METHODS: A 37-item questionnaire was delivered to 1119 AIOM members. Main areas covered were: social, ethical, relational aspects of disease and communication, training, research, organizational and management models in SC...
2016: Journal of Cancer
https://www.readbyqxmd.com/read/27854429/serving-on-organizational-boards-what-nurses-need-to-know
#5
Ann M Stalter, Deborah Arms
If you have ever thought about serving on a board or being actively involved in meetings aimed at making policy decisions, but are not sure you have the knowledge, skills or abilities to serve competently, this article is for you! In this article, the authors describe six competencies needed by nurses who are serving on boards and/or policy committees so as to contribute in a productive manner. These competencies include a professional commitment to serving on a governing board; knowledge about board types, bylaws, and job descriptions; an understanding of standard business protocols, board member roles, and voting processes; a willingness to use principles for managing and leading effective and efficient board meetings; an appreciation for the ethical and legal processes for conducting meetings; and the ability to employ strategies for maintaining control during intense/uncivil situations...
February 26, 2016: Online Journal of Issues in Nursing
https://www.readbyqxmd.com/read/27846834/exploring-resistance-to-implementation-of-welfare-technology-in-municipal-healthcare-services-a-longitudinal-case-study
#6
Etty R Nilsen, Janne Dugstad, Hilde Eide, Monika Knudsen Gullslett, Tom Eide
BACKGROUND: Industrialized and welfare societies are faced with vast challenges in the field of healthcare in the years to come. New technological opportunities and implementation of welfare technology through co-creation are considered part of the solution to this challenge. Resistance to new technology and resistance to change is, however, assumed to rise from employees, care receivers and next of kin. The purpose of this article is to identify and describe forms of resistance that emerged in five municipalities during a technology implementation project as part of the care for older people...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27780155/the-importance-of-clinically-and-ethically-fine-tuning-decision-making-about-cesarean-delivery
#7
Michelle T Nguyen, Laurence B McCullough, Frank A Chervenak
In obstetric practice, each pregnant woman presents with a composite of maternal and fetal characteristics that can alter the risk of significant harm without cesarean intervention. The hospital's availability of resources and the obstetrician's training, experience, and skill level can also alter the risk of significant harm without cesarean intervention. This paper proposes a clinical ethical framework that takes these clinical and organizational factors into account, to promote a deliberative rather than simplistic approach to decision-making and counseling about cesarean delivery...
October 25, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27779152/role-of-demographic-and-job-related-variables-in-determining-work-related-quality-of-life-of-hospital-employees
#8
K Shukla, S Shahane, W D'Souza
BACKGROUND: Considering a huge working population in health sector faced with stressful work life, limited autonomy in work and declining work contentment calls for an overemphasis on evaluating and monitoring their satisfaction associated with work-related quality of life (WRQoL). This study evaluates WRQoL of hospital employees and validates the bilingual (English and Marathi) version of WRQoL scale. METHODS: The study was conducted during March-April'2014 on employees of a corporate hospital of Pune, India after ethical approval and informed consent from employees...
October 24, 2016: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/27776531/integrating-precision-cancer-medicine-into-healthcare-policy-practice-and-research-challenges
#9
Gabrielle Bertier, Jian Carrot-Zhang, Vassilis Ragoussis, Yann Joly
Precision medicine (PM) can be defined as a predictive, preventive, personalized, and participatory healthcare service delivery model. Recent developments in molecular biology and information technology make PM a reality today through the use of massive amounts of genetic, 'omics', clinical, environmental, and lifestyle data. With cancer being one of the most prominent public health threats in developed countries, both the research community and governments have been investing significant time, money, and efforts in precision cancer medicine (PCM)...
October 24, 2016: Genome Medicine
https://www.readbyqxmd.com/read/27737566/the-impact-of-professional-boundaries-for-health-professionals-pbhp-training-on-knowledge-comfort-experience-and-ethical-decision-making-a-longitudinal-randomized-controlled-trial
#10
Patricia Fronek, Melissa B Kendall
PURPOSE: A randomized controlled trial was conducted to evaluate the impact of Professional Boundaries for Health Professionals (PBHP) training program on the knowledge, comfort, experience, and ethical decision-making of multidisciplinary practitioners facing client-practitioner boundary dilemmas. METHODS: In all, 36 rehabilitation practitioners from an Australian state-wide spinal cord injuries service were assigned to experimental and control groups. The Boundaries in Practice (BIP) Scale measured outcomes at four points: pre, post, 3 months, and 1 year...
October 14, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27726065/a-pragmatic-approach-to-ethical-decision-making-in-engineering-practice-characteristics-evaluation-criteria-and-implications-for-instruction-and-assessment
#11
Qin Zhu, Brent K Jesiek
This paper begins by reviewing dominant themes in current teaching of professional ethics in engineering education. In contrast to more traditional approaches that simulate ethical practice by using ethical theories to reason through micro-level ethical dilemmas, this paper proposes a pragmatic approach to ethics that places more emphasis on the practical plausibility of ethical decision-making. In addition to the quality of ethical justification, the value of a moral action also depends on its effectiveness in solving an ethical dilemma, cultivating healthy working relationships, negotiating existing organizational cultures, and achieving contextual plausibility in everyday professional practice...
