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Four principles healthcare ethics

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https://www.readbyqxmd.com/read/29076686/ethics-in-health-care-settings-practices-of-healthcare-professionals-and-perceptions-of-patients-regarding-informed-consent-confidentiality-and-privacy-at-two-tertiary-care-hospitals-of-islamabad-pakistan
#1
Sonia Riaz, Ejaz Ahmad Khan, Tariq Jafar
BACKGROUND: Medical profession works within thin lines of professionalism and trust. Faith of the patients often breached but less reported among the Low and Middle-Income Countries (LMICs). In Pakistan, though the Pakistan Medical and Dental Council (PMDC) have its own code of medical ethics but there isn't much evidence on regulating ethical misconducts. Apart from the gross violations of the code of conduct, the "insensible" misuse of informed consent, confidentiality and privacy is very common...
July 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29052272/ethical-issues-in-palliative-care-for-nursing-homes-development-and-testing-of-a-survey-instrument
#2
Deborah H L Preshaw, Dorry Mclaughlin, Kevin Brazil
AIM: To develop and psychometrically assess a survey instrument identifying ethical issues during palliative care provision in nursing homes. BACKGROUND: Registered nurses (RNs) and healthcare assistants (HCAs) have reported ethical issues in everyday palliative care provision. Identifying these issues provides evidence to inform practice development to support healthcare workers. DESIGN: Cross-sectional survey of RNs and HCAs in nursing homes in one region of the United Kingdom (UK) METHOD: A survey instrument, "Ethical issues in Palliative Care for Nursing homes," (EPiCNH) was developed through the findings of qualitative interviews with RNs and HCAs in nursing homes and a literature review...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28894546/nurses-perception-of-the-strategies-to-gaining-professional-power-a-qualitative-study
#3
Rana Rezai Sepasi, Fariba Borhani, Abbas Abbaszadeh
BACKGROUND: Power in nursing is a broad concept that has a determining effect on the achievement of professional goals. Gaining power is essential for promoting the roles of nurses, improving their professional image and the consistent improvement of healthcare systems. OBJECTIVES: This study was conducted to identify and clarify strategies for gaining power in the nursing profession through the experiences of Iranian nurses. METHODS: The present qualitative grounded theory study was conducted on fifteen participants selected through purposive sampling...
July 2017: Electronic Physician
https://www.readbyqxmd.com/read/28851345/ethical-acceptability-of-offering-financial-incentives-for-taking-antipsychotic-depot-medication-patients-and-clinicians-perspectives-after-a-12-month-randomized-controlled-trial
#4
Ernst L Noordraven, Maartje H N Schermer, Peter Blanken, Cornelis L Mulder, André I Wierdsma
BACKGROUND: A randomized controlled trial 'Money for Medication'(M4M) was conducted in which patients were offered financial incentives for taking antipsychotic depot medication. This study assessed the attitudes and ethical considerations of patients and clinicians who participated in this trial. METHODS: Three mental healthcare institutions in secondary psychiatric care in the Netherlands participated in this study. Patients (n = 169), 18-65 years, diagnosed with schizophrenia, schizoaffective disorder or another psychotic disorder who had been prescribed antipsychotic depot medication, were randomly assigned to receive 12 months of either treatment as usual plus a financial reward for each depot of medication received (intervention group) or treatment as usual alone (control group)...
August 29, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28833418/conflicting-rationales-leader-s-experienced-ethical-challenges-in-community-health-care-for-older-people
#5
Åshild Slettebø, Ragnhild Skaar, Kari Brodtkorb, Anne Skisland
BACKGROUND: Ethical challenges arise in all types of care, and leaders need to be aware of how to resolve these challenges. Healthcare systems tend to be organised around medical conditions, and the patient is often faced with a series of uncoordinated visits to multiple specialties. Ideally, care should be organised around the patient's needs. AIM: The purpose of this article was to highlight some ethical challenges perceived by leaders with responsibility for management and service distribution, finance and ensuring quality of community health services for older people...
August 22, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28780144/report-on-the-midwives-experiences-in-the-brazilian-national-health-system-a-qualitative-research
#6
Nádia Zanon Narchi, Cláudia Medeiros de Castro, Cintia de Freitas Oliveira, Fernanda Tambellini
OBJECTIVE: to describe the experiences of midwives who graduated from the University of São Paulo's midwifery program and the characteristics of their work within the Brazilian National Health System (SUS). DESIGN: a descriptive, qualitative field study. SETTING: interviews were scheduled by telephone or e-mail and were held with the midwives outside their work environment. Interviews lasted for up to one hour and were recorded. PARTICIPANTS: ten midwives who had graduated from the University of São Paulo's midwifery program and were working or had worked in the SUS at the time of the study...
