éthique articles http://feed.informer.com/digests/EXPGECSW9K/feeder éthique articles Respective post owners and feed distributors Mon, 06 Aug 2018 18:58:25 +0000 Feed Informer http://feed.informer.com/ Ethical Justification for Deferral of Consent in the AcT Trial for Acute Ischemic Stroke https://pubmed.ncbi.nlm.nih.gov/35603597/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:574bd5da-4b4f-3d90-15bc-1d937e212f0f Mon, 23 May 2022 00:00:00 +0000 The AcT trial (Alteplase Compared to Tenecteplase) compares alteplase or tenecteplase for patients with acute ischemic stroke. All eligible patients are enrolled by deferral of consent. Although the use of deferral of consent in the AcT trial meets the requirements of Canadian policy, we sought to provide a more explicit and rigorous approach to the justification of deferral of consent organized around 3 questions. Ultimately, the approach we outline here could become the foundation for a... <div><p style="color: #4aa564;">Stroke. 2022 May 23:101161STROKEAHA122038760. doi: 10.1161/STROKEAHA.122.038760. Online ahead of print.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">The AcT trial (Alteplase Compared to Tenecteplase) compares alteplase or tenecteplase for patients with acute ischemic stroke. All eligible patients are enrolled by deferral of consent. Although the use of deferral of consent in the AcT trial meets the requirements of Canadian policy, we sought to provide a more explicit and rigorous approach to the justification of deferral of consent organized around 3 questions. Ultimately, the approach we outline here could become the foundation for a general justification for deferral of consent.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35603597/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35603597</a> | DOI:<a href=https://doi.org/10.1161/STROKEAHA.122.038760>10.1161/STROKEAHA.122.038760</a></p></div> Strategic planning, components and evolution in zoonotic diseases frameworks: one health approach and public health ethics https://pubmed.ncbi.nlm.nih.gov/35603238/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:e5ece6a8-7016-7491-c819-bfb7ffb9a401 Mon, 23 May 2022 00:00:00 +0000 Zoonotic diseases are seen as a major public health concern. Routes of the rapid transmission of zoonotic diseases and the economic damage they cause to communities are all reasons why health institutions and systems need to pay more attention to these diseases. Strategic planning is one of the important tasks of policymakers in every organization and system. It is a very reliable and useful tool for leading all kinds of organizations, including health organizations. Countries with clear policy... <div><p style="color: #4aa564;">J Prev Med Hyg. 2022 Jan 31;62(4):E981-E987. doi: 10.15167/2421-4248/jpmh2021.62.4.2323. eCollection 2021 Dec.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Zoonotic diseases are seen as a major public health concern. Routes of the rapid transmission of zoonotic diseases and the economic damage they cause to communities are all reasons why health institutions and systems need to pay more attention to these diseases. Strategic planning is one of the important tasks of policymakers in every organization and system. It is a very reliable and useful tool for leading all kinds of organizations, including health organizations. Countries with clear policy plans have succeeded in controlling and reducing zoonotic diseases. Such countries used appropriate strategic planning and pursued annual goals to control and prevent diseases. Three important steps (strategy development, strategy implementation and strategy evaluation) should be considered in developing a strategic planning for controlling and prevention of zoonotic diseases. Health systems need to develop strategic planning in order to upgrade their capabilities in combating zoonotic diseases. These programs must be flexible, in line with the one health approach, based on the current needs, and aligned with the new challenges faced with health systems. The strategic planning is directly related to national and international policies, organizational goals and missions, dynamism, degree of complexity, and organizational structure of each country's health system.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35603238/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35603238</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9104671/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9104671</a> | DOI:<a href=https://doi.org/10.15167/2421-4248/jpmh2021.62.4.2323>10.15167/2421-4248/jpmh2021.62.4.2323</a></p></div> The Ethics of Killing in a Pandemic: Unintentional Virus Transmission, Reciprocal Risk Imposition, and Standards of Blame https://pubmed.ncbi.nlm.nih.gov/35601993/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:8100762e-ff1f-6447-f6dc-e71414eb6388 Mon, 23 May 2022 00:00:00 +0000 The COVID-19 global pandemic has shone a light on several important ethical questions, ranging from fairness in resource allocation to the ethical justification of government mandates. In addition to these institutional issues, there are also several ethical questions that arise at the interpersonal level. This article focuses on several of these issues. In particular, I argue that, despite the insistence in public health messaging that avoiding infecting others constitutes 'saving lives', virus... <div><p style="color: #4aa564;">J Appl Philos. 