Hec Forum最新文献_第4页

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

On What Grounds? A Pilot Study of References Used in Clinical Ethics Consultation and Education. 依据是什么？临床伦理咨询和教育中使用的参考文献的试点研究。

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-05-31 DOI: 10.1007/s10730-024-09532-7

Kelly Turner, Abram Brummett, Erica Salter

{"title":"On What Grounds? A Pilot Study of References Used in Clinical Ethics Consultation and Education.","authors":"Kelly Turner, Abram Brummett, Erica Salter","doi":"10.1007/s10730-024-09532-7","DOIUrl":"https://doi.org/10.1007/s10730-024-09532-7","url":null,"abstract":"In accordance with standards published by the American Society for Bioethics and Humanities (ASBH), ethics consultants are expected to provide recommendations that align with scholarly literature, professional society statements, law, and policy. However, there are no studies to date that characterize the specific references that ethics consultants and educators use to inform their work. To address this gap, a convenience sample of clinical ethics consultants and educators was surveyed online through two major listservs for clinical ethics, the ASBH Clinical Ethics Consultation Affinity Group (CECAG) and the Association of Bioethics Program Directors (ABPD). Ninety-five ethics consultants and/or educators with diverse educational background, credentials, and experience provided responses. In total, 451 references, 315 of which were unique, were reported. These references were broken into 6 categories after analysis: bioethics literature (divided into articles and books), professional society documents (divided into professional society statements and codes of ethics), federal/state/uniform/case law, hospital/health system policies, official religious teachings, and other. We found extensive variation and minimal overlap in the references respondents used for ethics consultation and education, even when referring to the same topics. Future research directions should include conducting more systematic efforts to characterize the references used by ethics consultants across the US; determining whether demographic characteristics of consultants influence the references used; and ascertaining whether the variation in references used reflects genuine disagreements in consultants' and educators' bioethical analysis or recommendations.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179463","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

Against Anti-Abortion Violence. 反对反堕胎暴力。

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-05-14 DOI: 10.1007/s10730-024-09531-8

William Simkulet

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

Ritual and Power in Medicine: Questioning Honor Walks in Organ Donation 医学中的仪式与权力：质疑器官捐献中的荣誉之行

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-03-20 DOI: 10.1007/s10730-024-09525-6

引用次数: 0

Suppressing Scientific Discourse on Vaccines? Self-perceptions of researchers and practitioners. 压制关于疫苗的科学言论？研究人员和从业人员的自我认知

IF 1.5 4区哲学

Hec Forum Pub Date : 2024-03-01 Epub Date: 2022-05-19 DOI: 10.1007/s10730-022-09479-7

Ety Elisha, Josh Guetzkow, Yaffa Shir-Raz, Natti Ronel

{"title":"Suppressing Scientific Discourse on Vaccines? Self-perceptions of researchers and practitioners.","authors":"Ety Elisha, Josh Guetzkow, Yaffa Shir-Raz, Natti Ronel","doi":"10.1007/s10730-022-09479-7","DOIUrl":"10.1007/s10730-022-09479-7","url":null,"abstract":"The controversy over vaccines has recently intensified in the wake of the global COVID-19 pandemic, with calls from politicians, health professionals, journalists, and citizens to take harsh measures against so-called \"anti-vaxxers,\" while accusing them of spreading \"fake news\" and as such, of endangering public health. However, the issue of suppression of vaccine dissenters has rarely been studied from the point of view of those who raise concerns about vaccine safety. The purpose of the present study was to examine the subjective perceptions of professionals (physicians, nurses, researchers) involved with vaccines through practice and/or research and who take a critical view on vaccines, about what they perceive as the suppression of dissent in the field of vaccines, their response to it, and its potential implications on science and medicine. Respondents reported being subjected to a variety of censorship and suppression tactics, including the retraction of papers pointing to vaccine safety problems, negative publicity, difficulty in obtaining research funding, calls for dismissal, summonses to official hearings, suspension of medical licenses, and self-censorship. Respondents also reported on what has been termed a \"backfire effect\" - a counter-reaction that draws more attention to the opponents' position. Suppression of dissent impairs scientific discourse and research practice while creating the false impression of scientific consensus.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":"1 1","pages":"71-89"},"PeriodicalIF":1.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47995084","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

Clinical Ethics and Professional Integrity: A Comment on the ASBH Code 临床伦理与职业诚信：对《ASBH 守则》的评论

IF 1.5 4区哲学

Hec Forum Pub Date : 2023-12-21 DOI: 10.1007/s10730-023-09516-z

引用次数: 0