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1.
Georgian Med News ; (349): 80-84, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38963207

RESUMO

In the ever-evolving landscape of public relations (PR), the significance of professional ethics has become increasingly pronounced, particularly in the digital age. This article embarks on a journey to synthesize the dynamic evolution of professional ethics in public relations and underscores the pressing need for its application in contemporary communication landscapes. Exploring the core values and principles that underpin ethical practices, the study extends to the alignment of these principles with fundamental human rights. A focal point of this article is an examination of the findings derived from research conducted among Armenian public relations practitioners, offering valuable insights into the challenges posed by the digital age. In this era of rapid digitalization, the traditional ethical codes that once governed the realm of public relations are facing unprecedented challenges. The classic ethical standards, while foundational, are now confronted with a shifting landscape shaped by the proliferation of social networks and online communication platforms. This article scrutinizes the practitioners' perspectives on the development of ethical standards, exploring questions of geographical and contextual relevance in the face of technological advancements. As the digital age transforms the dynamics of communication, the limitations of traditional PR ethics become increasingly apparent. The discussion highlights the intricacies of professional ethics within the realm of social networks, shedding light on the nuanced ethical considerations that emerge in this digitalized era. Amidst this exploration, a crucial issue emerges - the imperative for the preservation of ethical standards in public relations. The article contends that the challenges posed by digitalization necessitate a revision of the conventional PR ethical code. While the foundations remain relevant, there is a pressing need for an updated ethical framework that can effectively navigate the complex ethical terrain presented by social networks and digital communication channels. In conclusion, the article endeavors to provide a comprehensive understanding of the evolution of professional ethics in public relations, emphasizing the transformative impact of digitalization. By examining the standpoints of Armenian public relations practitioners, it sheds light on the challenges faced in this digital age and advocates for a proactive approach to adapt and enhance ethical standards in response to the dynamic communication landscape.


Assuntos
Ética Profissional , Humanos , Relações Públicas , Códigos de Ética
2.
Sci Eng Ethics ; 30(4): 32, 2024 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-39043955

RESUMO

This essay aims to rectify a failure on the part of Western philosophers of technology to attend to the creative philosophical work of Li Bocong at the University of Chinese Academy of Sciences in Beijing. After a brief account of Li Bocong's personal contacts with the West and some remarks on his relationship to Marxism, we take up three aspects of his philosophy that can contribute to enlarging Western philosophical thinking about engineering and technology: (1) Li's analysis of engineering as more than design, (2) his argument for the relevance of the sociology of engineering, and (3) his conceptualization of engineering ethics as more than professional ethics.


Assuntos
Engenharia , Filosofia , Tecnologia , Engenharia/ética , Humanos , Tecnologia/ética , China , Ética Profissional , História do Século XX , Academias e Institutos , Ocidente
3.
Sci Eng Ethics ; 30(4): 29, 2024 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-39023690

RESUMO

Indications that corruption mitigation in infrastructure systems delivery can be effective are found in the literature. However, there is an untapped opportunity to further enhance the efficacy of existing corruption mitigation strategies by placing them explicitly within the larger context of engineering ethics, and relevant policy statements, guidelines, codes and manuals published by international organizations. An effective matching of these formal statements on ethics to infrastructure systems delivery facilitates the identification of potential corruption hotspots and thus help establish or strengthen institutional mechanisms that address corruption. This paper reviews professional codes of ethics, and relevant literature on corruption mitigation in the context of civil engineering infrastructure development, as a platform for building a structure that connects ethical tenets and the mitigation strategies. The paper assesses corruption mitigation strategies against the background of the fundamental canons of practice in civil engineering ethical codes. As such, the paper's assessment is grounded in the civil engineer's ethical responsibilities (to society, the profession, and peers) and principles (such as safety, health, welfare, respect, and honesty) that are common to professional codes of ethics in engineering practice. Addressing corruption in infrastructure development continues to be imperative for national economic and social development, and such exigency is underscored by the sheer scale of investments in infrastructure development in any country and the billions of dollars lost annually through corruption and fraud.