2022 Feb 17. doi: 10.1111/japp.12574. Online ahead of print.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">The COVID-19 global pandemic has shone a light on several important ethical questions, ranging from fairness in resource allocation to the ethical justification of government mandates. In addition to these institutional issues, there are also several ethical questions that arise at the interpersonal level. This article focuses on several of these issues. In particular, I argue that, despite the insistence in public health messaging that avoiding infecting others constitutes 'saving lives', virus transmission that results in death constitutes an act of killing. Whether this killing is wrongful depends on several factors. I consider one intuitively plausible view - namely, that in many cases, killing via unintentional transmission is not wrongful, because the parties in question have implicitly waived their rights against this harm, often via reciprocal-risk imposition. I argue that this view is mistaken, but that its central insight can be better captured by identifying the appropriate standards of blame that we ought to apply during a pandemic. I conclude by showing how these conclusions can be fruitfully applied to certain institutional questions, such as helping to justify restrictive government mandates.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35601993/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35601993</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9111835/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9111835</a> | DOI:<a href=https://doi.org/10.1111/japp.12574>10.1111/japp.12574</a></p></div> Guiding Ethics Review in Pharmacy Education Research and Scholarship at UBC: Clarifying the Unclear https://pubmed.ncbi.nlm.nih.gov/35601584/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:d9a12138-2c4c-d076-a94d-8d4f4a493172 Mon, 23 May 2022 00:00:00 +0000 While it goes without saying that ethically sound practices are imperative for high-quality educational scholarship, institutional ethics guidance is often unclear about how to treat educational scholarship generally, and quality improvement/assurance studies and the scholarship of teaching and learning, specifically. Amongst health profession education researchers, including those in pharmacy, this lack of clarity has led to confusion regarding existing ethics governance and ambivalence... <div><p style="color: #4aa564;">Innov Pharm. 2021 Jun 10;12(3). doi: 10.24926/iip.v12i3.3919. eCollection 2021.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">While it goes without saying that ethically sound practices are imperative for high-quality educational scholarship, institutional ethics guidance is often unclear about how to treat educational scholarship generally, and quality improvement/assurance studies and the scholarship of teaching and learning, specifically. Amongst health profession education researchers, including those in pharmacy, this lack of clarity has led to confusion regarding existing ethics governance and ambivalence regarding ethics requirements. Drawing on the experiences of one pharmacy school in western Canada, this commentary describes an ethics vetting guide developed explicitly to address current uncertainty about ethics requirements for pharmacy education scholarship. Clarifying the problem, describing the guide, and exploring what was learned along the way provide a basis for re-centering ethics in the development of scholarly projects and decision-making regarding formal ethics review. The importance of instilling ethical intelligence, delineating research from quality improvement/assurance work, and addressing current gaps in ethics oversight and governance of educational scholarship are among key lessons learned during guide development along with suggestions for new institutional ethics guidance directly targeting educational scholarship to supplement current national guidelines.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35601584/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35601584</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9120004/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9120004</a> | DOI:<a href=https://doi.org/10.24926/iip.v12i3.3919>10.24926/iip.v12i3.3919</a></p></div> Struggling to Stay Engaged During Adversity: A Daily Investigation of Frontline Service Employees' Job Insecurity and the Moderating Role of Ethical Leader Behavior https://pubmed.ncbi.nlm.nih.gov/35601217/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:14fde5e8-4107-bc72-7526-596290b20f23 Mon, 23 May 2022 00:00:00 +0000 Drawing on conservation of resources theory, this study examined the moderating role of ethical leader behavior in the effects of daily perceived job insecurity on work outcomes the next day (i.e., work engagement and customer-directed helping) through occupational regret the next morning among frontline service employees working in adverse work situations (i.e., the coronavirus disease pandemic). Using experience sampling method, data were collected from 135 frontline service employees across... <div><p style="color: #4aa564;">J Bus Ethics. 