Cambridge Quarterly of Healthcare Ethics最新文献_第2页

Bioethics transformed: 40 years of the value of life.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-06 DOI: 10.1017/S0963180124000549

David R Lawrence

引用次数: 0

Uterus Transplant: Bioethical and Biolegal Issues from Mexico.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-04 DOI: 10.1017/S0963180124000653

Elisa Constanza Calleja-Sordo, María de Jesús Medina-Arellano

引用次数: 0

Wounds and Vulnerabilities. The Participation of Special Operations Forces in Experimental Brain-Computer Interface Research.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-04 DOI: 10.1017/S096318012400063X

Anna M Gielas

{"title":"Wounds and Vulnerabilities. The Participation of Special Operations Forces in Experimental Brain-Computer Interface Research.","authors":"Anna M Gielas","doi":"10.1017/S096318012400063X","DOIUrl":"https://doi.org/10.1017/S096318012400063X","url":null,"abstract":"Brain-computer interfaces (BCIs) exemplify a dual-use neurotechnology with significant potential in both civilian and military contexts. While BCIs hold promise for treating neurological conditions such as spinal cord injuries and amyotrophic lateral sclerosis in the future, military decisionmakers in countries such as the United States and China also see their potential to enhance combat capabilities. Some predict that U.S. Special Operations Forces (SOF) will be early adopters of BCI enhancements. This article argues for a shift in focus: the U.S. Special Operations Command (SOCOM) should pursue translational research of medical BCIs for treating severely injured or ill SOF personnel. After two decades of continuous military engagement and on-going high-risk operations, SOF personnel face unique injury patterns, both physical and psychological, which BCI technology could help address. The article identifies six key medical applications of BCIs that could benefit wounded SOF members and discusses the ethical implications of involving SOF personnel in translational research related to these applications. Ultimately, the article challenges the traditional civilian-military divide in neurotechnology, arguing that by collaborating more closely with military stakeholders, scientists can not only help individuals with medical needs, including servicemembers, but also play a role in shaping the future military applications of BCI technology.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concept Mapping: An Innovative Approach to Clinical Case Analysis in an Undergraduate Medical Education Curriculum in Social Sciences, Humanities, Ethics, and Professionalism.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-02 DOI: 10.1017/S0963180124000380

Jeffrey T Berger, Dana Ribeiro Miller, Melissa Mooney

{"title":"Concept Mapping: An Innovative Approach to Clinical Case Analysis in an Undergraduate Medical Education Curriculum in Social Sciences, Humanities, Ethics, and Professionalism.","authors":"Jeffrey T Berger, Dana Ribeiro Miller, Melissa Mooney","doi":"10.1017/S0963180124000380","DOIUrl":"https://doi.org/10.1017/S0963180124000380","url":null,"abstract":"Although ethics is increasingly integrated in the curriculum of U.S. medical schools, it remains not well integrated with system issues, and social and structural contexts of illness. Moreover, ethical analysis is not often taught as a clinical skill. To address these issues, an outcomes driven course in Social Sciences, Humanities, Ethics and Professionalism (SHEP) was created. Within the course, a web-based concept mapping device, SHEP Case Analysis Tool (SCAT), was created which schematizes the structure and flow of clinical cases from diagnosis to treatment options, to shared decision making to outcome, and includes key stakeholders, influences, and structural features of the health system. In the course, each student analyzes a case in which they were directly involved using SCAT and presents their analysis to faculty and peers. This exercise 1) reinforces knowledge-based portions of the course pedagogy, 2) supports meta-cognition and critical thinking through concept mapping, 3) applies multidimensional analysis to identify ethical, social, and system issues that impact patient-care. 4) develops problem solving skills, 5) counters the hidden curriculum/support professional identity formation, and 6) develops skills in reflective discourse. This paper outlines the development and use of this concept mapping case analysis tool in an undergraduate medical education curriculum.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to Make Psychedelic-Assisted Therapy Safer.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-02 DOI: 10.1017/S0963180124000604

Daniel Villiger

引用次数: 0

Meeting our students where they are: An ethics certificate program for hospital ethics committees.