Assuntos
Códigos de Ética , Engenharia , Ética Profissional , Humanos , Engenharia/ética , Responsabilidade Social , Crime/prevenção & controle
4.
Sci Eng Ethics ; 30(3): 23, 2024 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-38833046

RESUMO

The Defining Issues Test 2 (DIT-2) and Engineering Ethical Reasoning Instrument (EERI) are designed to measure ethical reasoning of general (DIT-2) and engineering-student (EERI) populations. These tools-and the DIT-2 especially-have gained wide usage for assessing the ethical reasoning of undergraduate students. This paper reports on a research study in which the ethical reasoning of first-year undergraduate engineering students at multiple universities was assessed with both of these tools. In addition to these two instruments, students were also asked to create personal concept maps of the phrase "ethical decision-making." It was hypothesized that students whose instrument scores reflected more postconventional levels of moral development and more sophisticated ethical reasoning skills would likewise have richer, more detailed concept maps of ethical decision-making, reflecting their deeper levels of understanding of this topic and the complex of related concepts. In fact, there was no significant correlation between the instrument scores and concept map scoring, suggesting that the way first-year students conceptualize ethical decision making does not predict the way they behave when performing scenario-based ethical reasoning (perhaps more situated). This disparity indicates a need to more precisely quantify engineering ethical reasoning and decision making, if we wish to inform assessment outcomes using the results of such quantitative analyses.


Assuntos
Tomada de Decisões , Avaliação Educacional , Engenharia , Estudantes , Humanos , Engenharia/ética , Engenharia/educação , Tomada de Decisões/ética , Universidades , Pensamento , Princípios Morais , Desenvolvimento Moral , Masculino , Feminino , Ética Profissional/educação , Resolução de Problemas/ética
6.
Phys Med ; 123: 103416, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38943800

RESUMO

INTRODUCTION: Since 2017, in France, medical physicists (MP) are finally defined by law as health professionals and as such, the roles and responsibilities of an MP lean on those medical professional ethics but MPs lack initial or continuing training in this subject. In order to find out how our colleagues feel about this subject, the following survey was conducted. METHODS: French Society of Medical Physics (SFPM) designed a web survey addressed to its members and non-members concerning ethics based on the 2013 AAPM work; experience and training were highlighted as particularly important within the survey structure. RESULTS: 249 answers were collected and showed a pronounced concern at the lack of initial and continuous training in this subject. Professional experience of non-ethical behaviour was attributed to the lack of training, resources or competences and hostile work environments. CONCLUSION: To address the shortcomings highlighted in the survey, SFPM has created a dedicated voluntary working group aimed at producing a professional code of ethics for MP and training modules to be applied at entry level or as continuing professional development for education.


Assuntos
Física Médica , França , Inquéritos e Questionários , Física Médica/ética , Humanos , Ética Profissional
7.
Cuestiones infanc ; 25(1): 31-47, May. 10, 2024.
Artigo em Espanhol | LILACS, UNISALUD, BINACIS | ID: biblio-1562005

RESUMO

El ser humano está signado por el conflicto, por los deseos contradictorios, por el intercambio nunca simple con los otros. Suponer que el otro debe ser una máquina que siga pautas implica desvitalizarlo, lo que es equivalente al aniquilamiento de lo humano. Las niñas y los niños no tienen que ser encerrados ni con clasificaciones psicopatológicas, ni con medicamentos. Las niñas y los niños tienen que tener un sostén esperanzado por parte del entorno, un suelo a partir del cual puedan desplegar sus alas... Transmitir esperanzas es parte importante de nuestra tarea. Debemos dejar que la vida fluya y aportar para que ese fluir derive en nuevos vuelos AU


The human being is marked by the conflict, the contradictory desires, by the never easy exchange with other people.Supposing that the other person must be a machine which follows guidelines means devitalize him and implies the annihilation of the human being.Girls and boys cannot be bounded, nor with psychopathological classifications either with medicines. Girls and boys must have a hopeful support by their environment, a ground which helps them to open their wings... Giving hope is a very important part of our duty.We must let the life flows and contribute to that flowing leads to new flights AU