2022 May 18:1-15. doi: 10.1007/s10551-022-05140-y. Online ahead of print.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Drawing on conservation of resources theory, this study examined the moderating role of ethical leader behavior in the effects of daily perceived job insecurity on work outcomes the next day (i.e., work engagement and customer-directed helping) through occupational regret the next morning among frontline service employees working in adverse work situations (i.e., the coronavirus disease pandemic). Using experience sampling method, data were collected from 135 frontline service employees across five consecutive workdays. The results showed that daily perceived job insecurity had a negative indirect effect on work engagement and customer-directed helping the next day through (increased) occupational regret the next day in the morning. In addition, ethical leader behavior moderated the negative indirect effect of daily perceived job insecurity on next-day work engagement and customer-directed helping through next-morning occupational regret. Specifically, these negative effects were especially stronger among employees who had observed low levels of ethical leader behavior the previous day. The theoretical implications of the present findings for researchers and their practical implications for managers are discussed.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35601217/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35601217</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9116060/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9116060</a> | DOI:<a href=https://doi.org/10.1007/s10551-022-05140-y>10.1007/s10551-022-05140-y</a></p></div> Ethics framework and recommendations to support capabilities of people with intellectual and developmental disabilities during pandemics https://pubmed.ncbi.nlm.nih.gov/35601010/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:4bbd8ecb-4ab3-abc3-d149-96c6b3c9a350 Mon, 23 May 2022 00:00:00 +0000 A growing body of knowledge highlights the negative impact of the COVID-19 pandemic on the health and well-being of many people with intellectual and developmental disabilities (IDDs) and their caregivers. The underlying reasons are not only due to biomedical factors but also ethical issues. They stem from longstanding and pervasive structural injustices and negative social attitudes that continue to devalue people with IDD and that underlie certain clinical decisions and frameworks for... <div><p style="color: #4aa564;">J Policy Pract Intellect Disabil. 2022 Mar;19(1):116-124. doi: 10.1111/jppi.12413. Epub 2022 Feb 25.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">A growing body of knowledge highlights the negative impact of the COVID-19 pandemic on the health and well-being of many people with intellectual and developmental disabilities (IDDs) and their caregivers. The underlying reasons are not only due to biomedical factors but also ethical issues. They stem from longstanding and pervasive structural injustices and negative social attitudes that continue to devalue people with IDD and that underlie certain clinical decisions and frameworks for public-health policies during this pandemic. Unless these fundamental ethical shortcomings are addressed, pandemic responses will continue to undermine the human rights and well-being of people with IDD. This paper proposes an ethics framing for policy and practices regarding clinical care and public health based on Martha Nussbaum's approach to Capability Theory. Such a framework can reorient healthcare professionals and healthcare systems to support the capabilities of people with IDD to protect, recover, and promote health and well-being. It could be applied during this pandemic and in planning for future pandemics. The paper presents some practical recommendations that follow from applying this framework.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35601010/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35601010</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9115164/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9115164</a> | DOI:<a href=https://doi.org/10.1111/jppi.12413>10.1111/jppi.12413</a></p></div> The Concept of Pharmacy Ethics and the Examples of Ethical Dilemmas Encountered by Pharmacists in the Asir Region, Saudi Arabia: A Qualitative Study https://pubmed.ncbi.nlm.nih.gov/35601001/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:56781cf3-74a6-4e62-403e-b7bb75b52b83 Mon, 23 May 2022 00:00:00 +0000 CONCLUSION: These findings may aid in the development of national pharmacy ethics guidelines in Saudi Arabia. Additional quantitative research is necessary to confirm the study's findings. <div><p style="color: #4aa564;">Int J Gen Med. 2022 May 16;15:4985-4996. doi: 10.2147/IJGM.S368262. eCollection 2022.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">INTRODUCTION: Pharmacists' involvement in patient care is expanding. The inclusion of this function within a complex healthcare system populated by demanding patients may create ethical challenges. In Saudi Arabia, few studies have been conducted on pharmacy ethics, and the available data are quantitative in nature. Thus, there remains a need for a qualitative assessment of the ethical dilemmas facing pharmacists.