Journal of Bioethical Inquiry最新文献

Attitudes of Arab Family Caregivers in Israel Toward Robot-Delivered Care For ADL-Dependent (Activities of Daily Living-Dependent) Older People: Identifying Ethical and Social Issues.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-04-09 DOI: 10.1007/s11673-024-10414-3

Hanan AboJabel, Fareeda Abo-Rass

{"title":"Attitudes of Arab Family Caregivers in Israel Toward Robot-Delivered Care For ADL-Dependent (Activities of Daily Living-Dependent) Older People: Identifying Ethical and Social Issues.","authors":"Hanan AboJabel, Fareeda Abo-Rass","doi":"10.1007/s11673-024-10414-3","DOIUrl":"https://doi.org/10.1007/s11673-024-10414-3","url":null,"abstract":"Older people are often cared for by family caregivers who may experience a variety of challenges. Robots may be helpful. Understanding the attitudes of family caregivers in this context is essential as they are a major factor in robot use. To date, most studies on family caregivers ' attitudes toward robot assistance in elder care have been conducted in East Asian or Western societies, but as such perceptions are affected by culture, in the present study, we investigated the attitudes of Arab family caregivers in Israel. Semi-structured interviews were conducted with twenty Arab family caregivers who provide care to ADL (activities of daily living)-dependent older people. All participants were Muslim and adult children of a person requiring care. The majority (75 per cent) were women, and the average age was fifty-one. Analysis of the interviews revealed two main themes: (1) Attitudes: Most participants strongly objected to the assistance of a robot in caring for older people, and perceived it as a violation of family values; and (2) Reasons for attitudes: Participants preferred human care over robot care due to concerns previously documented among other populations regarding system malfunctions, the risk of loneliness, and lack of technological literacy. We also identified a unique factor: the family 's moral obligation to care for older people. The absolute opposition of family members to the use of a robot in the care of older people requires the development of intervention programmes to increase technological literacy among family caregivers and reduce negative attitudes. These programmes need to address the opportunities and risks associated with the use of robots, and how these risks can be avoided.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Bioethics: Changing the World or Thinking About It? 生物伦理学：改变世界还是思考世界？

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-04-01 DOI: 10.1007/s11673-025-10446-3

Michael A Ashby

引用次数: 0

Lead Essay-Ethics in Geopolitical Conflicts: The First Casualty.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-03-14 DOI: 10.1007/s11673-025-10445-4

Paul A Komesaroff, Michael Ashby, Ian Kerridge

引用次数: 0

Justice Before Pluriversality-A Response to Jecker et al.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-03-14 DOI: 10.1007/s11673-025-10444-5

Zohar Lederman

引用次数: 0

Soldier Enhancement, Consent, and Long-Term Care: The Super Soldier Perspective.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-03-13 DOI: 10.1007/s11673-024-10397-1

Jovana Davidovic, Forrest S Crowell

引用次数: 0

Against a Pluriversal Approach in Global Bioethics. 反对全球生物伦理学中的多元方法。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-03-12 DOI: 10.1007/s11673-025-10434-7

Simon Lucas

引用次数: 0

Is it Genocide? : Gaza, Ukraine, and Other Crimes Against Humanity.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-02-28 DOI: 10.1007/s11673-024-10411-6

Paul James

引用次数: 0

An Ethics of Care, Relational Suffering, and Contested Invisible Disability.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-02-13 DOI: 10.1007/s11673-024-10416-1