L'être humain est marqué par le conflit, par les désirs contradictoires, par l'échange jamais simple avec autrui.Supposer que l'autre doit être une machine qui suit des directives implique de le dévitaliser, ce qui équivaut à l'anéantissement de l'humain.Les filles et les garçons ne doivent pas être enfermés, ni avec des classifications psychopathologiques, ni avec des médicaments.Les filles et les garçons doivent bénéficier du soutien plein d'espoir de leur environnement, d'un terrain à partir duquel ils peuvent déployer leurs ailes...Transmettre l'espoir est une partie importante de notre tâche.Il faut laisser lavie couler et contribuer à ce que ce flux conduise à de nouveaux envols AU


A pessoa humana está marcada pelo conflito, pelos desejos contraditórios, pela troca nunca simples com os outros.Assumir que a outra pessoa deve ser um aparelho que segue directrizes implica desvitalizá-lo, o que equivale à aniquilação do que é humano.As crianças não devem ser trancadas, nem com clasificações psicopatológicas, nem com medicação.As crianças devem ter um apoio esperançoso do seu ambiente, uma base a partir do qual possam abrir suas asas... Transmitir esperanças é uma parte importante da nossa tarefa. Devemos deixar a vida fluir e contribuir para garantir que esse fluxo conduzca a novos voos AU


Assuntos
Humanos , Pré-Escolar , Criança , Terapia Psicanalítica/métodos , Ética Profissional , Transtornos Mentais/diagnóstico , Psicopatologia/ética , Manual Diagnóstico e Estatístico de Transtornos Mentais
8.
Sci Eng Ethics ; 30(3): 15, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38689193

RESUMO

This project explored what constitutes "ethical practice of mathematics". Thematic analysis of ethical practice standards from mathematics-adjacent disciplines (statistics and computing), were combined with two organizational codes of conduct and community input resulting in over 100 items. These analyses identified 29 of the 52 items in the 2018 American Statistical Association Ethical Guidelines for Statistical Practice, and 15 of the 24 additional (unique) items from the 2018 Association of Computing Machinery Code of Ethics for inclusion. Three of the 29 items synthesized from the 2019 American Mathematical Society Code of Ethics, and zero of the Mathematical Association of America Code of Ethics, were identified as reflective of "ethical mathematical practice" beyond items already identified from the other two codes. The community contributed six unique items. Item stems were standardized to, "The ethical mathematics practitioner…". Invitations to complete the 30-min online survey were shared nationally (US) via Mathematics organization listservs and other widespread emails and announcements. We received 142 individual responses to the national survey, 75% of whom endorsed 41/52 items, with 90-100% endorsing 20/52 items on the survey. Items from different sources were endorsed at both high and low rates. A final thematic analysis yielded 44 items, grouped into "General" (12 items), "Profession" (10 items) and "Scholarship" (11 items). Moreover, for the practitioner in a leader/mentor/supervisor/instructor role, there are an additional 11 items (4 General/7 Professional). These results suggest that the community perceives a much wider range of behaviors by mathematicians to be subject to ethical practice standards than had been previously included in professional organization codes. The results provide evidence against the argument that mathematics practitioners engaged in "pure" or "theoretical" work have minimal, small, or no ethical obligations.


Assuntos
Códigos de Ética , Matemática , Humanos , Inquéritos e Questionários , Estados Unidos , Ética Profissional
9.
Sci Justice ; 64(2): 243-249, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38431381

RESUMO

This article investigates a critical part of professional careers: adhering to a code of ethics that defines proper behavior within the context of one's specialized practice. It aims to improve the setting of forensic entomology work by highlighting the ethical issues that frequently emerge. The primary goal is to uncover common ethical issues involved in this field's everyday activities and provide informed advice on appropriate resolution options. This investigation dives into the complex interaction of religious beliefs, cultural aspects, and issues of ethics, evaluating their relevance in forensic entomology. It examines a wide range of ethical issues, from the ethics involved in collecting samples at crime scenes and morguesto the ethics created into scientific investigations, report writing, and court testimony. These guiding principles are critical in setting scientific standards and building public trust in forensic entomology's ability to provide exceptional services. Notably, regardless of whether the forensic entomology service provider is accredited by any validating organization, these ethical requirements remain critical, emphasizing their global application.