October 2017: Midwifery
https://www.readbyqxmd.com/read/28600370/substituting-physicians-with-nurse-practitioners-physician-assistants-or-nurses-in-nursing-homes-protocol-for-a-realist-evaluation-case-study
#7
Marleen Hermien Lovink, Anke Persoon, Anneke Jah van Vught, Lisette Schoonhoven, Raymond Tcm Koopmans, Miranda Gh Laurant
INTRODUCTION: In developed countries, substituting physicians with nurse practitioners, physician assistants and nurses (physician substitution) occurs in nursing homes as an answer to the challenges related to the ageing population and the shortage of staff, as well as to guarantee the quality of nursing home care. However, there is great diversity in how physician substitution in nursing homes is modelled and it is unknown how it can best contribute to the quality of healthcare. This study aims to gain insight into how physician substitution is modelled and whether it contributes to perceived quality of healthcare...
June 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28433964/ethical-management-of-substance-use-disorders-the-indian-scenario
#8
Arpit Parmar, Vaibhav Patil, Siddharth Sarkar
Substance use disorders are among the most prevalent and emergent public health problems in India. The treatment of individuals with these disorders is associated with many ethical dilemmas. Due to the pervasiveness of substance use disorders, the majority of mental health professionals working in the area of addiction medicine face several ethical dilemmas. When discussing substance use disorders, it must be borne in mind that there are important differences between India and the western countries in terms of the social and cultural aspects, as well as the legislative framework and healthcare delivery system...
April 4, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28270704/role-of-ethical-beliefs-and-attitudes-of-dental-students-in-providing-care-for-hiv-aids-patients
#9
Saad Ahmed Khan, Min Li Liew, Hanan Omar
INTRODUCTION: Dental care has remained as an unmet need for people living with HIV/AIDS (PLWHAs). Dental students are considered as future healthcare workforce and having beliefs which are discriminating may have negative attitudes towards providing care to these individuals (Azodo et al., 2010). The study aimed to assess the ethical beliefs and attitudes of dental students towards PLWHAs for providing care. METHODS: It is a descriptive correlational and cross sectional study...
January 2017: Saudi Dental Journal
https://www.readbyqxmd.com/read/28129360/influenza-vaccination-of-healthcare-workers-critical-analysis-of-the-evidence-for-patient-benefit-underpinning-policies-of-enforcement
#10
Gaston De Serres, Danuta M Skowronski, Brian J Ward, Michael Gardam, Camille Lemieux, Annalee Yassi, David M Patrick, Mel Krajden, Mark Loeb, Peter Collignon, Fabrice Carrat
BACKGROUND: Four cluster randomized controlled trials (cRCTs) conducted in long-term care facilities (LTCFs) have reported reductions in patient risk through increased healthcare worker (HCW) influenza vaccination. This evidence has led to expansive policies of enforcement that include all staff of acute care hospitals and other healthcare settings beyond LTCFs. We critique and quantify the cRCT evidence for indirect patient benefit underpinning policies of mandatory HCW influenza vaccination...
2017: PloS One
https://www.readbyqxmd.com/read/28062971/cost-equivalence-and-pluralism-in-publicly-funded-health-care-systems
#11
Dominic Wilkinson, Julian Savulescu
Clinical guidelines summarise available evidence on medical treatment, and provide recommendations about the most effective and cost-effective options for patients with a given condition. However, sometimes patients do not desire the best available treatment. Should doctors in a publicly-funded healthcare system ever provide sub-optimal medical treatment? On one view, it would be wrong to do so, since this would violate the ethical principle of beneficence, and predictably lead to harm for patients. It would also, potentially, be a misuse of finite health resources...
January 6, 2017: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/27957310/evaluation-of-patients-rights-observance-according-to-patients-rights-charter-in-educational-hospitals-affiliated-to-mashhad-university-of-medical-sciences-medical-staffs-views
#12
Alireza Sabzevari, Mohammad Ali Kiani, Masumeh Saeidi, Seyed Ali Jafari, Hamidreza Kianifar, Hamid Ahanchian, Lida Jarahi, Mohsen Zakerian
INTRODUCTION: To supply quality services and healthcare, it is evident that medical ethics and patients' rights, while providing medical and healthcare services need to be observed. This study was conducted to evaluate observance of the Patients' Rights Charter among medical staff of educational hospitals affiliated to Mashhad University of Medical Sciences. METHODS: This cross-sectional study was conducted in four educational hospitals in Mashhad on eighty physicians, nurses, nurse aids and medical students...
October 2016: Electronic Physician
https://www.readbyqxmd.com/read/27809197/ethics-in-humanitarian-services-report-on-the-earthquake-in-nepal
#13
Ramesh P Aacharya, Sanjeeb Tiwari, Tirtha M Shrestha
The Nepal earthquake was one of the biggest natural calamities of the year 2015. This paper attempts to explore the ethical issues involved in the humanitarian services rendered during the crisis and thereafter. The four principles of biomedical ethics - autonomy, beneficence, non-maleficence, and justice - are discussed in relation to the relief activities immediately following the disaster and the subsequent long-term activities, such as rehabilitation, wherever applicable. The discussion touches upon public health components such as vulnerable populations, environmental ethics and justice for the future...