October 10, 2016: Science and Engineering Ethics
https://www.readbyqxmd.com/read/27691988/quality-of-health-technology-assessment-reports-prepared-for-the-medical-services-advisory-committee
#12
Martin Hua, Tristan Boonstra, Patrick J Kelly, Andrew Wilson, Jonathan C Craig, Angela C Webster
OBJECTIVES: The Medical Services Advisory Committee (MSAC) makes recommendations to the Australian Government for funding health technologies under the Medicare Benefits Schedule (MBS). Differences in public, clinical, commercial, and political opinions on health expenditure emphasize the importance of defensible funding decisions. We aimed to evaluate the quality of health technology assessment (HTA) reports over time and among health technologies assessed for MSAC. MAIN OUTCOME MEASURES: A cohort study was performed of HTA reports prepared for MSAC between 1998 and 2013...
January 2016: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/27682425/nurses-perspectives-on-moral-distress-a-q-methodology-approach
#13
Pei-Pei Chen, Hsiao-Lu Lee, Shu-He Huang, Ching-Ling Wang, Chiu-Mieh Huang
BACKGROUND: Moral distress occurs when nurses experience ethical dilemmas. Issues related to these dilemmas are addressed in some nursing education courses. Nurses' reaction to dilemma such as moral distress is relatively less noticed. OBJECTIVE: This study aimed to identify and describe the various types of perceptions of moral distress exhibited by nurses. RESEARCH DESIGN: This study applied Q methodology to explore the perspectives of nurses regarding moral distress...
September 28, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/27669138/time-out-the-professional-and-organizational-ethics-of-speaking-up-in-the-or
#14
Nancy Berlinger, Elizabeth Dietz
Participation in patient safety is one concrete expression of a foundational principle of medical ethics: do no harm. Being an ethical professional requires taking action to prevent harm to patients in health care environments. Checklists and time-outs have become common patient safety tools in the US and other nations. While their use can support ethical practice, recent research has revealed their limitations and has underscored the importance of interpersonal collaboration in developing and using these patient safety tools...
2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27669137/interprofessional-clinical-ethics-education-the-promise-of-cross-disciplinary-problem-based-learning
#15
Melissa J Kurtz, Laura E Starbird
A review of Lin et al.'s pilot study exploring the effects of an interprofessional, problem-based learning clinical ethics curriculum on Taiwanese medical and nursing students' attitudes towards interprofessional collaboration highlights the benefits of interprofessional collaboration and offers insight into how problem-based learning might be universally applied in ethics education. Interprofessional collaboration is an ideal approach for exploring ethical dilemmas because it involves all relevant professionals in discussions about ethical values that arise in patient care...
2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27649919/transitional-care-a-priority-for-health-care-organizational-ethics
#16
Mary Naylor, Nancy Berlinger
Numerous studies have revealed that health care transitions for chronically ill older adults are frequently poorly managed, often with devastating human and economic consequences. And poorly managed transitions and their consequences also occur among younger, relatively healthy individuals who have adequate resources and are prepared to advocate on their own behalf. Despite the rich base of research confirming that evidence-based transitional care enhances patients' experiences, improves health and quality of life, and reduces costs, organizational, regulatory, financial, and cultural barriers have, until recently, prevented widespread adoption of these proven approaches...
September 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27649917/from-the-team-to-the-table-nursing-societies-and-health-care-organizational-ethics
#17
Clareen Wiencek, Ramón Lavandero, Nancy Berlinger
Health care work is interprofessional work. Nurses and physicians, members of the professions whose close collaboration is foundational to health care delivery, continue to be educated separately in most academic institutions. Their work also is organized in ways that challenge interprofessional collaboration. Understanding workplace realities faced by nurses and physicians, separately and jointly, is a starting place for exploring how to support ethically sound interprofessional work. In this essay, we look most closely at the work of nurses and physicians who care for seriously ill hospitalized patients, a patient population closely associated with ethical challenges...
September 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27645805/the-rehabilitation-research-matrix-producing-knowledge-at-micro-meso-and-macro-levels
#18
Per Koren Solvang, Halvor Hanisch, Jan D Reinhardt
PURPOSE: EU policy documents and health scholars point out that in order to understand the complexity of modern health systems, as well as to devise appropriate policy responses, considering micro, meso, and macro levels is indispensable. This article aims to develop an analytical framework for how rehabilitation as an interdisciplinary field can be framed in such a three-level framework. METHODS: This is a conceptual paper based on recent contributions to the development of a theory of rehabilitation...
September 19, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27612293/compared-to-palliative-care-working-in-intensive-care-more-than-doubles-the-chances-of-burnout-results-from-a-nationwide-comparative-study
#19
Sandra Martins Pereira, Carla Margarida Teixeira, Ana Sofia Carvalho, Pablo Hernández-Marrero
INTRODUCTION: Professionals working in intensive and palliative care units, hence caring for patients at the end-of-life, are at risk of developing burnout. Workplace conditions are determinant factors to develop this syndrome among professionals providing end-of-life care. OBJECTIVES: To identify and compare burnout levels between professionals working in intensive and palliative care units; and to assess which workplace experiences are associated with burnout...
2016: PloS One
https://www.readbyqxmd.com/read/27610093/a-longitudinal-study-of-the-predictors-of-perceived-procedural-justice-in-australian-university-staff
#20
Silvia Pignata, Anthony H Winefield, Chris Provis, Carolyn M Boyd
PURPOSE: This study examined the factors that predict employees' perceptions of procedural justice in university settings. The paper also reviews the ethical aspects of justice and psychological contracts within employment relationships. DESIGN/METHODOLOGY/APPROACH: The study examined the predictors of perceived procedural justice in a two-wave longitudinal sample of 945 employees from 13 universities by applying the Job Demands-Resources theoretical model of stress...
2016: Frontiers in Psychology
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