Assuntos
Entomologia Forense , Humanos , Ciências Forenses/métodos , Ética Profissional , Responsabilidade Social
10.
Rev. bioét. derecho ; (60): 3-18, Mar. 2024.
Artigo em Espanhol | IBECS | ID: ibc-230469

RESUMO

La entrada en vigor de la Ley Orgánica 3/2021 sobre eutanasia en España (2021), ha propiciado un debate de relevancia en el ámbito de la bioética, como es el de la objeción de conciencia (OC) de los profesionales de la salud. Ahora bien, a pesar de que la literatura científica ha abordado esta cuestión, lo cierto es que la comprensión de los motivos subyacentes que impulsan a los profesionales a objetar no está del todo clara. Diversos autores han destacado que la OC halla sus fundamentos en creencias personales, ética profesional, aspectos emocionales y dinámicas del propio sistema. A su vez, se ha observado cómo hay posiciones diversas sobre la legitimidad de la OC, generando debates sobre su validez.Los objetivos de este artículo son revisar el concepto objeción de conciencia en el ámbito sanitario; analizar los factores que motivan este derecho; examinar las consecuencias de la OC en la carga asistencial de los profesionales no objetores; y explorar su posible conflicto ético con la justicia distributiva en la atención sanitaria. Por último, se reflexionará sobre la posibilidad de la OC institucional y sus posibles consecuencias en los derechos de pacientes y trabajadores.(AU)


L'entrada en vigor de la Llei Orgànica 3/2021 sobre l'eutanàsia a Espanya (2021) ha suscitat un debat rellevant en l'àmbit de la bioètica, com és el de l’objecció de consciència(OC) dels professionals de la salut. Tanmateix, malgrat que la literatura científica ha abordat aquesta qüestió, és cert que la comprensió dels motius subjacents que impulsen els professionals a objectar no està del tot clara. Diversos autors han destacatque l’OC troba els seus fonaments en creences personals, ètica professional, aspectes emocionals i dinàmiques del propi sistema. Al seu torn, s'ha observat com hi ha posicions diverses sobre la legitimitat de l’OC, generant debats sobre la seva validesa. Els objectius d'aquest article són revisar el concepte d’objecció de consciència en l'àmbit sanitari; analitzar els factors que motiven aquest dret; examinar les repercussions de l’OC en la càrrega assistencial dels professionals no objectors; i explorar el seu possible conflicte ètic amb la justícia distributiva en l'atenció sanitària. Finalment, es reflexionarà sobre la possibilitat de l’OC institucional i les seves possibles repercussions en els drets dels pacients i treballadors.(AU)


The enactment of Organic Law 3/2021 on euthanasia in Spain has sparked a significant debate in the field of bioethics, namely the issue of conscientious objection (CO) among healthcare professionals. However, despite the scientific literature addressing this matter, the understanding of the underlying reasons that drive professionals to object is not entirely clear. Several authors have highlighted that CO is rooted in personal beliefs, professional ethics, emotional aspects, and dynamics within the healthcare system. Simultaneously, there have been varying stances on the legitimacy of CO, leading to debates regarding its validity.The objectives of this article are to review the concept of conscientious objection in the healthcare context, analyze the factors motivating this right, examine the consequences of CO on the workload of non-objecting professionals, and explore its potential ethical conflict with distributive justice in healthcare. Finally, we will reflect on the possibility of institutional CO and its potential implications for the rights of patients and healthcare workers.(AU)


