Journal of Medical Ethics and History of Medicine最新文献_第8页

The ethical obligation to provide care to patients diagnosed with brain death until the end stages based on grounded theory. 为被诊断为脑死亡的病人提供照顾的道德义务，直到最后阶段，基于扎实的理论。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-02-15 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i2.5435

Hamideh Yazdimoghaddam, Zahra Sadat Manzari, Abbas Heydari, Eesa Mohammadi

{"title":"The ethical obligation to provide care to patients diagnosed with brain death until the end stages based on grounded theory.","authors":"Hamideh Yazdimoghaddam, Zahra Sadat Manzari, Abbas Heydari, Eesa Mohammadi","doi":"10.18502/jmehm.v14i2.5435","DOIUrl":"https://doi.org/10.18502/jmehm.v14i2.5435","url":null,"abstract":"Nurses are faced with tremendous pressure when providing brain-dead patients with care. There is limited guidance for nurses on the care of these patients. The present study aimed to report the experiences of nurses regarding the care of patients diagnosed with brain death. Semi-structured interviews were conducted with 31 nurses and other stakeholders, and the observations and field notes were analyzed using continuous and comparative analysis based on grounded theory. The qualitative analysis of the data resulted in extraction of six final categories, including 'facing increased tensions and conflicts', 'organ donation: a distinct care element', 'inconsistency of care management', 'effective care requirements', 'challenges, rights and duty requirements', and 'moral obligation to provide holistic care until the last minute'. Data analysis identified 'Challenges, rights and duty requirements' as the main issue and showed that the nurses managed this issue using the strategy of 'moral obligation to provide holistic care until the last minute' as the core variable. According to the results, it is recommended that the healthcare system (especially hospital management) take supportive action for nurses in various fields of care of brain-dead patients to resolve educational, moral and legal challenges.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":" ","pages":"2"},"PeriodicalIF":1.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/73/JMEHM-14-2.PMC8595073.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39680808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Painting as a reflective method in teaching medical professional values. 绘画在医学专业价值观教学中的反思性作用。

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Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-30 eCollection Date: 2021-01-01 DOI: 10.18502/jmehm.v14i1.5316

Mina Mobasher

引用次数: 0

Compassion-based care for COVID-19 patients: a qualitative analysis of nurses' perceptions. 对COVID-19患者的同情护理:护士观念的定性分析

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i19.8179

Leila Ghanbari-Afra, Akram Salamat, Hadi Hamidi, Marjan Mardani-Hamooleh, Zahra Abbasi

{"title":"Compassion-based care for COVID-19 patients: a qualitative analysis of nurses' perceptions.","authors":"Leila Ghanbari-Afra, Akram Salamat, Hadi Hamidi, Marjan Mardani-Hamooleh, Zahra Abbasi","doi":"10.18502/jmehm.v14i19.8179","DOIUrl":"https://doi.org/10.18502/jmehm.v14i19.8179","url":null,"abstract":"Compassion is a basic approach to medical practice and is the core component of health care. The purpose of the present study was to explore nurses' perceptions of compassion-based care (CBC) for COVID-19 patients. In this qualitative study, the participants were selected using purposeful sampling. Individual and semi-structured interviews were conducted with 25 nurses, and conventional content analysis was used to categorize the data. In the care of COVID-19 patients, CBC consisted of three categories including pro-social behaviors, paying attention to the beliefs and values of patients, and concern for family members. The first category had three subcategories including empathy, altruism, and helping in critical situations. The second category included the subcategories of the spiritual approach to care and respect for cultural aspects. The third category, concern for family members, had one subcategory: the need to consider the patient's family. Our findings may help to develop a comprehensive model in COVID-19 care according to which, in addition to routine patient care, nurses will consider concepts such as empathy, altruism, helping in critical situations, spirituality, cultural values, and the family's needs at the end of the patient's life.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":"14 ","pages":"19"},"PeriodicalIF":1.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/13/JMEHM-14-19.PMC9042654.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9180790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Initial drafting of telemedicine's code of ethics through a stakeholders' participatory process. 通过利益攸关方参与进程初步起草远程医疗道德准则。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i24.8184

Hamid Shafizadeh, Bagher Larijani, Rita Mojtahedzadeh, Ehsan Shamsi Gooshki, Saharnaz Nedjat

{"title":"Initial drafting of telemedicine's code of ethics through a stakeholders' participatory process.","authors":"Hamid Shafizadeh, Bagher Larijani, Rita Mojtahedzadeh, Ehsan Shamsi Gooshki, Saharnaz Nedjat","doi":"10.18502/jmehm.v14i24.8184","DOIUrl":"https://doi.org/10.18502/jmehm.v14i24.8184","url":null,"abstract":"Telemedicine can improve access to healthcare services; however, it has raised ethical concerns demanding special considerations. This study aimed at developing the codes of ethics for telemedicine, and hence several approved national and international ethical guidelines related to telemedicine practice were reviewed, and 48 semi-structured interviews were conducted with medical ethics and medical informatics experts as well as with physicians and patients who had telemedicine experiences. Content analysis was then performed on the interviews' transcripts and a draft on code of ethics was prepared, which was further reviewed by the experts in the focus group meetings to reach a consensus on the final document. The final document consisted of a preface, five considerations, and 25 ethical statements. Considering the growing trend of adopting telemedicine worldwide, this document provides an ethical framework for those who use telemedicine in their medical practice.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":"14 ","pages":"24"},"PeriodicalIF":1.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/fc/JMEHM-14-24.PMC9078934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10306021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical concerns in the age of an advanced psychopharmacology. 先进精神药理学时代的伦理问题。