</p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">METHODS: This exploratory study utilized a qualitative methodology that included open-ended, in-depth, semi-structured interviews, followed by content analysis. The study recruited credentialed pharmacists from community and hospital pharmacies. Themes and codes were created and classified.</p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">RESULTS: Eighteen pharmacists were interviewed, and their responses were categorized into eight areas of ethical dilemma: beneficence and non-maleficence, autonomy, justice, confidentiality, veracity, communication skills, sincerity and religion, and law. Taken together, it appears that most of the ethical challenges to the practice of pharmacy center on the theme of beneficence and non-maleficence. Additionally, it was found that some social and religious practices and beliefs contribute to the formation of participants' ethical backgrounds.</p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">CONCLUSION: These findings may aid in the development of national pharmacy ethics guidelines in Saudi Arabia. Additional quantitative research is necessary to confirm the study's findings.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35601001/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35601001</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9121985/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9121985</a> | DOI:<a href=https://doi.org/10.2147/IJGM.S368262>10.2147/IJGM.S368262</a></p></div> Applying ethical theories to the Iranian health system governance: a critical empirical assessment https://pubmed.ncbi.nlm.nih.gov/35600216/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:6e18dbc7-a150-bfcd-95b4-78566dfd1894 Mon, 23 May 2022 00:00:00 +0000 The policies of health systems are inspired by ethical priorities. A critical review of policies can reveal the ethical theories/justice schools behind them. This study aimed to identify the ethical theory(ies) underpinning the Iranian health system governance over the past 50 years. This was a qualitative study conducted in two stages during 2019. First, we identified and constructed the key concepts and distinctive notions of prominent ethical theories/justice schools. Then, we spotted and... <div><p style="color: #4aa564;">J Med Ethics Hist Med. 2021 Dec 8;14:23. doi: 10.18502/jmehm.v14i23.8183. eCollection 2021.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">The policies of health systems are inspired by ethical priorities. A critical review of policies can reveal the ethical theories/justice schools behind them. This study aimed to identify the ethical theory(ies) underpinning the Iranian health system governance over the past 50 years. This was a qualitative study conducted in two stages during 2019. First, we identified and constructed the key concepts and distinctive notions of prominent ethical theories/justice schools. Then, we spotted and selected 24 strategic laws and policy documents in the Iranian health system governance during the past 50 years and analyzed their content to surmise their underlying ethical theory. The results showed that the dominant theory affecting the policies of the Iranian health system governance over the past 50 years was egalitarian liberalism and then objective utilitarianism and relativist communitarianism. Retrospective empirical application of ethical theories to health system governance is methodologically doable, and this application reveals the mood or priorities of the politics. Also, highlighting the underpinning ethical theories of health system governance as well as the gap between ambitions versus realization are insightful and may prospectively empower and strengthen egalitarianism.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35600216/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35600216</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9076495/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9076495</a> | DOI:<a href=https://doi.org/10.18502/jmehm.v14i23.8183>10.18502/jmehm.v14i23.8183</a></p></div> Initial drafting of telemedicine's code of ethics through a stakeholders' participatory process https://pubmed.ncbi.nlm.nih.gov/35600215/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:fb27c6a8-a15f-b644-ac71-28b6c153ec62 Mon, 23 May 2022 00:00:00 +0000 Telemedicine can improve access to healthcare services; however, it has raised ethical concerns demanding special considerations. This study aimed at developing the codes of ethics for telemedicine, and hence several approved national and international ethical guidelines related to telemedicine practice were reviewed, and 48 semi-structured interviews were conducted with medical ethics and medical informatics experts as well as with physicians and patients who had telemedicine experiences.... <div><p style="color: #4aa564;">J Med Ethics Hist Med. 2021 Dec 9;14:24. doi: 10.18502/jmehm.v14i24.8184. eCollection 2021.