Assuntos
Humanos , Masculino , Feminino , Direitos do Paciente , Lei Orgânica , Eutanásia/ética , Ética Médica , Ética Profissional , Conscientização , Espanha , Temas Bioéticos , Bioética
11.
J Emerg Manag ; 22(1): 7-22, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38533696

RESUMO

The Code of Ethics and Professional Standards of Conduct for Emergency Management Professionals (2022) was recently created to further delineate the ethical boundaries and conduct expectations for professional emergency management practice. Significantly, the code of ethics provides an essential foundation toward recognition as a profession with hallmarks of monopoly, autonomy, and authority. The code and standards of conduct establish a clear definition of the role emergency management has in overseeing a complex, diverse risk portfolio that protects lives, livelihoods, and quality of life. The document captures the intent, challenges, dimensions, and significance of emergency management practice in a rapidly changing world and brings ethics to the forefront of decisions. This article speaks to the discursive dialogue toward, methodological development of, and future tools for integrating into practice the Code of Ethics and Professional Standards of Conduct for Emergency Management Professionals.


Assuntos
Códigos de Ética , Qualidade de Vida , Humanos , Ética Profissional
12.
Rev. Fund. Educ. Méd. (Ed. impr.) ; 27(1): 37-43, Feb. 2024. tab
Artigo em Espanhol | IBECS | ID: ibc-231177

RESUMO

Introducción. El objetivo es presentar la experiencia de un curso virtual de metodología de la investigación de la carrera de posgrado de Especialista en Cirugía General. Sujetos y métodos. Diseño del curso observacional descriptivo (no experimental), prospectivo, con análisis retrospectivo y planeamiento educativo durante 2021 a 2023 en modalidad virtual con plataforma digital y criterio de inclusión de ser médicos residentes de 3.er o 4.o año del programa que realizan la carrera de Especialista en Cirugía General. Son dos horas semanales durante 20 semanas consecutivas, divididas en 40 horas teóricas virtuales y 90 horas prácticas presenciales (en total, 130 horas) para elaborar individualmente un proyecto de investigación y su aprobación final en la sede asistencial donde cursa la carrera de especialista. Se requiere asistencia al 75% de las clases y evaluación sumativa mediante examen final virtual de elección múltiple con cuatro opciones de respuesta sobre temas de metodología de la investigación; además, hay una encuesta de satisfacción anónima y voluntaria.Resultados. De 253 inscritos, hubo 222 cursillistas habilitados (87,7%) para rendir examen final virtual al verificar presentismo: 175 aprobaron (78,8%). Al comparar los resultados con un curso presencial previo, no hubo diferencias significativas. El 93% de los encuestados estaba muy satisfecho con la experiencia virtual. Conclusión. La adaptación de un curso de modalidad presencial a otro digital mostró que es posible alcanzar los objetivos sin renunciar a estándares básicos de formación propuestos inicialmente en un planeamiento educativo definido y alcanzarlos como en una enseñanza presencial.(AU)


Introduction: The objective is to present the experience of a virtual course of Research Methodology of the postgraduate career of specialist in general surgery. Subjects and methods: Design of the descriptive observational course (non-experimental), prospective with retrospective analysis and educational planning during 2021 to 2023 in virtual modality with digital platform and inclusion criteria of being resident doctors of 3rd or 4th year of the program who carry out the career of specialist in general surgery; two hours weekly for 20 consecutive weeks, divided into 40 hours virtual theoretical and 90 hours face-to-face practices (a total of 130 hours) to individually develop a research project and its final approval at the healthcare headquarters where you are studying the specialist career. Attendance of 75% of the classes and summative evaluation through virtual final exam of multiple choice with 4 answer options on topics of research methodology. In addition, anonymous and voluntary satisfaction survey. Results: Of 253 enrollees, 222 trainees (87,7%) were authorized to take a virtual final exam when verifying present: 175 passed (78.8%). When comparing the results with a previous face-to-face course, there were no significant differences. 93% of respondents were very satisfied with the virtual experience. Conclusion: Adaptation of a face-to-face course to a digital one proved that it is possible to achieve the objectives without resigning basic training standards initially proposed in a defined educational planning and achieve them as face-to-face teaching.(AU)


