Journal of Bioethical Inquiry最新文献_第6页

Complex Decision-Making in Paediatric Intensive Care: A Discussion Paper and Suggested Model. 儿科重症监护中的复杂决策：讨论文件和建议模式。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-10-04 DOI: 10.1007/s11673-024-10381-9

Melanie Jansen, Katie M Moynihan, Lisa S Taylor, Shreerupa Basu

{"title":"Complex Decision-Making in Paediatric Intensive Care: A Discussion Paper and Suggested Model.","authors":"Melanie Jansen, Katie M Moynihan, Lisa S Taylor, Shreerupa Basu","doi":"10.1007/s11673-024-10381-9","DOIUrl":"10.1007/s11673-024-10381-9","url":null,"abstract":"Paediatric Intensive Care Units (PICU) are complex interdisciplinary environments where challenging, high stakes decisions are frequently encountered. We assert that appropriate decisions are more likely to be made if the decision-making process is comprehensive, reasoned, and grounded in thoughtful deliberation. Strategies to overcome barriers to high quality decision-making including, cognitive and implicit bias, group think, inadequate information gathering, and poor quality deliberation should be incorporated. Several general frameworks for decision-making exist, but specific guidance is scarce. In this paper, we provide specific guidance on collaborative complex decision-making for PICUs. The proposed approach is on principles of procedural justice and pragmatic hermeneutics. The process encompasses set-up/planning, information gathering, question formulation, analysis (perspectives, values, and principles), action plan development, decision documentation, and a review and appeal mechanism. The process can be adapted to suit other clinical contexts. Research evaluating the process, exploring how best to develop education for clinicians, and how to build a culture that values high quality deliberation, is worthwhile.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"293-303"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373434","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 Instrumentalization of Public Health Issues for Propaganda by the Far-Right. 极右翼利用公共卫生问题进行宣传。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-10-02 DOI: 10.1007/s11673-024-10388-2

L Cordeiro-Rodrigues, D Landon Cole, D Duan

引用次数: 0

Ethical Dilemmas and Value Conflicts Experienced by Japanese Social Workers Supporting Older People. 日本养老社会工作者的伦理困境与价值冲突。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2025-06-12 DOI: 10.1007/s11673-025-10421-y

C Unozawa, M Tsuruwaka

{"title":"Ethical Dilemmas and Value Conflicts Experienced by Japanese Social Workers Supporting Older People.","authors":"C Unozawa, M Tsuruwaka","doi":"10.1007/s11673-025-10421-y","DOIUrl":"10.1007/s11673-025-10421-y","url":null,"abstract":"Background Social workers (SWs) who support older people encounter ethical dilemmas and experience value conflicts when working with other professionals while fulfilling their responsibilities. We explored these experiences by interviewing SWs engaged in care for older people in Japan. Methods We conducted a qualitative interview survey with a targeted sample, employing a narrative analysis method. The participants included twenty-one SWs (four male, seventeen female) employed across acute-care hospitals, convalescent rehabilitation hospitals, home healthcare, and nursing homes. Results SWs described experiences of ethical dilemmas in supporting older people due to conflicting obligations and value priorities. They highly prioritize understanding the life backgrounds and values of patients to be able to discharge their duty to advocate patient autonomy and promote the best interest of the patients. However, SWs faced ethical dilemmas due to their responsibility to the organization, conflicting obligations toward the patient's family versus the patient's wishes, and differing prioritized values compared with medical professionals who prioritize the patient's physical function. Additionally, the relationship between SWs and medical professionals poses challenges in addressing these ethical dilemmas. Conclusion It is crucial to appreciate the significance of individuals from diverse professions by comprehending their respective roles and specialties, fostering equitable relationships, and capitalizing on their distinct expertise through collaboration.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"441-456"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276502","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

Incarceration Postpartum: Is There a Right to Prison Nurseries? 产后监禁：是否有权使用监狱托儿所？

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-10-02 DOI: 10.1007/s11673-024-10390-8

M A Mitchell, S K Yeturu, J M Appel

{"title":"Incarceration Postpartum: Is There a Right to Prison Nurseries?","authors":"M A Mitchell, S K Yeturu, J M Appel","doi":"10.1007/s11673-024-10390-8","DOIUrl":"10.1007/s11673-024-10390-8","url":null,"abstract":"Rising rates of female incarceration within the United States are incompatible with the lack of federal standards outlining the rights of incarcerated mothers and their children. A robust body of evidence demonstrates that prison nurseries, programmes designed for mothers to keep their infants under their care during detainment or incarceration, provide essential and beneficial care that could not otherwise be achieved within the current carceral infrastructure. These benefits include facilitation of breastfeeding, bonding during a critical period of child development, and decreased recidivism rates for participants. Legal precedent exists to support the rights of the mother to continue to parent their child but remains in stark opposition to current prison infrastructure that could allow them to do so. Existing state policies also have inconsistent mechanisms for determining child eligibility and should move to centre decision-making on a case-by-case basis. This work will demonstrate that a just society, supported by law and ensuring maternal-child welfare supports the establishment of prison nursery programmes as a part of the existing right to healthcare for incarcerated individuals.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"305-312"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362446","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

"Expensive Sisters". "昂贵的姐妹

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-10-31 DOI: 10.1007/s11673-024-10393-5

Fawad Javed, Zain Uddin Ahmed

引用次数: 0

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. 以色列阿拉伯家庭看护者对机器人为依赖日常生活的老年人提供护理的态度：确定伦理和社会问题。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub 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":"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":"415-430"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263712/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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 : 2025-06-01 Epub Date: 2025-03-12 DOI: 10.1007/s11673-025-10434-7

