Ethical reasoning in mixed nurse-physician groups.

abstract：:Downie comments on Sieghart's article, "Professions as the conscience of society" (Journal of Medical Ethics 1985 Sep; 11(3): 117-122). He charges that Sieghart is blurring empirical, conceptual, and moral claims when he contends that the professional relationship is unique in that "altruism is paramount and self-int...

journal_title：Journal of medical ethics

authors： Downie RS

更新日期：1986-06-01 00:00:00

abstract：:Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely uncheck...

journal_title：Journal of medical ethics

authors： Cassell J,Young A

更新日期：2002-10-01 00:00:00

abstract：:In contemporary medical ethics health is rarely acknowledged to be an ethical obligation. This oversight is due to the preoccupation of most bioethicists with a rationalist, contract model for ethics in which moral obligation is limited to truth-telling and promise-keeping. Such an ethics is poorly suited to medicine ...

journal_title：Journal of medical ethics

authors： Sider RC,Clements CD

更新日期：1984-09-01 00:00:00

abstract：:Bioconservative commentators argue that parents should not take steps to modify the genetics of their children even in the name of enhancement because of the damage they predict for values, identities and relationships. Some commentators have even said that adults should not modify themselves through genetic intervent...

journal_title：Journal of medical ethics

authors： Murphy TF

更新日期：2014-04-01 00:00:00

abstract：:Many healthcare goods, such as surgical instruments, textiles and gloves, are manufactured in unregulated factories and sweatshops where, amongst other labour rights violations, workers are subject to considerable occupational health risks. In this paper we undertake an ethical analysis of the supply of sweatshop-prod...

journal_title：Journal of medical ethics

authors： Trueba ML,Bhutta MF,Shahvisi A

更新日期：2020-08-24 00:00:00

abstract：:This paper re-evaluates euthanasia and assisted suicide from the perspective of eudaimonia, the ancient Greek conception of happiness across one's whole life. It is argued that one cannot be said to have fully flourished or had a truly happy life if one's death is preceded by a period of unbearable pain or suffering t...

journal_title：Journal of medical ethics

authors： Shaw DM

更新日期：2009-09-01 00:00:00

abstract：:A considerable amount of publicity has recently centred on a few Lesbian couples who have successfully obtained artificial insemination by donor (AID) in order to have a child. Advice was orginally sought on a private basis from the Journal on the following case: now the issue is public knowledge, the doctor presentin...

journal_title：Journal of medical ethics

authors：

更新日期：1978-06-01 00:00:00

abstract：:The death of Jesse Gelsinger in 1999 during a gene therapy trial raised many questions about the ethical review of medical research. Here, the author argues that the principle of justice is interpreted too narrowly and receives insufficient emphasis and that what we permit in terms of bodily invasion affects the value...

journal_title：Journal of medical ethics

authors： Kong WM

更新日期：2005-04-01 00:00:00

abstract：OBJECTIVES:This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN:A questionnaire was sent to 800 physicians representing the following specialties: gener...

journal_title：Journal of medical ethics

authors： Hildén HM,Louhiala P,Palo J

更新日期：2004-08-01 00:00:00

abstract：:A questionnaire relating to attitudes towards setting economic priorities within the health care system was sent to all 151 general practitioners in Northern Norway. Of these, 109 (72 per cent) responded. Ninety-six per cent of the respondents agreed or partly agreed that the setting of economic priorities within the ...

journal_title：Journal of medical ethics

authors： Arnesen T,Fredriksen S

更新日期：1995-06-01 00:00:00

abstract：:Teaching medical ethics to medical students in a pluralistic society is a challenging task. Teachers of ethics have obligations not just to teach the subject matter but to help create an academic environment in which well motivated students have reinforcement of their inherent good qualities. Emphasis should be placed...

journal_title：Journal of medical ethics

authors： Glick SM

更新日期：1994-12-01 00:00:00

abstract：:This paper argues that the HFEA's recent report on sex selection abdicates its responsibility to give its own authentic advice on the matters within its remit, that it accepts arguments and conclusions that are implausible on the face of it and where they depend on empirical claims, produces no empirical evidence what...

journal_title：Journal of medical ethics

authors： Harris J

更新日期：2005-05-01 00:00:00

abstract：:W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...

journal_title：Journal of medical ethics

authors： McKnight C

更新日期：2003-08-01 00:00:00

abstract：:Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. "Evidence based medicine" (EBM) emerged in the 1980s an...

journal_title：Journal of medical ethics

authors： Stirrat GM

更新日期：2004-04-01 00:00:00

abstract：:Recognising that offers of payment to research participants can serve various purposes-reimbursement, compensation and incentive-helps uncover differences between participants, which can justify differential payment of participants within the same study. Participants with different study-related expenses will need dif...

journal_title：Journal of medical ethics

authors： Persad G,Fernandez Lynch H,Largent E

更新日期：2019-05-01 00:00:00

abstract：OBJECTIVE:To study the preferences of patients for information related to elective procedures. METHODS:A survey was carried out using a sample of 187 women. The majority of whom were on a low-income, who obtained obstetric or gynaecological services at St Joseph Regional Medical Center in Milwaukee, Wisconsin, while t...

