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Receiving Clinical Ethics Consultation Services. 接受临床伦理咨询服务。
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934181
Jana M Craig, Thomas May
{"title":"Receiving Clinical Ethics Consultation Services.","authors":"Jana M Craig, Thomas May","doi":"10.1353/nib.2024.a934181","DOIUrl":"https://doi.org/10.1353/nib.2024.a934181","url":null,"abstract":"<p><p>This symposium includes twelve personal narratives from those who have received clinical ethics consultation (CEC) services as a healthcare provider, patient, family member, or patient advocate. Three commentaries on these narratives are also included, authored by experts and scholars in bioethics, healthcare ethics consultation and certification, narrative medicine, and policy. The goal of this symposium is to call attention to the experiences of people who have received clinical ethics consultation (CEC) services as a healthcare provider, patient, family member, or patient advocate.</p>","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Withdrawing Life Support After Attempted Suicide: A Case Study and Review of Ethical Considerations. 自杀未遂后撤销生命支持：病例研究与伦理考量回顾。
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934174
David A Oxman, Benjamin Richter
{"title":"Withdrawing Life Support After Attempted Suicide: A Case Study and Review of Ethical Considerations.","authors":"David A Oxman, Benjamin Richter","doi":"10.1353/nib.2024.a934174","DOIUrl":"https://doi.org/10.1353/nib.2024.a934174","url":null,"abstract":"<p><p>Ethical questions surrounding withdrawal of life support can be complex. When life support therapies are the result of a suicide attempt, the potential ethical issues take on another dimension. Duties and principles that normally guide clinicians' actions as caregivers may not apply as easily. We present a case of attempted suicide in which decisions surrounding withdrawal of life support provoked conflict between a patient's family and the medical team caring for him. We highlight the major unresolved philosophical questions and contradictory normative values about suicide that underlie this conflict. Finally, we show how these considerations were practically applied to this particular case.</p>","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fault Lines. 断层线
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934183
Laura A Katers
{"title":"Fault Lines.","authors":"Laura A Katers","doi":"10.1353/nib.2024.a934183","DOIUrl":"10.1353/nib.2024.a934183","url":null,"abstract":"","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Three Types of Stories About Encountering Bioethics. 关于遭遇生命伦理学的三种故事。
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934172
Arthur W Frank
{"title":"Three Types of Stories About Encountering Bioethics.","authors":"Arthur W Frank","doi":"10.1353/nib.2024.a934172","DOIUrl":"https://doi.org/10.1353/nib.2024.a934172","url":null,"abstract":"<p><p>This commentary discusses 12 stories about receiving ethics consultation in hospitals. Five stories are by physicians, three by nurses, and four by family members; three of the writers have training in bioethics. Some writers requested the consultation, others experienced the consultation as an imposition forced upon them, and in two cases, the story is about the absence of any consultation service. Three types of narrative are found to structure the stories: the genuine dilemma narrative, the institutional intransigence narrative, and the relational care narrative. Throughout, the question is what makes for a valuable consultation, and the general answer is whether consultation enables the development of mutually supportive relationships.</p>","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"It's All Personal". "这都是个人问题"。
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934180
Frances Rieth Maynard
{"title":"\"It's All Personal\".","authors":"Frances Rieth Maynard","doi":"10.1353/nib.2024.a934180","DOIUrl":"10.1353/nib.2024.a934180","url":null,"abstract":"","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Withdrawing Life Support After Attempted Suicide: A Case Study and Review of Ethical Consideration 自杀未遂后撤销生命支持：病例研究与伦理考虑回顾
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.0.a918687
David A. Oxman, Benjamin Richter
{"title":"Withdrawing Life Support After Attempted Suicide: A Case Study and Review of Ethical Consideration","authors":"David A. Oxman, Benjamin Richter","doi":"10.1353/nib.0.a918687","DOIUrl":"https://doi.org/10.1353/nib.0.a918687","url":null,"abstract":"Ethical questions surrounding withdrawal of life support can be complex. When life support therapies\u0000 are the result of a suicide attempt, the potential ethical issues take on another dimension. Duties and principles\u0000 that normally guide clinicians’ actions as caregivers may not apply as easily. We present a case of attempted\u0000 suicide in which decisions surrounding withdrawal of life support provoked conflict between a patient’s family \u0000and the medical team caring for him. We highlight the major unresolved philosophical questions and contradictory normative values about suicide that underlie this conflict. Finally, we show how these considerations \u0000were practically applied to this particular case.","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140526183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Ethics Consultations: What do Requestors Say? 临床伦理咨询：请求者怎么说？
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934173
Ruchika Mishra
{"title":"Clinical Ethics Consultations: What do Requestors Say?","authors":"Ruchika Mishra","doi":"10.1353/nib.2024.a934173","DOIUrl":"https://doi.org/10.1353/nib.2024.a934173","url":null,"abstract":"<p><p>This symposium collection of twelve narratives from individuals who experienced clinical ethics consultations provides perspectives from a group that has not been adequately explored in the bioethics literature. The authors represent a variety of stakeholders who received ethics consultations: healthcare providers and family members. This commentary will focus on three themes addressed in the different narrative accounts: the reasons for requesting an ethics consultation; the expectations of the narrators from the consultation; and the conclusions the authors drew from their experience of the ethics consultation.</p>","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Clinical Ethics Consultation: What Stories Reveal. 了解临床伦理咨询：故事揭示了什么？
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934171
Felicia Cohn
{"title":"Understanding Clinical Ethics Consultation: What Stories Reveal.","authors":"Felicia Cohn","doi":"10.1353/nib.2024.a934171","DOIUrl":"https://doi.org/10.1353/nib.2024.a934171","url":null,"abstract":"<p><p>This commentary reflects on twelve stories of participants in clinical ethics consultations from the perspective of family members, some of whom are ethics consultants, and healthcare professionals. Together they reveal expectations of ethics consultations and suggest descriptions of the service. Some common themes emerge, including the role of the clinical ethics consultant in navigating complex situations, assuring all stake-holder voices are heard, attending to moral distress, addressing issues that seem beyond medical practice, and being accessible. They are almost uniformly positive about the experience, with criticism primarily about lack of access to the service.</p>","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Ethicists: Can They Help Families in Their Times of Need? 临床伦理学家：他们能帮助需要帮助的家庭吗？
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934188
Tracy R Wilson
{"title":"Clinical Ethicists: Can They Help Families in Their Times of Need?","authors":"Tracy R Wilson","doi":"10.1353/nib.2024.a934188","DOIUrl":"https://doi.org/10.1353/nib.2024.a934188","url":null,"abstract":"","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Side Stepping The Issues: Disappointment With An Ethics Consult For A Medically High Risk Patient. 旁敲侧击：对高危病人的伦理咨询感到失望。
Narrative inquiry in bioethics Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934178
Brent R Carr
{"title":"Side Stepping The Issues: Disappointment With An Ethics Consult For A Medically High Risk Patient.","authors":"Brent R Carr","doi":"10.1353/nib.2024.a934178","DOIUrl":"https://doi.org/10.1353/nib.2024.a934178","url":null,"abstract":"","PeriodicalId":37978,"journal":{"name":"Narrative inquiry in bioethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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