Journal of Bioethical Inquiry最新文献_第3页

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. 导论：地缘政治冲突中的伦理：首当其冲的受害者。

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

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Justice Before Pluriversality-A Response to Jecker et al. 正义先于多元化——对Jecker等人的回应。

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

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Soldier Enhancement, Consent, and Long-Term Care: The Super Soldier Perspective. 士兵的增强，同意和长期护理：超级士兵的观点。

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

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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. 是种族灭绝吗？：加沙、乌克兰和其他危害人类罪。

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. 关怀伦理，关系痛苦，和有争议的无形残疾。

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? 意大利伦理委员会的新组织：临床伦理的未来是什么？

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. 慢性和传染性疾病的生物政治学。

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

By Their Side, Not on Their Chest: Ethical Arguments to Allow Residential Aged Care Admission Policies to Forego Full Cardiac Resuscitation. 在他们身边，而不是在他们的胸前：允许住宅老年护理入院政策放弃全面心脏复苏的伦理争论。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-01-31 DOI: 10.1007/s11673-024-10401-8

J P Winters, E Hutchinson

{"title":"By Their Side, Not on Their Chest: Ethical Arguments to Allow Residential Aged Care Admission Policies to Forego Full Cardiac Resuscitation.","authors":"J P Winters, E Hutchinson","doi":"10.1007/s11673-024-10401-8","DOIUrl":"https://doi.org/10.1007/s11673-024-10401-8","url":null,"abstract":"We argue that Aged Residential Care (ARC) facilities should be allowed to create and adopt an informed \"No Chest Compression\" (NCC) policy. Potential residents are informed before admission that staff will not provide chest compressions to a pulseless resident. All residents would receive standard choking care, and a fully discussed advance directive would be utilized to determine if the resident wanted a one-minute trial of rescue breaths (to clear their airway) or utilization of the automatic defibrillator in case of arrest. The benefits of chest compressions for residents in ARC are dubious, and the burdens are high. For frail elderly people without a pulse, chest compressions are arguably unethical because the chance of benefit is minuscule, the procedure is violent, painful, and challenging to perform correctly, and procedures detract from a peaceful end of life. These burdens fall on residents, their families, ARC facilities providers, and society. We further argue that limitations on universal invasive resuscitation, such as advance directives, need to be more consistently sought and applied. The goals of an informed NCC policy are twofold: removing added suffering from a person's end-of-life experience and increasing ARC residents' understanding of the burdens of ineffective treatments for pulselessness.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069440","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