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Telemedicine can improve access to healthcare services; however, it has raised ethical concerns demanding special considerations. This study aimed at developing the codes of ethics for telemedicine, and hence several approved national and international ethical guidelines related to telemedicine practice were reviewed, and 48 semi-structured interviews were conducted with medical ethics and medical informatics experts as well as with physicians and patients who had telemedicine experiences. Content analysis was then performed on the interviews' transcripts and a draft on code of ethics was prepared, which was further reviewed by the experts in the focus group meetings to reach a consensus on the final document. The final document consisted of a preface, five considerations, and 25 ethical statements. Considering the growing trend of adopting telemedicine worldwide, this document provides an ethical framework for those who use telemedicine in their medical practice.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35600215/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35600215</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9078934/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9078934</a> | DOI:<a href=https://doi.org/10.18502/jmehm.v14i24.8184>10.18502/jmehm.v14i24.8184</a></p></div> Challenges for ethics committees in biomedical research governance: illustrations from China and Australia https://pubmed.ncbi.nlm.nih.gov/35600214/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:b3d79e55-78f3-ed8e-48b6-7375f608e544 Mon, 23 May 2022 00:00:00 +0000 In this paper, the evolution of the ethics committees for health research, their history, membership, and function in China and Australia is described. Investigators in each country compared the history and governance of their ethical systems based on the published evidence rather than personal opinions. Similarly, examples of challenges were selected from the literature. In both countries, the aim was to maximize the social benefits of research and minimize the risk imposed on the participants.... <div><p style="color: #4aa564;">J Med Ethics Hist Med. 2021 Dec 10;14:25. doi: 10.18502/jmehm.v14i25.8279. eCollection 2021.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">In this paper, the evolution of the ethics committees for health research, their history, membership, and function in China and Australia is described. Investigators in each country compared the history and governance of their ethical systems based on the published evidence rather than personal opinions. Similarly, examples of challenges were selected from the literature. In both countries, the aim was to maximize the social benefits of research and minimize the risk imposed on the participants. Common challenges include maintaining independence, funding and delivering timely ethical reviews of the research projects. These challenges can be difficult where research ethics committees rely on voluntary contributions and lack a strong resource base. They must adapt to the increasingly rapid pace of research as well as the technological sophistication. Population health research can challenge the conventional views of consent and privacy. The principles of the sound ethical review are common in both countries; governance arrangements and operational procedures, however, can differ, reflecting the cultural values and norms of their host countries and in respect of legal environments. By studying the evolution and function of ethics committees in the two countries, we established the differences in the governance and health systems, while similar ethical objectives helped sustain collaborative research.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35600214/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35600214</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9081802/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9081802</a> | DOI:<a href=https://doi.org/10.18502/jmehm.v14i25.8279>10.18502/jmehm.v14i25.8279</a></p></div> Challenges of hospital ethics committees: a phenomenological study https://pubmed.ncbi.nlm.nih.gov/35600213/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:6580ffb4-6ba3-b8c7-c8d6-43fbea09871f Mon, 23 May 2022 00:00:00 +0000 Medical ethics committees play an important role in examining and resolving ethical problems in hospitals by developing ethical guidelines and making ethical decisions. This study aimed at investigating the challenges that these committees typically face. This qualitative phenomenological study was conducted in 2020. Data was collected through semi-structured interviews with purposive sampling and participation of 19 ethics committees' members in Tehran hospitals. Then, data were analyzed by the... <div><p style="color: #4aa564;">J Med Ethics Hist Med. 2021 Dec 11;14:26. doi: 10.18502/jmehm.v14i26.8282. eCollection 2021.