Assuntos
Humanos , Masculino , Feminino , Educação Médica , Cirurgia Geral/educação , Ética Profissional , Educação de Pós-Graduação , Telemedicina , Educação a Distância , Epidemiologia Descritiva , Estudos Prospectivos , Estudos Retrospectivos , Currículo
13.
J Med Ethics ; 50(3): 163-168, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-37487625

RESUMO

The World Medical Association (WMA), the global representation of the medical profession, first adopted the International Code of Medical Ethics (ICoME) in 1949 to outline the professional duties of physicians to patients, other physicians and health professionals, themselves and society as a whole. The ICoME recently underwent a major 4-year revision process, culminating in its unanimous adoption by the WMA General Assembly in October 2022 in Berlin. This article describes and discusses the ICoME, its revision process, the controversial and uncontroversial issues, and the broad consensus achieved among WMA constituent members, representing over 10 million physicians worldwide. The authors analyse the ICoME, including its response to contemporary changes and challenges like ethical plurality and globalisation, in light of ethical theories and approaches, reaching the conclusion that the document is a good example of international ethical professional self-regulation.


Assuntos
Medicina , Médicos , Autocontrole , Humanos , Códigos de Ética , Sociedades Médicas , Ética Médica , Ética Profissional
14.
Nurs Ethics ; 31(1): 28-38, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37415349

RESUMO

BACKGROUND: During the pandemic, social and health care professionals operated in 'crisis conditions'. Some existing rules/protocols were not operational, many services were closed/curtailed, and new 'blanket' rules often seemed inappropriate or unfair. These experiences provide fertile ground for exploring the role of virtues in professional life and considering lessons for professional ethics in the future. RESEARCH DESIGN AND AIM: This article draws on an international qualitative survey conducted online in May 2020, which aimed to explore the ethical challenges experienced by social workers during Covid-19. PARTICIPANTS AND RESEARCH CONTEXT: 607 social workers responded from 54 countries, giving written online responses. This article first summarises previously published findings from the survey regarding the range of ethical challenges experienced, then develops a new analysis of social workers' accounts of ethically challenging situations from a virtue ethics perspective. This analysis took a narrative ethics approach, treating respondents' accounts as stories featuring the tellers as moral agents, with implicit or explicit implications for their professional ethical identity and character. The article is illustrated with accounts from the 41 UK respondents, drawing particularly on two case examples. ETHICAL CONSIDERATIONS: Ethical approval was gained from Durham University and anonymity was ensured for participants. FINDINGS/RESULTS: This article explores the nature of the ethical space created during the pandemic showing how practitioners were able to draw more on 'inner resources' and professional discretion than usual, displaying virtues such as professional wisdom, care, respectfulness and courage as they took account of the specific contexts of their work, rather than simply adhering to blanket rules. CONCLUSION: Exploring practice through a virtue ethical lens provides valuable lessons for 'building back better' in social and health care professions.


Assuntos
Pandemias , Virtudes , Humanos , Teoria Ética , Princípios Morais , Ética Profissional
16.
Rev. bioét. (Impr.) ; 32: e3544PT, 2024. tab, graf
Artigo em Inglês, Espanhol, Português | LILACS | ID: biblio-1559358

RESUMO

Resumo Esta revisão visa identificar e descrever intervenções realizadas para promover o clima ético em instituições de saúde. Foi feita revisão de escopo nas bases PubMed, Biblioteca Virtual em Saúde, EBSCOhost e Google Acadêmico, entre outubro e dezembro de 2022. Os dados foram analisados mediante síntese numérica e temática. Foram incluídos três estudos: dois quase-experimentais e um experimental. Médicos, enfermeiros e outros membros da equipe participaram da pesquisa. São descritas intervenções realizadas e resultados obtidos. As intervenções foram workshops, rodadas de ética e protocolo de ação precoce. A duração variou de duas semanas a seis meses. Houve diferença do clima ético para todos os participantes em um estudo; apenas para enfermeiros em outro; e não houve diferença em uma das pesquisas. Poucos artigos implementam e avaliam intervenções para promover o clima ético. Assim, são necessárias mais investigações que aprimorem conteúdo, didática e modos de avaliação em contextos variados e com diferentes profissionais.