Simon Lucas

引用次数: 0

Donation After Circulatory Death following Withdrawal of Life-Sustaining Treatments. Are We Ready to Break the Dead Donor Rule? 停止维持生命治疗后循环死亡的捐献。我们准备好打破死亡捐献者规则了吗？

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-09-05 DOI: 10.1007/s11673-024-10382-8

Sara Patuzzo Manzati, Antonella Galeone, Francesco Onorati, Giovanni Battista Luciani

{"title":"Donation After Circulatory Death following Withdrawal of Life-Sustaining Treatments. Are We Ready to Break the Dead Donor Rule?","authors":"Sara Patuzzo Manzati, Antonella Galeone, Francesco Onorati, Giovanni Battista Luciani","doi":"10.1007/s11673-024-10382-8","DOIUrl":"10.1007/s11673-024-10382-8","url":null,"abstract":"A fundamental criterion considered essential to deem the procedure of vital organ procurement for transplantation ethical is that the donor must be dead, as per the Dead Donor Rule (DDR). In the case of Donation after Circulatory Death (DCD), is the donor genuinely dead? The main aim of this article is to clarify this uncertainty, which primarily arises from the fact that in DCD, death is determined based on cardiac criteria (Circulatory Death, CD), rather than neurological criteria (Brain Death, BD), and that to allow the procurement procedure, physicians reperfuse the organs in an assisted manner. To ensure that the cessation of circulation leads to the irreversible loss of brain functions, DCD regulations require that physicians wait a certain period after CD before commencing vital organ procurement. However, during this \"no-touch period,\" the organs are at risk of damage, potentially rendering them unsuitable for transplantation. When DCD is performed on patients whose CD follows a Withdrawal of Life-Sustaining Treatment (WLST) (DCD Maastricht III category), how long should the no-touch period last? Does its existence really make sense? Does beginning the procedure of vital organ procurement immediately after WLST constitute a violation of the DDR that can be ethically justified? The discussion aims to provide arguments in support of the non-absoluteness of the DDR.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"257-264"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134319","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

A Historical Review on the Andalusian Physicians and the Treatment of Mental Health. 安达卢西亚医师与心理健康治疗的历史回顾。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2025-04-25 DOI: 10.1007/s11673-024-10412-5

H Alotaibi

{"title":"A Historical Review on the Andalusian Physicians and the Treatment of Mental Health.","authors":"H Alotaibi","doi":"10.1007/s11673-024-10412-5","DOIUrl":"10.1007/s11673-024-10412-5","url":null,"abstract":"Andalusian medicine, characterized by its holistic approach to healthcare, placed a unique emphasis on the interconnectedness of physical health, emotional well-being, and spiritual harmony. Eminent scholars, including physicians like Ibn Sina, Ibn al-Nafis, and Ibn Wafid, pioneered advancements in understanding mental disorders, the complexities of the human psyche, and the intricate relationship between the body and mind. One of the most enduring legacies of Andalusian contributions to mental health was the establishment of mental health hospitals, known as \"maristanes.\" These institutions, distinguished by their compassionate and patient-centred care, profoundly influenced the development of Western medicine, and laid the groundwork for the emergence of psychology as a scientific discipline. This paper goes through the intellectual tapestry of Andalusia during the historical era of Islamic governance, commonly known as the Andalusian Renaissance. Situated in the heart of the Iberian Peninsula, this period of remarkable intellectual convergence and cultural exchange is celebrated for its profound contributions to the field of mental health.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"431-440"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996142","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

Abortion Ban Advocates and Rape Exception. 堕胎禁令倡导者与强奸例外。

IF 1.8 3区哲学

Journal of Bioethical Inquiry Pub Date : 2025-06-01 Epub Date: 2024-09-24 DOI: 10.1007/s11673-024-10374-8

Ł Dominiak

{"title":"Abortion Ban Advocates and Rape Exception.","authors":"Ł Dominiak","doi":"10.1007/s11673-024-10374-8","DOIUrl":"10.1007/s11673-024-10374-8","url":null,"abstract":"The present paper argues that abortion ban advocates can justify an exception for rape. Recently, Blackshaw offered an interesting argument that if abortion ban advocates modified their position along the lines of Thomson's analysis of rights, they could make an exception for rape. However, doing so would require making concessions they would be unlikely to make, the crucial one being subscribing to an absurd view that abortion in the case of rape is permissible but only if it is performed in a certain way, that is, in a way that withdraws life support from the fetus. Agreeing first with Blackshaw's premises, we argue that the view in question is hardly absurd. Thus, relying on Boonin's acknowledgment that although very rare, a position according to which abortion should be legal but only if it is performed in a way that lets the fetus die rather than kills it is a possible position, we argue, first, that it is Blackshaw's position that is inconsistent, second, that since deontology sees permissibility of a given result as path-dependent, deontologically oriented abortion ban advocates should find the view in question appealing rather than absurd and, third, that although there are indeed scenarios in which withdrawing life support is morally equivalent to killing, extraction abortions in the case of rape are not amongst them. Since in the case of rape the fetus is not entitled to life support, extraction abortions are better classified as permissible non-omissive allowings than impermissible killings. Thus, there is nothing absurd in the view that abortion in the case of rape is permissible but only if it is performed in a certain way. Accordingly, adopting this view does not seem to be much of a concession for abortion ban advocates who can therefore make an exception for rape.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":"265-277"},"PeriodicalIF":1.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331568","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