Hec Forum最新文献_第4页

East-West Dialogues on the Ethics of Sex Robots. 关于性爱机器人伦理的东西方对话。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-09-01 Epub Date: 2023-06-02 DOI: 10.1007/s10730-023-09507-0

Benedict S B Chan

引用次数: 0

Evaluation of Interventions to Address Moral Distress: A Multi-method Approach. 评估解决道德压力的干预措施：采用多种方法。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-09-01 Epub Date: 2023-07-10 DOI: 10.1007/s10730-023-09508-z

Lucia D Wocial, Genina Miller, Kianna Montz, Michelle LaPradd, James E Slaven

{"title":"Evaluation of Interventions to Address Moral Distress: A Multi-method Approach.","authors":"Lucia D Wocial, Genina Miller, Kianna Montz, Michelle LaPradd, James E Slaven","doi":"10.1007/s10730-023-09508-z","DOIUrl":"10.1007/s10730-023-09508-z","url":null,"abstract":"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 understanding of intervention effectiveness. The purpose of this study was to measure and describe the impact of a two-phased intervention on participants' moral distress. Using a cross-over design, the project aimed to determine if the intervention would decrease moral distress, enhance moral agency, and improve perceptions about the work environment. We used quantitative instruments and explored participants' perceptions of the intervention using semi-structured interviews. Participants were from inpatient settings, within three major hospitals of a large, urban healthcare system in the Midwest, United States. Participants included nurses (80.6%) and other clinical care providers. Using generalized linear mixed modeling we assessed the change in each of the outcome variables over time controlling for groups. Interviews were audiotaped and professionally transcribed. The written narratives were coded into themes. The change in scores on study instruments trended in the desired direction however did not meet statistical significance. Qualitative interviews revealed that intervention effectiveness was derived from a combination of learning benefits, psychological benefits, and building community that promoted moral agency. Findings demonstrate a clear link between moral distress and moral agency and suggest that Facilitated Ethics Conversations can enhance the work environment. Findings provide insight for developing evidenced-based approaches to address moral distress of hospital nurses.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"373-401"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10335998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

It's Worth What You Can Sell It for: A Survey of Employment and Compensation Models for Clinical Ethicists. 能卖多少钱就值多少钱：临床伦理学家就业和薪酬模式调查》。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-09-01 Epub Date: 2023-08-05 DOI: 10.1007/s10730-023-09509-y

Jason Adam Wasserman, Abram Brummett, Mark Christopher Navin

{"title":"It's Worth What You Can Sell It for: A Survey of Employment and Compensation Models for Clinical Ethicists.","authors":"Jason Adam Wasserman, Abram Brummett, Mark Christopher Navin","doi":"10.1007/s10730-023-09509-y","DOIUrl":"10.1007/s10730-023-09509-y","url":null,"abstract":"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 professionalization of clinical ethics. This project uses self-reported data from healthcare ethics consultants to estimate compensation across different employment models. The average full-time annualized salary of respondents with a clinical doctorate is $188,310.08 (SD=$88,556.67), $146,134.85 (SD=$55,485.63) for those with a non-clinical doctorate, and $113,625.00 (SD=$35,872.96) for those with a masters as their highest degree. Pay differences across degree level and type were statistically significant (F = 3.43; p < .05). In a multivariate model, there is an average increase of $2,707.84 for every additional year of experience, controlling for having a clinical doctorate (ß=0.454; p < .01). Our results also show high variability in the backgrounds and experiences of healthcare ethics consultants and a wide variety of employment models. The significant variation in employment and compensation models is likely to pose a challenge for the professionalization of healthcare ethics consultation.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"405-420"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10394016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The SIA Can't Just Go with the FLO. SIA 不能只是 "FLO"。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-09-01 Epub Date: 2023-07-13 DOI: 10.1007/s10730-023-09510-5

Joe Slater

{"title":"The SIA Can't Just Go with the FLO.","authors":"Joe Slater","doi":"10.1007/s10730-023-09510-5","DOIUrl":"10.1007/s10730-023-09510-5","url":null,"abstract":"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 recently been bolstered by several amendments from Blackshaw and Hendricks (2021a; 2021b). In this paper, three problems are presented for their Strengthened Impairment Argument (SIA). In the first, it is observed that even with the new modifications the argument, contrary to their insistence, does seem to depend on Marquis' argument. In order for it not to do so, they would need to provide some other plausible reason why impairing a fetus is wrong that persists in cases of abortion. Because of the restrictions regarding what reasons can be used, they are not entitled to stipulate that some plausible reason can be found. In the second section, the use of an over-ridingness caveat - the most recent modification - is scrutinised. This is shown to either beg the question about the permissibility of abortion by assuming that opposing reasons are insufficient in most cases, or require an entirely separate argument to establish that such reasons are insufficient. Thirdly, I observe that the principle utilised in the latest version of the argument fails to account for undercutting reason, which suggest that the principle, in its current form, is false.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"423-439"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9775128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Rare Disease Experiences Through the Concept of Morally Problematic Situations. 通过 "有道德问题的情况 "这一概念来理解罕见疾病的经历。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-09-01 Epub Date: 2023-07-29 DOI: 10.1007/s10730-023-09511-4

Ariane Quintal, Élissa Hotte, Caroline Hébert, Isabelle Carreau, Annie-Danielle Grenier, Yves Berthiaume, Eric Racine