Abstract This review aims to identify and describe interventions to promote an ethical climate in health institutions. Method: a scope review carried out on PubMed, Virtual Health Library, EBSCOhost, and Google Scholar from October to December 2022. Data were analyzed using numerical and thematic synthesis and included two quasi-experimental and one experimental studies. Physicians, nurses, and other team members participated in this review, which describes the carried out interventions and obtained results. The interventions included workshops, ethics rounds, and an early action protocol that lasted from two weeks to six months. This review found a difference in the ethical climate for all participants in one study, only for nurses in another study, and no significant differences in the last studies. Few studies implement and evaluate interventions to promote an ethical climate. More studies are needed to improve content, didactics, and assessment methods in different contexts with several professionals.


Resumen Esta revisión busca identificar y describir intervenciones para promover un clima ético en instituciones sanitarias. Se realizó una revisión de alcance en las bases de datos PubMed, Biblioteca Virtual en Salud, EBSCOhost y Google Scholar entre octubre y diciembre de 2022. Los datos se analizaron mediante síntesis numérica y temática. Se incluyeron tres estudios: dos cuasiexperimentales y uno experimental. Los participantes fueron médicos, enfermeros y otros miembros del equipo. Se describen las intervenciones y los resultados obtenidos. Las intervenciones fueron talleres, rondas de ética y protocolo de acción temprana, con una duración de dos semanas a seis meses. Un estudio reveló diferencia en el clima ético para todos los participantes; otro para solo los enfermeros; y un estudio no reportó diferencia. Pocos estudios evalúan intervenciones en esta materia. Se necesitan más estudios para mejorar los contenidos, la didáctica y los métodos de evaluación en diferentes contextos con distintos profesionales.


Assuntos
Avaliação de Eficácia-Efetividade de Intervenções , Ética Institucional , Ética Profissional
18.
J Am Acad Psychiatry Law ; 51(4): 494-499, 2023 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-38065617

RESUMO

Systemic change requires complex conceptual and practical efforts from organizations and individuals alike. In forensic psychiatry, improving the experiences of marginalized groups respects the personhood and dignity of those who have been neglected over time and promises improvements in outcomes that have been affected by the unevenness of history. Specific plans for education, monitoring, and improvement consequently call for related frameworks in professional ethics and research to lead and accompany them. The professional ethics of forensic practice, for example, can now consider years of writing that advance traditional precepts toward dignity, social purpose, truth, and human rights. Research design can improve the representativeness of samples, the methods that assess inequity, and the survey construction that populates both quality improvement and academic research. Responding to the growing understanding of forensic inequity will require both a new ethic and a new science.


Assuntos
Ética Profissional , Psiquiatria Legal , Humanos , Direitos Humanos , Pessoalidade
19.
Metas enferm ; 26(9): 18-24, Noviembre 2023. tab
Artigo em Espanhol | IBECS | ID: ibc-227070