journal_title：Journal of medical ethics

authors： Coleman PK,Reardon DC,Lee MB

更新日期：2006-08-01 00:00:00

abstract：:This article tackles the current deficit in the supply of cadaveric organs by addressing the family veto in organ donation. The authors believe that the family veto matters-ethically as well as practically-and that policies that completely disregard the views of the family in this decision are likely to be counterprod...

journal_title：Journal of medical ethics

authors： De Wispelaere J,Stirton L

更新日期：2010-03-01 00:00:00

abstract：:Following the influential Gifford and Reith lectures by Onora O'Neill, this paper explores further the paradigm of individual autonomy which has been so dominant in bioethics until recently and concurs that it is an aberrant application and that conceptions of individual autonomy cannot provide a sufficient and convin...

journal_title：Journal of medical ethics

authors： Stirrat GM,Gill R

更新日期：2005-03-01 00:00:00

abstract：:Public and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain leve...

journal_title：Journal of medical ethics

authors： Hains CA,Hulbert-Williams NJ

更新日期：2013-11-01 00:00:00

abstract：:A British heart surgeon argues that excellence in medicine must always be pursued even when, as in technically advanced specialties, excellence requires expensive equipment and highly trained multidisciplinary teams. He advocates that decisions on a fair and reasonable distribution of costly health services should be...

journal_title：Journal of medical ethics

authors： English TA

更新日期：1982-09-01 00:00:00

abstract：:This paper makes two main claims: first, that the need to protect health professionals' moral integrity is what grounds the right to conscientious objection in health care; and second, that for a given claim of conscientious objection to be acceptable to society, a certain set of criteria should be fulfilled. The impo...

journal_title：Journal of medical ethics

authors： Magelssen M

更新日期：2012-01-01 00:00:00

abstract：:Dr Wells, a general practitioner, looks at the problem of barbiturate dependence from the point of view of the prescribing doctor who has to choose for his patients - of all ages - the drug, usually a hypnotic, which is sought for insomnia or states of anxiety and stress. He argues that it is wise to prescribe non-bar...

journal_title：Journal of medical ethics

authors： Wells F

更新日期：1976-06-01 00:00:00

abstract：:The traditional view that having a personality disorder, unlike other mental disorders, is not usually reason enough to consider a person incompetent to make healthcare decisions is challenged. The example of a case in which a woman was treated for a physical disorder without her consent illustrates that personality d...

journal_title：Journal of medical ethics

authors： Winburn E,Mullen R

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVE:To examine the current ethical review process (ERP) of ethics committees in a non-pharmacological trial from the perspective of a clinical investigator. DESIGN:Prospective collection of data at the Study Centre of the German Surgical Society on the duration, costs and administrative effort of the ERP of a ra...

journal_title：Journal of medical ethics

authors： Seiler CM,Kellmeyer P,Kienle P,Büchler MW,Knaebel HP,INSECT Study Group.

更新日期：2007-02-01 00:00:00

abstract：:Over the past few decades, "Big Tobacco" has spread its tentacles across the developing world with devastating results. The global incidence of smoking has increased exponentially in Africa, Asia and South America and it is leading to an equally rapid increase in the incidence of smoking-induced morbidity and mortalit...

journal_title：Journal of medical ethics

authors： Hooper CR,Agule C

更新日期：2009-06-01 00:00:00

abstract：:We analyse the system of ethical review of human research in the Baltic States by introducing the principle of equivalent stringency of ethical review, that is, research projects imposing equal risks and inconveniences on research participants should be subjected to equally stringent review procedures. We examine seve...

journal_title：Journal of medical ethics

authors： Gefenas E,Dranseika V,Cekanauskaite A,Hug K,Mezinska S,Peicius E,Silis V,Soosaar A,Strosberg M

更新日期：2010-07-01 00:00:00

abstract：:This paper argues that the four prima facie principles-beneficence, non-maleficence, respect for autonomy and justice-afford a good and widely acceptable basis for 'doing good medical ethics'. It confronts objections that the approach is simplistic, incompatible with a virtue-based approach to medicine, that it requir...

journal_title：Journal of medical ethics

authors： Gillon R

更新日期：2015-01-01 00:00:00

abstract：:In this paper, I respond to criticisms by John Harris, contained in a commentary on my article "Harris, harmed states, and sexed bodies", which appeared in the Journal of Medical Ethics, volume 37, number 5. I argue that Harris's response to my criticisms exposes the strong eugenic tendencies in his own thought, when ...

journal_title：Journal of medical ethics

authors： Sparrow R

更新日期：2012-01-01 00:00:00

abstract：:Over the decades of experimentation on the placebo effect, it has become clear that it is driven largely by expectation, and that strong expectations of efficacy are more likely to give rise to the experience of benefit. No wonder the placebo effect has come to resemble a self-fulfilling prophecy. However, this resemb...

journal_title：Journal of medical ethics

authors： Justman S

更新日期：2013-04-01 00:00:00

abstract：:Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not tak...

journal_title：Journal of medical ethics

authors： Gardiner P

更新日期：2003-10-01 00:00:00