Téa Christopoulos, Elizabeth Peter

{"title":"An Ethics of Care, Relational Suffering, and Contested Invisible Disability.","authors":"Téa Christopoulos, Elizabeth Peter","doi":"10.1007/s11673-024-10416-1","DOIUrl":"https://doi.org/10.1007/s11673-024-10416-1","url":null,"abstract":"Suffering is an elusive aspect of healthcare, erroneously assumed to be located solely within the patient in the clinical encounter-an assumption that fails to acknowledge the pervasiveness of suffering endured by the physician. This flawed perception is morally problematic in the context of treating contested invisible disabilities (CIDs), which are often associated with medical ambiguity and uncertainty. In this paper, we argue for a relational reconceptualization of suffering in the context of CID to promote more effective care and improved physician-patient relationships. We propose, through the lens of an ethics of care, that a relational ontology of suffering makes salient certain aspects of patient-physician relationships that co-produce suffering, such as professional incompetence, empathetic distress, and epistemic and hermeneutic injustice, rendering the experience of having and treating a CID more visible. We then discuss the important implications of this understanding for this invisibly disabled identity and the therapeutic alliance between physician and patient and explore the potential of narrative-based medicine to better equip physicians with the knowledge, guidance, and skill to fulfil their ethical responsibility to care for and respond to not only the suffering of this population, but their own suffering as well.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The New Organization of Ethics Committees in Italy: What is the Future of Clinical Ethics?

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-02-13 DOI: 10.1007/s11673-024-10389-1

Pietro Refolo, Costanza Raimondi, Dario Sacchini, Antonio Gioacchino Spagnolo

{"title":"The New Organization of Ethics Committees in Italy: What is the Future of Clinical Ethics?","authors":"Pietro Refolo, Costanza Raimondi, Dario Sacchini, Antonio Gioacchino Spagnolo","doi":"10.1007/s11673-024-10389-1","DOIUrl":"https://doi.org/10.1007/s11673-024-10389-1","url":null,"abstract":"Background: In Italy, clinical ethics is not well institutionalized. On February 7, 2023, the Italian Ministry of Health published four long-awaited decrees regarding the reorganization of ethics committees.Aim: The aim of this article is twofold: firstly, we aim to briefly summarize the development of clinical ethics in Italy from a legislative point of view; secondly, we aim to examine how Italian regions are implementing the part of the new decrees on the organization of ethics committees that concerns clinical ethics.Methods: As for the first aim, we conducted a critical interpretive review (CIR). The search was restricted to the opinions offered by the Italian National Bioethics Committee (CNB) and to the major Italian legislative decrees on the topic. Regarding the second aim, we conducted an online search through Regional Official Bulletins of each Italian region.Results: Our analysis showed that despite the recommendations from the CNB to differentiate Research Ethics Committees (RECs) and Clinical Ethics Committees (CECs), over the years legislative attention has mainly focused on RECs and pharmacological matters. The new decrees allow regions to be flexible in organizing their activities. However, it emerged that only four regions (Veneto, Friuli-Venezia Giulia, Puglia, Emilia-Romagna) have split the roles, while all the other regions have entrusted both roles to a single committee.Conclusion: The risk for Italy is to take a step backward in the development of clinical ethics. Possible solutions could be either making Local Ethics Committees (CELs) mandatory or institutionalizing Ethics Consultation services (ECSs).","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Biopolitics at the Nexus of Chronic and Infectious Diseases.

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-02-06 DOI: 10.1007/s11673-024-10405-4

N D Brantly

{"title":"Biopolitics at the Nexus of Chronic and Infectious Diseases.","authors":"N D Brantly","doi":"10.1007/s11673-024-10405-4","DOIUrl":"https://doi.org/10.1007/s11673-024-10405-4","url":null,"abstract":"Non-communicable (chronic) and communicable (infectious) diseases constitute the leading causes of death worldwide. They appear to impact populations in developed and developing nations differently with changing trends in the landscape of human conditions. Greater understanding of changing disease burdens should influence the planning of health programmes, the implementation of related interventions, and policymaking efforts on a national and global scale. However, the knowledge of disease burdens does not reflect how states and global health organizations prioritize their efforts in addressing them. This work aims to address the discrepancy in public health priority setting by improving our understanding of how the two disease categories impact the human condition. It reviews two case studies, COVID-19 and type 2 diabetes, as representative cases of an infectious and a chronic disease, respectively, to answer the following question. How does biopolitics, as the governance of human bodies, at the nexus of infectious and chronic disease, impact national and global public health priorities? This work contextualizes and reframes the relationship towards disease categories by focusing on three primary themes: risk, current public health interventions, and funding priorities for each case study analysed. It argues that the politics over life at the nexus of chronic and infectious diseases, best conceived as future-oriented economic optimization, directs the efforts of prioritization in healthcare based on risk and responsibility-based relationship between multiple stakeholders.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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