{"title":"Understanding Rare Disease Experiences Through the Concept of Morally Problematic Situations.","authors":"Ariane Quintal, Élissa Hotte, Caroline Hébert, Isabelle Carreau, Annie-Danielle Grenier, Yves Berthiaume, Eric Racine","doi":"10.1007/s10730-023-09511-4","DOIUrl":"10.1007/s10730-023-09511-4","url":null,"abstract":"Rare diseases, defined as having a prevalence inferior to 1/2000, are poorly understood scientifically and medically. Appropriate diagnoses and treatments are scarce, adding to the burden of living with chronic medical conditions. The moral significance of rare disease experiences is often overlooked in qualitative studies conducted with adults living with rare diseases. The concept of morally problematic situations arising from pragmatist ethics shows promise in understanding these experiences. The objectives of this study were to (1) acquire an in-depth understanding of morally problematic situations experienced by adults living with rare diseases in the province of Québec and (2) to develop an integrative model of the concept of morally problematic situations. To this end, an online survey targeting this population was developed through a participatory action research project. Respondents provided 90 long testimonies on the most important morally problematic situations they faced, often in healthcare settings. An integrative model was developed based on various qualitative analyses of these testimonies and relevant literature. The integrative model showcases that morally problematic situations have causes (i.e., contextual and relational factors, personal factors, jeopardized valuations), have affective repercussions (i.e., emotions and feelings, internal tensions), prompt action (i.e., through empowerment strategies leading to the evolution of situations), and elicit outcomes (i.e., factual consequences, residual emotions and feelings, positive or negative resolutions). In sum, this study advances understanding of the moral experiences of adults living with rare diseases while proposing a comprehensive conceptual tool to guide future empirical bioethics research on moral experiences.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"441-478"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10247800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Democratizing Conscientious Refusal in Healthcare. 医疗保健领域良心拒绝的民主化。

IF 1.3 4区哲学

Hec Forum Pub Date : 2024-06-01 Epub Date: 2022-12-15 DOI: 10.1007/s10730-022-09502-x

David C Scott

{"title":"Democratizing Conscientious Refusal in Healthcare.","authors":"David C Scott","doi":"10.1007/s10730-022-09502-x","DOIUrl":"10.1007/s10730-022-09502-x","url":null,"abstract":"Settling the debate over conscientious refusal (CR) in liberal democracies requires us to develop a conception of the healthcare provider's moral role. Because CR claims and resulting policy changes take place in specific sociopolitical contexts with unique histories and diverse polities, the method we use for deriving the healthcare norms should itself be a democratic, context-dependent inquiry. To this end, I begin by describing some prerequisites-which I call publicity conditions-for any democratic account of healthcare norms that conflict or jibe with CR. Next, drawing on Ronald Dworkin's jurisprudence and Tom Beauchamp & James Childress's approach to bioethical reasoning, I briefly introduce one method for generating healthcare norms that is faithful to the publicity conditions and has potential to constructively, and democratically, derive important boundaries for CR. Finally, I argue that many critics of CR fail to similarly ground their accounts of healthcare norms in healthcare professionals' sociopolitical contexts, often relying instead on their own interpretation of a generally stateable healthcare norm. This leads to their misconstruing both the value judgments on which their own approaches rest and the public, political values that are often invoked in favor of CR.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"259-289"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9753870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10356500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Civility in Health Care: A Moral Imperative. 医疗保健中的文明礼貌：道德责任。

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-06-01 Epub Date: 2022-12-22 DOI: 10.1007/s10730-022-09501-y

Joel M Geiderman, John C Moskop, Catherine A Marco, Raquel M Schears, Arthur R Derse

引用次数: 0

Islamic Jurisprudence on Harm Versus Harm Scenarios in Medical Confidentiality. 关于医疗保密中伤害与伤害情景的伊斯兰法理学。

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-06-01 Epub Date: 2023-01-07 DOI: 10.1007/s10730-022-09503-w

Sayyed Mohamed Muhsin

引用次数: 0

Prognostic Disclosure to Dying Adolescents Against Parental Wishes: A Point-Counter Point Debate 违背父母意愿向临终青少年披露预后信息：观点对观点的辩论

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-04-26 DOI: 10.1007/s10730-024-09526-5

Mariah K. Tanious, Grant Goodrich, Virginia Pedigo, Shelly Ozark, Joshua Arenth

引用次数: 0

Professionalization of Clinical Ethics Consultants: A Need for Liability Protection? 临床伦理顾问的专业化：责任保护的必要性？

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-04-23 DOI: 10.1007/s10730-024-09527-4

Claudia R. Sotomayor, Christopher Spevak, Edward R. Grant

{"title":"Professionalization of Clinical Ethics Consultants: A Need for Liability Protection?","authors":"Claudia R. Sotomayor, Christopher Spevak, Edward R. Grant","doi":"10.1007/s10730-024-09527-4","DOIUrl":"https://doi.org/10.1007/s10730-024-09527-4","url":null,"abstract":"Clinical Ethics Consultation (CEC) has grown significantly in the last decade, and efforts are being made to professionalize the practice. The American Society for Bioethics and Humanities (ASBH) has been instrumental in this process, having published the Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants and founded and endorsed the creation of the Healthcare Ethics Consultant Certified (HCEC) Certification Commission. The ASBH also published “core competencies” for healthcare ethics consultants and has delineated a clear identity and role of such consultants distinct from that other healthcare professionals. In addition, more enter the field armed with advanced degrees (MA and PhD) or certification in clinical ethics consultation. While some have questioned the trend toward professionalization, the momentum is clearly in its favor. This paper explores three questions: Does the professionalization of healthcare ethics consultation expose those engaged in the field to the types of liability claims faced by professionals in other fields? What specific liabilities could affect a healthcare ethics consultant? And finally, what should healthcare ethics consultants do to protect themselves against liability claims? We conclude that while the risk of liability remains low, those engaged in the field should accept that risk just as part of their status as professionals and, like those in allied professions, seek appropriate protection in the form of liability insurance.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"14 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140802499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0