January 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/27801360/key-ethical-issues-discussed-at-cdc-sponsored-international-regional-meetings-to-explore-cultural-perspectives-and-contexts-on-pandemic-influenza-preparedness-and-response
#14
Aun Lor, James C Thomas, Drue H Barrett, Leonard W Ortmann, Dionisio J Herrera Guibert
BACKGROUND: Recognizing the importance of having a broad exploration of how cultural perspectives may shape thinking about ethical considerations, the Centers for Disease Control and Prevention (CDC) funded four regional meetings in Africa, Asia, Latin America, and the Eastern Mediterranean to explore these perspectives relevant to pandemic influenza preparedness and response. The meetings were attended by 168 health professionals, scientists, academics, ethicists, religious leaders, and other community members representing 40 countries in these regions...
May 17, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27767407/addressing-ethical-challenges-at-the-intersection-of-pharmacogenomics-and-primary-care-using-deliberative-consultations
#15
Cristina Longo, Vasiliki Rahimzadeh, Kieran O'Doherty, Gillian Bartlett
AIM: Primary care physicians will play a central role in the successful implementation of pharmacogenomics (PGx); however, important challenges remain. We explored the perspectives of stakeholders on key challenges of the PGx translation process in primary care using deliberative consultations. METHODS: Primary care physicians, patients and policy-makers attended deliberations, where they discussed four ethical questions raised by PGx research and implementation in the primary care context...
November 2016: Pharmacogenomics
https://www.readbyqxmd.com/read/26811399/violence-against-new-graduated-nurses-in-clinical-settings-a-qualitative-study
#16
Hossein Ebrahimi, Hadi Hassankhani, Reza Negarandeh, Carol Jeffrey, Azim Azizi
BACKGROUND: Ethical studies in nursing are very important topics, and it is particularly crucial with vulnerable populations such as new graduated nurses. Neglecting ethical principles and violence toward graduates can lead to their occupational burnout, job dissatisfaction, and leaving the nursing profession. OBJECTIVE: This study was designed with the aim of understanding the experience of Iranian experienced nurses' use of lateral and horizontal violence against new graduated nurses...
September 2017: Nursing Ethics
https://www.readbyqxmd.com/read/26739307/the-ethics-of-future-trials-qualitative-analysis-of-physicians-decision-making
#17
Fiona Webster, Charles Weijer, Laura Todd, Jeremy M Grimshaw, Andrea P Marshall, Deborah Cook, Graeme MacLennan, Brian H Cuthbertson, Jill J Francis
BACKGROUND: The decision to conduct a randomized controlled trial (RCT) in a field raises ethical as well as scientific issues. From the clinical equipoise literature, future trials are justifiable if there is "honest, professional disagreement in the community of expert practitioners as to the preferred treatment". Empirical data are sparse about how clinicians apply the principles of equipoise to the justification of future RCTs. For example, selective decontamination of the digestive tract (SDD) is not widely used in critical care practice despite the strength of the evidence base and therefore provides a unique opportunity to learn how clinicians think about the ethics of further RCTs in critical care...
January 6, 2016: Trials
https://www.readbyqxmd.com/read/26620621/ethics-of-physiotherapy-practice-in-terminally-ill-patients-in-a-developing-country-nigeria
#18
N N Chigbo, E R Ezeome, T C Onyeka, C C Amah
Physiotherapy has been widely defined as a healthcare profession that assesses, diagnoses, treats, and works to prevent disease and disability through physical means. The World Confederation for Physical Therapy describes physiotherapy as providing services to people and populations to develop, maintain, and restore maximum movement and functional ability throughout the lifespan. Physiotherapists working with terminally ill patients face a myriad of ethical issues which have not been substantially discussed in bioethics especially in the African perspective...
December 2015: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/25980893/front-matter
#19
(no author information available yet)
The pHealth 2015 Conference is the 12th in a series of scientific events bringing together expertise from medical, technological, political, administrative, and social domains, and even from philosophy or linguistics. It opens a new chapter in the success story of the series of international conferences on wearable or implantable micro and nano technologies for personalized medicine by presenting keynotes, invited talks, oral presentations, and short poster presentations provided by close to 100 authors from 20 countries from various parts of the world...
2015: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/25516952/what-is-it-to-practise-good-medical-ethics-a-muslim-s-perspective
#20
G I Serour
Good medical ethics should aim at ensuring that all human beings enjoy the highest attainable standard of health. With the development of medical technology and health services, it became necessary to expand the four basic principles of medical ethics and link them to human rights. Despite the claim of the universality of those ethical principles, their perception and application in healthcare services are inevitably influenced by the religious background of the societies in which those services are provided...
January 2015: Journal of Medical Ethics
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