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3.
Am J Bioeth ; 19(11): 63-64, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31661409
4.
Am J Bioeth ; 19(11): 91-94, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31661412
5.
6.
Am J Bioeth ; 19(11): 67-68, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31661421
9.
J Clin Ethics ; 30(3): 247-250, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31573969

RESUMO

In an effort to create new synergies to fill gaps in evaluation of value, assessment of quality, and definition of roles in clinical ethics programs we convened a meeting entitled Innovations in Clinical Ethics: A Working Un-Conference (the Un-Conference) in August 2018. The Un-Conference was conceived to be a working event aimed at promoting cross pollination and idea generation for innovative practices in clinical ethics. The event was attended by 95 individuals from 62 institutions, representing a wide diversity of healthcare systems, who believed in the concept and brought their enthusiasm and expertise to share with others. As a product of the Un-Conference, whitepaper groups developed summaries and broad overviews of areas that need to be further addressed within our field. The whitepapers are being published in this issue of The Journal of Clinical Ethics. The first three whitepapers highlight the broad themes of demonstrating value to the institution, quality assessment, and emerging roles for clinical ethics programs and ethicists. The final whitepaper offers guidance to clinical ethicists engaged in pediatric ethics work and, in conversation with the emerging roles article, thoughtfully reflects on the role of pediatric ethicists.


Assuntos
Eticistas , Ética Clínica , Criança , Humanos
10.
J Clin Ethics ; 30(3): 262-269, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31573971

RESUMO

Debates regarding clinical ethicists' scope of practice are not novel and will continue to evolve. Rapid changes in healthcare delivery, outcomes, and expectations have necessitated flexibility in clinical ethicists' roles whereby hospital-based clinical ethicists are expected to be woven into the institutional fabric in a way that did not exist in more traditional relationships. In this article we discuss three emerging roles: the ethicist embedded in the interdisciplinary team, the ethicist with an expanded educational mandate, and the ethicist as a therapeutic presence in the patient care space. Such expanded capacities offer more robust, positive contributions to institutional culture, stakeholders' relationships, and patient-centered care.


Assuntos
Eticistas , Hospitais , Assistência Centrada no Paciente , Assistência à Saúde , Humanos , Assistência Centrada no Paciente/ética
11.
J Clin Ethics ; 30(3): 270-283, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31573972

RESUMO

Clinical ethics consultants face a wide range of ethical dilemmas that require broad knowledge and skills. Although there is considerable overlap with the approach to adult consultation, ethics consultants must be aware of differences when they work with infant, pediatric, and adolescent cases. This article addresses unique considerations in the pediatric setting, reviews foundational theories on parental authority, suggests practical approaches to pediatric consultation, and outlines current available resources for clinical ethics consultants who wish to deepen their skills in this area.


Assuntos
Consultoria Ética , Ética Clínica , Adulto , Criança , Eticistas , Humanos
12.
J Clin Ethics ; 30(3): 284-296, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31573973

RESUMO

Scholars and professional organizations in bioethics describe various approaches to "quality assessment" in clinical ethics. Although much of this work represents significant contributions to the literature, it is not clear that there is a robust and shared understanding of what constitutes "quality" in clinical ethics, what activities should be measured when tracking clinical ethics work, and what metrics should be used when measuring those activities. Further, even the most robust quality assessment efforts to date are idiosyncratic, in that they represent evaluation of single activities or domains of clinical ethics activities, or a range of activities at a single hospital or healthcare system. Countering this trend, iin this article we propose a framework for moving beyond our current ways of understanding clinical ethics quality, toward comprehensive quality assessment. We first describe a way to conceptualize quality assessment as a process of measuring disparate, isolated work activities; then, we describe quality assessment in terms of tracking interconnected work activities holistically, across different levels of assessment. We conclude by inviting future efforts in quality improvement to adopt a comprehensive approach to quality assessment into their improvement practices, and offer recommendations for how the field might move in this direction.


Assuntos
Bioética , Ética Clínica , Assistência à Saúde , Humanos , Melhoria de Qualidade
13.
J Bioeth Inq ; 16(3): 347-352, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31578666

RESUMO

The field of Islamic bioethics is currently in development as thinkers delineate its normative content, ethical scope and research methods. Some scholars have offered Islamic bioethical frameworks based on the maqasid al-Shari'ah, the higher objectives of Islamic law, to help advance the field. Accordingly, a recent JBI paper by Ibrahim and colleagues describes a method for using the maqasid al-Shari'ah to provide moral end-goals and deliberative mechanisms for an Islamic bioethics. Herein I highlight critical conceptual and practical gaps in the model with the hopes of fostering greater discussion about how maqasid al-Shari'ah frameworks may fit within Islamic bioethics deliberation.


Assuntos
Bioética , Religião e Medicina , Humanos , Islamismo , Princípios Morais
14.
Transplant Proc ; 51(9): 2856-2859, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31606186

RESUMO

In order to bridge the gap between available organs and patients needing transplants, donor selection criteria for donors are increasingly being extended; the possibility of using organs from nonstandard risk donors has been introduced in many countries. This clearly poses considerable ethical issues that should be analyzed and taken into consideration by the competent bodies and institutions. In this article, we illustrate the Italian situation regarding the possibility of using organs from anti-hepatitis C virus (HCV) and HCV RNA-positive donors (anti-HCV+ve) in negative recipients (healthy subjects who have never come into contact with the hepatitis C virus) in light of the availability of new direct-acting antiviral drugs (DAAs) for hepatitis C treatment. We discuss the motivations behind the both favorable opinions of the Ethics Committee of the Italian National Institute of Health (Istituto Superiore di Sanità) and the Italian National Bioethics Committee (Comitato Nazionale per la Bioetica) discussing the main implications from an ethical point of view.

15.
Gac Med Mex ; 155(4): 406-409, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31486782

RESUMO

Research ethics must include theoretical and practical dimensions. The first one is structured by regulations and policies, and the second dimension refers to how the committee interprets and applies those regulations and policies. This article analyses the operation of the committees at a practical level. Given that the evaluation and judgement of research protocols is a process that requires full awareness, its omission entails important implications for health research.

16.
Am J Bioeth ; 19(4): 64-66, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31544665
20.
Am J Bioeth ; 19(4): 4-5, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31544672
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