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Journal of Medical Ethics and History of Medicine Pub Date : 2021-01-01 DOI: 10.18502/jmehm.v14i29.8285

Gentian Vyshka, Dritan Ulqinaku, Tedi Mana

引用次数: 0

Observance of patients' rights by physicians and nurses from the COVID-19 patients' perspective. 从 COVID-19 患者的角度看医生和护士对患者权利的尊重。

IF 0.9

Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-30 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i33.5315

Mohsen Kamali, Seyed Kazem Mousavi

{"title":"Observance of patients' rights by physicians and nurses from the COVID-19 patients' perspective.","authors":"Mohsen Kamali, Seyed Kazem Mousavi","doi":"10.18502/jmehm.v13i33.5315","DOIUrl":"10.18502/jmehm.v13i33.5315","url":null,"abstract":"Observance of patients' rights is a significant indicator in evaluating the quality of healthcare services. The COVID-19 pandemic has become a global crisis and affected the interactions between healthcare providers and patients. This study examined the COVID-19 patients' viewpoint about the observance of their rights by physicians and nurses. This study is a descriptive cross-sectional work of research conducted on the COVID-19 patients in Zanjan Province, Iran, in September 2020. The subjects were selected through convenience sampling, and data was collected using a two-section questionnaire consisting of a demographic characteristics survey and a Likert-type scale for evaluating patients' rights observance. The validity and reliability of the questionnaire were found to be acceptable, and the collected data was analyzed in SPSS v.26 using descriptive statistics, independent t-test, and ANOVA test. The mean score of observance of patients' rights was 69.60±7.36, representing a moderate level. The highest and lowest scores for the observance of patients' rights were related to the dimensions of courteous communication and responsibility, respectively. A significant relationship was found between the observance of patients' rights and their marital status, health insurance, and education level (P<0.05). This study showed that the observance of the COVID-19 patients' rights has not been affected by the social agitation caused by this disease.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":"13 ","pages":"33"},"PeriodicalIF":0.9,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/e0/JMEHM-13-33.PMC8141208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 and collective responsibility: a lesson from the Smallpox outbreak in Moscow in 1960. 2019冠状病毒病与集体责任:1960年莫斯科天花疫情的教训。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-28 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i32.5049

Yana G Grigoryan, Nikolay N Krylov

引用次数: 3

Ethical communication to patient & society: a critical responsibility in COVID-19 pandemic. 对患者和社会的道德沟通:COVID-19大流行的关键责任。

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-27 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i30.5047

Saptarshi Chatterjee

引用次数: 0

Heroes or cowards: healthcare workers' autonomy right versus patient care duties during the COVID-19 pandemic. 英雄还是懦夫:COVID-19大流行期间医护人员的自主权与患者护理义务

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-27 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i31.5048

Sina Azadnajafabad

引用次数: 2

Health lag: medical philosophy reflects on COVID-19 pandemic. 健康滞后:对新冠肺炎大流行的医学哲学思考

IF 1

Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-23 eCollection Date: 2020-01-01 DOI: 10.18502/jmehm.v13i28.5045

Alireza Monajemi, Hamidreza Namazi

{"title":"Health lag: medical philosophy reflects on COVID-19 pandemic.","authors":"Alireza Monajemi, Hamidreza Namazi","doi":"10.18502/jmehm.v13i28.5045","DOIUrl":"https://doi.org/10.18502/jmehm.v13i28.5045","url":null,"abstract":"In this paper, we reflect on the COVID-19 pandemic based on medical philosophy. A critical examination of the Corona crisis uncovers that in order to understand and explain the unpreparedness of the health systems, we need a new conceptual framework. This helps us to look at this phenomenon in a new way, address new problems, and come up with creative solutions. Our proposal is that \"health lag\" is a concept that could help frame and explain this unpreparedness and unreadiness. The term \"health lag\" refers to the failure of health systems to keep up with clinical medicine. In other words, health issues in most situations fall behind clinical medicine, leading to social, cultural, and economic problems. In the first step to define health lag, we have to explain the distinction between clinical medicine and health and address the role of individual health, public health, and epidemic in this dichotomy. Thereafter, the reasons behind health lag will be analyzed in three levels: theoretical, practical, and institutional. In the third step, we will point out the most important consequences of health lag: the medicalization of health, the inconsistency of biopolitics, inadequate ethical frameworks, and public sphere vulnerabilities. Finally, we try to come up with a set of recommendations based on this philosophical-conceptual analysis.","PeriodicalId":45276,"journal":{"name":"Journal of Medical Ethics and History of Medicine","volume":"13 ","pages":"28"},"PeriodicalIF":1.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/57/JMEHM-13-28.PMC8141206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1