Clinical Ethics最新文献_第7页

Does the light at the end of the tunnel shine for everyone? The need for early paediatric participation in vaccine trials during infectious pandemics. 隧道尽头的光明会照耀每个人吗?传染病大流行期间儿童早期参与疫苗试验的必要性。

Clinical Ethics Pub Date : 2022-12-01 DOI: 10.1177/14777509211036661

Erin M Kwolek

{"title":"Does the light at the end of the tunnel shine for everyone? The need for early paediatric participation in vaccine trials during infectious pandemics.","authors":"Erin M Kwolek","doi":"10.1177/14777509211036661","DOIUrl":"https://doi.org/10.1177/14777509211036661","url":null,"abstract":"While most of the mortality associated with severe acute respiratory syndrome coronavirus 2 has been in elderly populations and adults with significant medical comorbidities, there has been death and morbidity in paediatric populations. As vaccine trial data is released to the public, many people look to the future with hope ; with good vaccine uptake there is the opportunity to reduce the spread of infectious pandemics. Initial vaccine trials were completed with adults and were expanded to include paediatric populations delaying paediatric COVID-19 vaccine initiatives. The exclusion of children from initial vaccine trials during a pandemic is not morally justifiable and fosters distrust with the pharmaceutical and medical industries and inevitably postpones vaccinating children when there is a surplus of available vaccines. The delayed vaccination of children under twelve may have significant public health and economic consequences as there may be ongoing viral transmission in the context of reopening strategies. The safety and efficacy of these candidate vaccines in children should be assessed expeditiously so that distribution to vulnerable paediatric populations is not impacted. Vaccine uptake compliance in the general population is important in establishing herd immunity and ensuring that there is thorough scientific evidence to support vaccination for children is important in establishing community trust.","PeriodicalId":53540,"journal":{"name":"Clinical Ethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659690/pdf/10.1177_14777509211036661.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35210802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pandemic journey to prestige at nursing. 流行病之旅威望护理

Clinical Ethics Pub Date : 2022-12-01 DOI: 10.1177/14777509221091091

Nerıman Ozge Calıskan, Hayat Yalın, Fatma Eti Aslan

{"title":"Pandemic journey to prestige at nursing.","authors":"Nerıman Ozge Calıskan, Hayat Yalın, Fatma Eti Aslan","doi":"10.1177/14777509221091091","DOIUrl":"10.1177/14777509221091091","url":null,"abstract":"Respect, which is human virtue by its very nature, is a universal feeling and action. Prestige; it is expressed as being respected, valuable, and reliable. These intertwined concepts draw attention basically for nursing, in which interpersonal interactions stand out compared to other professions. Moreover, while continuing the services in a kind of mobilization environment during the pandemic process that we have been faced with since 11 March 2020 and will obviously be affected for a long time in our country, the most common sense and respectful perspectives and approaches are needed. Respectful actions and respectful practices which are also included in the scope of professional ethics are more strategically important as we experience such a mass and historical human experience in which each of us is responsible for each other's health. The reputation of nursing continues to be formed and differentiated with how this profession is perceived by members of the profession and society, influenced by various processes from past to present. In this article, the change/development of the reputation of the nursing profession during the COVID-19 pandemic period was discussed.","PeriodicalId":53540,"journal":{"name":"Clinical Ethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48739762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethical considerations and clinical trials during a pandemic: A blessing with a burden. 大流行期间的伦理考虑和临床试验:祝福与负担。

Clinical Ethics Pub Date : 2022-12-01 DOI: 10.1177/14777509211034138

Madhan Ramesh, Jehath Syed, Chalasani Sri Harsha

引用次数: 1

Bioethics after the COVID-19 pandemic: More research, fewer committees? COVID-19大流行后的生物伦理学:更多的研究，更少的委员会?

Clinical Ethics Pub Date : 2022-12-01 DOI: 10.1177/14777509221134243

Henri-Corto Stoeklé, Christian Hervé

引用次数: 0

We should not take abortion services for granted 我们不应该认为堕胎服务是理所当然的

Clinical Ethics Pub Date : 2022-11-20 DOI: 10.1177/14777509221140746

N. Emmerich

引用次数: 0

Ethical challenges in clinical studies with adaptive design in oncology 肿瘤学适应性设计临床研究中的伦理挑战

Clinical Ethics Pub Date : 2022-11-17 DOI: 10.1177/14777509221133974

N. Paul, Hamideh Mahdiani

引用次数: 0

Ethical reflections on how health professionals should answer the Question: What would you do if this were your family member? 关于健康专业人员应该如何回答这个问题的伦理思考:如果这是你的家人，你会怎么做?