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Medical ethics committees play an important role in examining and resolving ethical problems in hospitals by developing ethical guidelines and making ethical decisions. This study aimed at investigating the challenges that these committees typically face. This qualitative phenomenological study was conducted in 2020. Data was collected through semi-structured interviews with purposive sampling and participation of 19 ethics committees' members in Tehran hospitals. Then, data were analyzed by the content analysis method using MAXQDA-10 software. Challenges of hospital ethics committees were classified into three main themes including external factors, intra-organizational factors, and ethics committee structure, in addition to six sub-themes including inadequate supervision, lack of instructions, organizational culture, human resources, nature of the committee, and ineffectiveness of committees' decisions. Since many challenges are faced by ethics committees, plans should be developed and implemented to fulfill the following purposes: (<i>i</i>) strengthen the position of these committees in hospitals, (<i>ii</i>) continuous supervision over the formation and holding of the committees, (<i>iii</i>) their operation process, (<i>iv</i>) their decision-making process, and (<i>v</i>) process of sharing committees' decisions with all hospital stakeholders and staff.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35600213/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35600213</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9085536/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9085536</a> | DOI:<a href=https://doi.org/10.18502/jmehm.v14i26.8282>10.18502/jmehm.v14i26.8282</a></p></div> Ethics in Dealing with Pharma Industry https://pubmed.ncbi.nlm.nih.gov/35599658/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:403939a2-b69c-33ad-3504-8383c3db568a Mon, 23 May 2022 00:00:00 +0000 No abstract <div><p style="color: #4aa564;">Indian J Psychiatry. 2022 Mar;64(Suppl 1):S62-S67. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_689_21. Epub 2022 Mar 22.</p><p><b>NO ABSTRACT</b></p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599658/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599658</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9122148/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9122148</a> | DOI:<a href=https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_689_21>10.4103/indianjpsychiatry.indianjpsychiatry_689_21</a></p></div> Ethics and Law https://pubmed.ncbi.nlm.nih.gov/35599656/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:a205086c-b8a8-fb78-452b-e9834e506cd5 Mon, 23 May 2022 00:00:00 +0000 No abstract <div><p style="color: #4aa564;">Indian J Psychiatry. 2022 Mar;64(Suppl 1):S7-S15. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_726_21. Epub 2022 Mar 22.</p><p><b>NO ABSTRACT</b></p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599656/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599656</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9122144/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9122144</a> | DOI:<a href=https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_726_21>10.4103/indianjpsychiatry.indianjpsychiatry_726_21</a></p></div> Ethics in Psychiatric Research https://pubmed.ncbi.nlm.nih.gov/35599654/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:c093eb68-7777-1bee-3f18-f640431149ea Mon, 23 May 2022 00:00:00 +0000 No abstract <div><p style="color: #4aa564;">Indian J Psychiatry. 2022 Mar;64(Suppl 1):S68-S80. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_49_21. Epub 2022 Mar 22.</p><p><b>NO ABSTRACT</b></p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599654/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599654</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9122140/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9122140</a> | DOI:<a href=https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_49_21>10.4103/indianjpsychiatry.indianjpsychiatry_49_21</a></p></div> Ethical and Legal Issues in Psychotherapy https://pubmed.ncbi.nlm.nih.gov/35599651/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:ff89eb69-0f6a-6d92-d63e-b64f976aeb0a Mon, 23 May 2022 00:00:00 +0000 No abstract <div><p style="color: #4aa564;">Indian J Psychiatry. 2022 Mar;64(Suppl 1):S47-S61. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_50_21. Epub 2022 Mar 22.</p><p><b>NO ABSTRACT</b></p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599651/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599651</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9122134/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9122134</a> | DOI:<a href=https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_50_21>10.4103/indianjpsychiatry.indianjpsychiatry_50_21</a></p></div> Publication Ethics https://pubmed.ncbi.nlm.nih.gov/35599646/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:f9df6d91-74ea-4a1f-4391-566c4c0a2f30 Mon, 23 May 2022 00:00:00 +0000 No abstract <div><p style="color: #4aa564;">Indian J Psychiatry. 2022 Mar;64(Suppl 1):S81-S92. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_78_21. Epub 2022 Mar 22.