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Open AccessClinical Ethics Consultation in Chronic Illness: Challenging Epistemic Injustice Through Epistemic Modesty
Leading paradigms of clinical ethics consultation closely follow a biomedical model of care. In this paper, we present a theoretical reflection on the underlying biomedical model of disease, how it shaped clin...
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Open AccessCivility in Health Care: A Moral Imperative
Civility is an essential feature of health care, as it is in so many other areas of human interaction. The article examines the meaning of civility, reviews its origins, and provides reasons for its moral sign...
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Article
Open AccessTough Clinical Decisions: Experiences of Polish Physicians
The paper reports results of the very first survey-based study on the prevalence, frequency and nature of ethical or other non-medical difficulties faced by Polish physicians in their everyday clinical practic...
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Open AccessSpecific Trends in Pediatric Ethical Decision-Making: An 18-Year Review of Ethics Consultation Cases in a Pediatric Hospital
This is a qualitative examination of ethics consultation requests, outcomes, and ethics committee recommendations at a tertiary/quaternary pediatric hospital in the U.S. The purpose of this review of consults ...
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Open AccessWhat is a High-Quality Moral Case Deliberation?-Facilitators’ Perspectives in the Euro-MCD Project
The evaluation of the European Moral Case Deliberation Outcomes project (Euro-MCD) has resulted in a revised evaluation instrument, knowledge about the content of MCD (moral case deliberation), and the perspec...
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Open AccessCorrection to: It’s Worth What You Can Sell It for: A Survey of Employment and Compensation Models for Clinical Ethicists
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Open AccessCorrection to: Evaluation of Interventions to Address Moral Distress: A Multi-method Approach
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Open AccessIt’s Worth What You Can Sell It for: A Survey of Employment and Compensation Models for Clinical Ethicists
This article reports results of a survey about employment and compensation models for clinical ethics consultants working in the United States and discusses the relevance of these results for the professionali...
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Article
Open AccessThe SIA Can’t Just Go with the FLO
Hendricks (2018) has defended an argument that abortion is (usually) immoral, which he calls the impairment argument. This argument purports to apply regardless of the moral status of the fetus. It has recentl...
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Open AccessEvaluation of Interventions to Address Moral Distress: A Multi-method Approach
Moral distress is a well-documented phenomenon for health care providers (HCPs). Exploring HCPs’ perceptions of participation in moral distress interventions using qualitative and quantitative methods enhances...
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Open AccessEstablishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care
Would primary care services benefit from the aid of a clinical ethics committee (CEC)? The implementation of CECs in primary care in four Norwegian municipalities was supported and their activities followed fo...
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Open AccessCURA—An Ethics Support Instrument for Nurses in Palliative Care. Feasibility and First Perceived Outcomes
Evaluating the feasibility and first perceived outcomes of a newly developed clinical ethics support instrument called CURA. This instrument is tailored to the needs of nurses that provide palliative care and ...
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Open AccessAccess Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study s...
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Open AccessGetting Beyond Pros and Cons: Results of a Stakeholder Needs Assessment on Physician Assisted Dying in the Hospital Setting
This study assessed the attitudes and needs of physicians and health professional staff at a tertiary care hospital in Canada regarding the introduction of physician assisted dying (PAD) during 2015–16. This r...
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Open AccessHow to Regulate the Right to Self-Medicate
In Pharmaceutical Freedom Professor Flanigan argues we ought to grant people self-medication rights for the same reasons we respect people’s right to give (or refuse to give) informed consent to treatment. Despit...
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Open AccessConceptualizing and Fostering the Quality of CES Through a Dutch National Network on CES (NEON)
The prevalence of Clinical ethics support (CES) services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a n...
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Open AccessField-Testing the Euro-MCD Instrument: Important Outcomes According to Participants Before and After Moral Case Deliberation
Ethics support services like Moral Case Deliberation (MCD) intend to support healthcare professionals in ethically difficult situations. To assess outcomes of MCD, the Euro-MCD Instrument has been developed. F...
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Open AccessIs Left Ventricular Assist Device Deactivation Ethically Acceptable? A Study on the Euthanasia Debate
In the last decades, new technologies have improved the survival of patients affected by chronic illnesses. Among them, left ventricular assist device (LVAD) has represented a viable solution for patients with...
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Open AccessContinuous Glucose Monitoring as a Matter of Justice
Type 1 diabetes (T1D) is a chronic illness that requires intensive lifelong management of blood glucose concentrations by means of external insulin administration. There have been substantial developments in t...
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Open AccessMaking the (Business) Case for Clinical Ethics Support in the UK
This paper provides a series of reflections on making the case to senior leaders for the introduction of clinical ethics support services within a UK hospital Trust at a time when clinical ethics committees ar...