RESUMO

Objetivos: el objetivo principal fue identificar los conflictos éticos con los que se encontraron las/os enfermeras/os durante la pandemia por COVID-19 en España en el ámbito profesional.Método: se realizó un estudio cualitativo mediante etnografía para acercarse a la experiencia vivida por las/os enfermeras/os trabajando en España durante la primera ola de la pandemia COVID-19. Se empleó un muestreo intencional para seleccionar a 33 participantes, a quienes se contactó para llevar a cabo entrevistas no estructuradas por vía telemática. El análisis de los datos se efectuó mediante un enfoque temático que involucró la identificación de unidades de significado y la generación de códigos.Resultados: participaron 29 enfermeras/os, mayoritariamente mujeres trabajadoras en un hospital. Se identificaron tres conflictos éticos principales. El primero se relacionó con la “Priorización por edad: conflicto en el tratamiento equitativo”, que surgió debido a la limitación de recursos y la toma de decisiones difíciles. El segundo conflicto se denominó “Morir en soledad: conflicto con el trato humano del paciente”, ya que los familiares no podían acompañar a sus allegados al final de sus vidas por las restricciones de visita. El tercer conflicto fue “Cuidar con (in)seguridad: conflicto de poner al paciente, la enfermera y la familia en riesgo”, relacionado con la escasez de material de protección, lo que generó temor a posibles contagios tanto en el ámbito profesional como familiar.Conclusiones: la identificación de estos conflictos éticos subraya la necesidad de reorientar la ética del cuidado en salud para futuras pandemias por parte de los gestores de centros sanitarios. (AU)


Objective: the main objective was to identify the ethical conflicts faced by Nursing professionals during the COVID-19 pandemic in Spain in their professional setting.Method: a qualitative study was conducted through ethnography in order to approach the experience lived by Nursing professionals working in Spain during the first wave of the COVID-19 pandemic. Intentional sampling was used to select 33 participants, who were contacted to participate in non-structured online interviews. Data analysis was conducted with a thematic approach which involved the identification of units of meaning and the generation of codes.Results: the study included 29 Nursing professionals, mostly women, working at a hospital. Three main ethical conflicts were identified. The first was related to “Prioritization by age: conflict in equitable treatment”, which came up due to limited resources and difficult decision making. The second conflict was called “Dying alone: a conflict with the humane treatment of patients”, because relatives could not accompany patients at the end of their lives due to visiting restrictions. The third conflict was: “Care with (in)security: the conflict of putting patients, nurses and relatives at risk”, associated with the lack of protection materials, which generated fear of potential contagion both in the professional and the family setting.Conclusion: the identification of these ethical conflicts underlines the need to redirect the ethics of healthcare for future pandemics by health center managers. (AU)


Assuntos
Humanos , Ética Clínica , Ética em Enfermagem , Ética Profissional , Equidade em Saúde , /epidemiologia , Entrevistas como Assunto , Pesquisa Qualitativa
20.
Sci Eng Ethics ; 29(6): 36, 2023 10 23.
Artigo em Inglês | MEDLINE | ID: mdl-37870656

RESUMO

Engineering ethics is a required aspect of accredited ABET programs, but there is widespread variation in how ethics is taught, to what ends, and how those ends are assessed. This variation makes it challenging to identify practices for teaching ethics to engineers aligned with extant practices in the field. In this study, we revise a recent coding framework by reviewing exemplary engineering ethics programs recognized by the National Academy of Engineering in 2016, or what we refer to as "exemplars." We pursue two primary objectives: (1) To apply and revise a prior coding framework to codify ethics learning objectives, instructional strategies, and assessment strategies in engineering education; and (2) To use the revised coding framework to identify trends in learning objectives, instructional strategies, and assessment strategies of NAE exemplars. We employ systemic review procedures to update the coding framework using 24 of 25 exemplars as a data source. The updated framework includes four primary categories associated with learning objectives, instructional strategies, assessment data collection strategies, and assessment design characteristics. Results indicate that ethical sensitivity or awareness was present in every exemplar as a learning objective, often alongside ethical reasoning-based learning objectives and the formation of professional skills. Exemplars employed numerous instructional strategies in tandem, as we coded eight out of 18 instructional strategies among at least half of the exemplars. Assignments/homework and summative reflections were the most oft-used sources of assessment data. Due to our challenges in coding assessment approaches, we offer practical suggestions for assessing engineering ethics instruction which are based on many of our coding discussions. We hope that this coding framework, the results classifying exemplary features of the NAE programs, and our practical suggestions can guide future instructors as they design, classify, assess, and report their approaches to engineering ethics education.


Assuntos
Ética Profissional , Aprendizagem , Engenharia
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