</p><p><b>NO ABSTRACT</b></p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599646/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599646</a> | PMC:<a href="https://www.ncbi.nlm.nih.gov/pmc/PMC9122129/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">PMC9122129</a> | DOI:<a href=https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_78_21>10.4103/indianjpsychiatry.indianjpsychiatry_78_21</a></p></div> Outsourcing Transcription: Extending Ethical Considerations in Qualitative Research https://pubmed.ncbi.nlm.nih.gov/35599615/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523070526&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:ba235902-bb19-8022-49af-4fc919963929 Mon, 23 May 2022 00:00:00 +0000 Research ethics considerations foreground minimising harm to participants. Whilst increasing attention is being paid to researcher vulnerabilities, little has been written about transcriptionists, who can potentially experience emotional distress and vicarious trauma. In this article, we highlight ethical considerations when outsourcing audio for transcription as part of the RE:CURRENT (REcurrent miscarriage: evaluating CURRENT services) Project. Through qualitative interviews, we explored the... <div><p style="color: #4aa564;">Qual Health Res. 2022 May 21:10497323221101709. doi: 10.1177/10497323221101709. Online ahead of print.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Research ethics considerations foreground minimising harm to participants. Whilst increasing attention is being paid to researcher vulnerabilities, little has been written about transcriptionists, who can potentially experience emotional distress and vicarious trauma. In this article, we highlight ethical considerations when outsourcing audio for transcription as part of the RE:CURRENT (REcurrent miscarriage: evaluating CURRENT services) Project. Through qualitative interviews, we explored the perspectives of those involved in the management/delivery of services, and women and men who experienced recurrent miscarriage (<i>N</i> = 62). We put distress protocols in place for participants, researchers and the transcriptionist, and adopted a research team approach with the professional transcriber. The transcriptionist highlighted the isolated nature of the role; how researchers often did not brief her when commissioning work, and how the personal impacts of this work were rarely considered. Researchers and ethics committees should consider ethical responsibilities to 'do no harm' when it comes to transcriptionist wellbeing.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35599615/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523070526&v=2.17.6">35599615</a> | DOI:<a href=https://doi.org/10.1177/10497323221101709>10.1177/10497323221101709</a></p></div> Bioethics: An International, Morally Diverse, and Often Political Endeavor https://pubmed.ncbi.nlm.nih.gov/35604507/?utm_source=Firefox&utm_medium=rss&utm_campaign=None&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&fc=None&ff=20220523143437&v=2.17.6 pubmed: (((("Bioethics"[Majr... urn:uuid:86b8e8dd-4919-7e83-e1d4-31741f4257aa Mon, 23 May 2022 00:00:00 +0000 Bioethicists often remind health care professionals to pay close attention to issues of diversity and inclusion. Approaches to ethics consultation, where the perspective of the bioethicist is taken to be more morally correct or necessarily authoritative, have been critiqued as inappropriately authoritarian. Despite such apparent recognition of the importance of respecting moral diversity and the inclusion of different viewpoints, authoritarianism is all too often the approach adopted, especially... <div><p style="color: #4aa564;">HEC Forum. 2022 May 23. doi: 10.1007/s10730-022-09482-y. Online ahead of print.</p><p><b>ABSTRACT</b></p><p xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:p1="http://pubmed.gov/pub-one">Bioethicists often remind health care professionals to pay close attention to issues of diversity and inclusion. Approaches to ethics consultation, where the perspective of the bioethicist is taken to be more morally correct or necessarily authoritative, have been critiqued as inappropriately authoritarian. Despite such apparent recognition of the importance of respecting moral diversity and the inclusion of different viewpoints, authoritarianism is all too often the approach adopted, especially as bioethics has shifted evermore into concerns for public policy. Yet, secular values and philosophical principles are not morally neutral; nor are the private moral convictions of bioethicists. Such analysis is always grounded in particular understandings of the right and the good, the virtuous and the just. Critical examination of common treatments and new alternatives is essential for the careful scientific practice of medicine. The same is true with regard to bioethics. Stagnating in customary or accepted claims of a common secular morality or a standard set of bioethical principles out of an unwillingness to explore the real diversity of moral thought, including traditional religious and cultural worldviews, fails to tap the human capacity to find innovative solutions to the complex challenges facing medicine.</p><p style="color: lightgray">PMID:<a href="https://pubmed.ncbi.nlm.nih.gov/35604507/?utm_source=Firefox&utm_medium=rss&utm_content=1-MHQbRSTjFftkSOeBT2F3sbzwnKl85-Td0u4cJYO13Z308gma&ff=20220523143437&v=2.17.6">35604507</a> | DOI:<a href=https://doi.org/10.1007/s10730-022-09482-y>10.1007/s10730-022-09482-y</a></p></div>