Clinical Ethics Pub Date : 2022-11-15 DOI: 10.1177/14777509221138752

A. Asai, M. Fukuyama, M. Ohnishi

{"title":"Ethical reflections on how health professionals should answer the Question: What would you do if this were your family member?","authors":"A. Asai, M. Fukuyama, M. Ohnishi","doi":"10.1177/14777509221138752","DOIUrl":"https://doi.org/10.1177/14777509221138752","url":null,"abstract":"Patient families sometimes ask health professionals, ‘What would you do if this were your family member?’ The purpose of this paper is to examine appropriate responses to this Question. Health professionals may say, ‘It all depends on the patient's wishes’, or ‘I don't know what is best, because my family is different from yours in many ways’. Some may believe that the most favourable course of action is the same regardless of who the patient is and explain this to the patient's family, while others may refuse to answer the Question saying it is personal, or argue that such a Question should neither be asked nor answered because it is unreasonable and unprofessional to do so. We believe that, in principle, health professionals should give an honest answer as to what they would do if the patient was their family member, recognising and empathising with the fact that the patient's family is in a difficult and vulnerable position, and that their circumstances forced them to ask such a Question. Moreover, personal and emotional views of health professionals regarding treatment options may help the patient's family make important decisions. An honest answer will help strengthen the trusting relationship between health professionals and the patient's family and support their decision-making.","PeriodicalId":53540,"journal":{"name":"Clinical Ethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43454457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why algorithmic speed can be more important than algorithmic accuracy 为什么算法速度比算法精度更重要

Clinical Ethics Pub Date : 2022-11-13 DOI: 10.1177/14777509221138750

J. Mainz, L. Munch, Jens Christian Bjerring, Sissel Godtfredsen

引用次数: 1

Some desiderata for a taxonomy of conscientious objection in health care: A reply to Gamble and Saad 一些人希望对医疗保健中的良心反对进行分类:对甘布尔和萨阿德的回复

Clinical Ethics Pub Date : 2022-11-13 DOI: 10.1177/14777509221138746

Michael Robinson, Jeffrey Byrnes

引用次数: 0

Ethical challenges in clinical practice during the COVID-19 pandemic in an academic healthcare institution in Malaysia: A qualitative study 马来西亚一家学术医疗机构在COVID-19大流行期间临床实践中的伦理挑战:一项定性研究

Clinical Ethics Pub Date : 2022-10-22 DOI: 10.1177/14777509221134499

S. Kaur, Mark Tan Kiak Min, S. Ng, C. Ng

{"title":"Ethical challenges in clinical practice during the COVID-19 pandemic in an academic healthcare institution in Malaysia: A qualitative study","authors":"S. Kaur, Mark Tan Kiak Min, S. Ng, C. Ng","doi":"10.1177/14777509221134499","DOIUrl":"https://doi.org/10.1177/14777509221134499","url":null,"abstract":"Background Healthcare professionals (HCPs) face a myriad of ethical challenges during the coronavirus disease 2019 (COVID-19) pandemic. However, there is limited literature examining the ethical challenges faced by HCPs in low- and medium-income countries. The research was designed to explore the ethical challenges experienced by HCPs in a Malaysian hospital setting during the pandemic. Methods Semistructured interviews were conducted via video calls with 10 Malaysian HCPs across different clinical disciplines involved in managing patients diagnosed with COVID-19 infections. The calls were audio-recorded, transcribed verbatim and checked. Thematic analysis with constant comparison across transcripts was carried out to identify categories and themes. Results Three main themes emerged. Firstly, there was deprioritisation of care for non-COVID-19 patients resulting from resource limitations. HCPs raised concerns that there was curtailed access to various healthcare services by non-COVID-19 patients. There was also a trade-off between protecting individual patient safety and public health interests. Secondly, patients were disempowered from decision-making; the decision to segregate suspected COVID-19 patients to high-risk areas without seeking patients’ approval may result in an increased risk of infection. Lastly, HCPs expressed internal conflicts when balancing the professional duty of care against concerns about contracting COVID-19 and spreading it to their family members. Conclusion The study highlighted ethical issues faced by HCPs in Malaysia during the pandemic. It underscores the need for clinical ethics consultation services in hospitals to navigate the various ethical dilemmas.","PeriodicalId":53540,"journal":{"name":"Clinical Ethics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42898280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0