Journal of Bioethical Inquiry最新文献_第5页

Reconciling Subsistence Emissions and Prevention in Environmentally Sustainable Healthcare. 在环境可持续的医疗保健中协调生存排放和预防。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-07-02 DOI: 10.1007/s11673-025-10517-5

Joshua Parker

{"title":"Reconciling Subsistence Emissions and Prevention in Environmentally Sustainable Healthcare.","authors":"Joshua Parker","doi":"10.1007/s11673-025-10517-5","DOIUrl":"10.1007/s11673-025-10517-5","url":null,"abstract":"With healthcare systems worldwide committing to reduce their greenhouse gas emissions, policymakers must navigate how to reconcile emissions reduction with the delivery of high-quality care. Two main distributive ideals have emerged to guide a just transition to decarbonized healthcare: subsistence emissions and prevention. The subsistence view holds that healthcare emissions that are necessary to meet a threshold of \"enough health\" are permissible, while emissions exceeding this threshold should be mitigated. The prevention approach, in contrast, prioritizes the most efficient uses of limited emissions through emphasizing measures to prevent the onset of illness and to promote healthy living. Although both frameworks aim to reconcile pursuing the goals of healthcare with reducing the sector's carbon footprint, their approaches to that end appear to conflict. Subsistence emissions tend to prioritize those below the threshold of enough health, whereas prevention focuses on maintaining health in the already relatively well off. As subsistence emissions offers a compelling strategy for decarbonizing healthcare fairly, the question arises: can it accommodate prevention? This paper argues that these two perspectives can be reconciled by detailing how a subsistence emissions approach can also endorse emissions for measures that prevent individuals from falling below a health threshold.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"715-727"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Role of Nurses in Advancing Healthcare Equity and Quality of Care : A Scoping Review. 护士在促进医疗公平和护理质量中的作用：范围审查。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2025-12-01 DOI: 10.1007/s11673-025-10506-8

Nour A Alrida

{"title":"The Role of Nurses in Advancing Healthcare Equity and Quality of Care : A Scoping Review.","authors":"Nour A Alrida","doi":"10.1007/s11673-025-10506-8","DOIUrl":"10.1007/s11673-025-10506-8","url":null,"abstract":"Health equity is a primary principle of healthcare delivery, aiming to ensure that all healthcare recipients have access to quality healthcare equally, regardless of their social, demographic, and economic characteristics. The current paper explores the role of nurses in advancing healthcare equity and quality of care. A scoping review was conducted to investigate the relevant international and national articles in major databases, including CINAHL, MEDLINE, Google Scholar, EBSCO, and SCOPUS, using relevant keywords such as \"Health Equity,\" \"Quality of Care,\" and \"Role of Nurses.\" The review highlighted that, as nurses are the frontline healthcare providers in diverse healthcare settings, their roles extend beyond routine healthcare to incorporate more advanced roles in health education, advocacy, and support services, significantly improving access, quality, and equity in healthcare. Several barriers and issues have limited nurses' impact in reducing disparities, but other strategies could be employed to address them. They include telehealth and school-based health centrer. Nursing professionals are in an exceptional position to be transformative in achieving health equity and delivering good quality and accessible healthcare to all individuals and communities.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"729-736"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145649623","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 Private Lives of Healthcare Professionals : Is Sex a Legitimate Regulatory Concern? 医疗保健专业人员的私生活：性是一个合法的监管问题吗？

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2025-12-08 DOI: 10.1007/s11673-025-10503-x

Nathan Emmerich

{"title":"The Private Lives of Healthcare Professionals : Is Sex a Legitimate Regulatory Concern?","authors":"Nathan Emmerich","doi":"10.1007/s11673-025-10503-x","DOIUrl":"10.1007/s11673-025-10503-x","url":null,"abstract":"This paper considers if certain sexual activities or practices can legitimately be thought of as raising concerns about an individual's professionalism and, therefore, as matters which fall within the purview of bodies which regulate healthcare professionals. There seems prima facie reason to think that healthcare professionals should be able to enjoy the same socio-political rights as anyone else. Given that this includes the right to privacy, then the suggestion that a professional regulator might legitimately concern themselves with the sex lives of those they regulate seems problematic on its face. However, some of the activities discussed are not entirely private matters. Equally, whilst the practices addressed are not unlawful, it is not unusual for them to be the subject of judgmental attitudes, prejudice, and stigma. Coupled with the fact that regulatory bodies are commonly charged with maintaining public trust and confidence it may be that there is some reason to consider the kinds of activities discussed with regard to the professionalism of those who engage in them. Nevertheless, one might question the legitimacy of impugning an individual's professionalism on the basis of intolerance, and whilst I note that there may be a need for empirical research into public opinion, this essay concludes that the distinction between the personal and professional should be maintained. Assuming that it is conducted within the bounds of the law, the sex lives of healthcare professionals should not draw the attention of professional regulators.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"515-524"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702819","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

Recognition and Perception of Registered Lebanese Midwives Regarding Ethical Dilemmas. 对黎巴嫩注册助产士关于道德困境的认识和看法。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2025-12-08 DOI: 10.1007/s11673-025-10486-9

Yasmine Choucair, Ali Kanso, Grace Ziade, Lubna Tarabey, Fadi Abou-Mrad

{"title":"Recognition and Perception of Registered Lebanese Midwives Regarding Ethical Dilemmas.","authors":"Yasmine Choucair, Ali Kanso, Grace Ziade, Lubna Tarabey, Fadi Abou-Mrad","doi":"10.1007/s11673-025-10486-9","DOIUrl":"10.1007/s11673-025-10486-9","url":null,"abstract":"Introduction: Midwives are frequently confronted with ethical dilemmas and require guidance in addressing them. This study investigates Lebanese midwives' recognition of and perception of ethical dilemmas in clinical practice, examines influencing factors and explores the role of internal policies and ethics committees.Methods: Lebanese midwives who graduated between 2017 and 2021 and were registered in the Lebanese Order of Midwives participated in this qualitative and quantitative survey. In September 2022, three online focus groups were held via Zoom with sixteen participants answering validated questions. A quantitative survey was carried out Between October and December 2022.Results: A total of 147 midwives completed the questionnaire. The most frequently reported ethical dilemmas involved disagreements within the team and with patients or families, followed by challenges related to patient autonomy. Among the ethical dilemmas studied, disagreement with patient or family, patient autonomy, and restrictive and hierarchical institutional regulations were found to be significantly associated with the support person sought by the midwives (p = 0.015, p = 0.037, and p = 0.045, respectively). The presence of an ethics committee was significantly associated with reliance on \"moral perception and judgement\" as a means of coping with ethical challenges (p < 0.001).Conclusion: Lebanese midwives regularly face ethical dilemmas, notably disagreements and patient autonomy issues. The presence of an ethics committee significantly aids their moral judgement, highlighting the need for institutional structures that guide ethical practice.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"537-552"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702902","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

Further Developments to Strengthen Regulation and Enforcement against Illicit Tobacco Trade in Australia. 加强澳大利亚对非法烟草贸易的管制和执法的进一步发展。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-10-05 DOI: 10.1007/s11673-026-10648-3

Michaela Estelle Okninski, Cheneal Puljević, Coral Gartner

引用次数: 0

Is Australia Ethically Justified in Implementing a Sugar-Sweetened Beverages (SSB) Tax? 澳大利亚对含糖饮料（SSB）征税是否合乎道德？

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2025-11-10 DOI: 10.1007/s11673-025-10508-6

Jerry Luo

引用次数: 0

Should Australia Adopt a Groningen Like Protocol? 澳大利亚应该采用格罗宁根式协议吗？

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2025-11-26 DOI: 10.1007/s11673-025-10498-5

Kerstin Knight

引用次数: 0

Misattributed Paternity: Why Truth Must be Pursued. 错误的父亲身份：为什么必须追求真相。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-10-02 DOI: 10.1007/s11673-026-10641-w

Richard Wenzel

引用次数: 0

Eco-Bio-Communitarianism and Its Application to Clinical Research, Global Health, Biotechnology, and Environmental Protection. 生态-生物社群主义及其在临床研究、全球健康、生物技术和环境保护中的应用。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-02-23 DOI: 10.1007/s11673-025-10509-5

N S Munung, G B Tangwa

{"title":"Eco-Bio-Communitarianism and Its Application to Clinical Research, Global Health, Biotechnology, and Environmental Protection.","authors":"N S Munung, G B Tangwa","doi":"10.1007/s11673-025-10509-5","DOIUrl":"10.1007/s11673-025-10509-5","url":null,"abstract":"As the world grapples with escalating global health and environmental crises, existing Western bioethics frameworks tend to fall short in addressing the complex interdependencies between human, animal, and ecological health, as well as the diverse cultural and belief systems in many parts of the world. Eco-bio-communitarianism, a bioethics framework informed by an African indigenous worldview, provides a commonsensical, practical, and comprehensive approach that can bring about positive change in global and public health. The framework promotes the principles of planetary kinship, relational interdependence, non-anthropocentricity, eco-bio-centricity, and cosmic humility. Unlike mainstream bioethics, which is frequently driven by individual autonomy and biomedical reductionism, eco-bio-communitarianism situates health within a broader moral ecology that recognizes the interconnectedness of all life forms, including humans, non-human species, ecosystems, and cultures. This paper showcases the practical application and utility of eco-bio-communitarianism through a series of case studies addressing and examining zoonotic disease management, biotechnology governance, and gene therapy. Far from dismissing Western bioethics models, eco-bio-communitarianism invites a pluralistic and decolonial expansion of global bioethics, one that respects cultural specificities and advances ecological responsibility and relational justice, while urging public health practitioners, policymakers, and global health actors to embrace a more inclusive, relational, and culturally attuned perspective to global health and the biomedical sciences.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"593-604"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Responsibility Beyond the Black Box: A Medical Student's Reading of Giubilini's Paper "It Is Not About AI, It's About Humans". 黑箱之外的责任：一名医学生阅读Giubilini的论文“这不是关于人工智能，而是关于人类”。

IF 2.1 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-09-01 Epub Date: 2026-05-20 DOI: 10.1007/s11673-026-10566-4

Anna-Katharina Große

引用次数: 0