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-12-02 DOI: 10.1017/S0963180124000495

Mathew D Pauley, Jana M Craig, Alina Bennett, Angela G Villanueva, Mary Carol Barks, Thomas May

{"title":"Meeting our students where they are: An ethics certificate program for hospital ethics committees.","authors":"Mathew D Pauley, Jana M Craig, Alina Bennett, Angela G Villanueva, Mary Carol Barks, Thomas May","doi":"10.1017/S0963180124000495","DOIUrl":"https://doi.org/10.1017/S0963180124000495","url":null,"abstract":"To meet the specific education needs of ethics committee members (primarily full-time healthcare professionals), the Regional Ethics Department of Kaiser Permanente Northern California (KPNCAL) and Washington State University's Elson Floyd School of Medicine have partnered to create a one-academic year Medical Ethics Certificate Program. The mission-driven nature of the KPNCAL-WSU's Certificate Program was designed to be a low-cost, high-quality option for busy full-time practitioners who may not otherwise opt to pursue additional education.This article discusses the specific competency-focused methodologies and pedagogies adopted, as well as how the Certificate Program made permanent changes in response to the global pandemic. This article also discusses in detail one of the Program's signature features, its Practicum-an extensive simulated clinical ethics consultation placing students in the role of ethics consultant, facilitating a conflict between family members played by paid professional actors. This article concludes with survey data responses from Program alumni gathered as part of a quality study.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Roles of Understanding and Belief in Prognostic Awareness. 理解和信念在预后意识中的作用。

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-11-22 DOI: 10.1017/S0963180124000628

Alexander T Yahanda, Bryan A Sisk

{"title":"The Roles of Understanding and Belief in Prognostic Awareness.","authors":"Alexander T Yahanda, Bryan A Sisk","doi":"10.1017/S0963180124000628","DOIUrl":"https://doi.org/10.1017/S0963180124000628","url":null,"abstract":"Conventional understanding and research regarding prognostic understanding too often focuses on transmission of information. However, merely overcoming barriers to patient understanding may not be sufficient. In this article the authors provide a more nuanced understanding of prognostic awareness, using oncological care as an overarching example, and discuss factors that may lead to prognostic discordance between physicians and patients. We summarize the current literature and research and present a model developed by the authors to characterize barriers to prognostic awareness. Ultimately, multiple influences on prognostic understanding may impede acceptance by patients even when adequate transfer of information takes place. Physicians should improve how they transmit prognostic information, as this information may be processed in different ways. A model of misunderstandings in awareness, ranging from patient understanding to patient belief, may be useful to guide future discussions. Future decision-making studies should consider these many variables so that interventions may be created to address all aspects of the prognostic disclosure process.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Ethics and the Observant Jewish and Muslim Patient: Shared Theocentric Perspectives in Practice. 临床伦理与笃信犹太教和穆斯林的病人：在实践中共享以神论为中心的观点。

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-11-22 DOI: 10.1017/S0963180124000379

Fahmida Hossain, Ezra Gabbay, Joseph J Fins

引用次数: 0

Decreasing Perceived Moral Distress in Pediatrics Residents: A Pilot Study. 降低儿科住院医师的道德压力感：试点研究。

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-11-20 DOI: 10.1017/S0963180124000355

Allison N J Lyle, Angela Quain, Sara Ali, Zeynep N Inanc Salih

{"title":"Decreasing Perceived Moral Distress in Pediatrics Residents: A Pilot Study.","authors":"Allison N J Lyle, Angela Quain, Sara Ali, Zeynep N Inanc Salih","doi":"10.1017/S0963180124000355","DOIUrl":"https://doi.org/10.1017/S0963180124000355","url":null,"abstract":"Pediatric residents experience ethical dilemmas and moral distress during training. Few studies have identified meaningful methods in reducing moral distress in pediatric trainees. The authors aimed to determine how residents perceive ethics case discussions, whether such a program affects trainee ethics knowledge and perceived moral distress, and if residents' perceived moral distress changes before, during, and after a discussion series. Participants included pediatric residents in a single residency program. Five separate 1-hour sessions were presented over a 5-month period. Each session consisted of a case presentation by a resident developed under the guidance of an ethicist. Multidisciplinary services and content experts were present during sessions. Baseline, postsession, and final surveys were distributed to resident attendees. Open-ended responses were recorded. When comparing baseline and final responses, the only significance was increased preparedness to navigate ethical decisions (p = 0.004). A 10.2% decline was observed in perceived moral distress. An increase in ethics knowledge was observed. Residents favored case-based, multidisciplinary discussions. Residents desire more sessions, time for small-group discussions, and legal insight. Satisfaction was high with 90.7% of respondents feeling better prepared to address ethical concerns. Pediatric trainees desire case-based ethics training that incorporates small-group discussions and insight from multidisciplinary topic experts.","PeriodicalId":55300,"journal":{"name":"Cambridge Quarterly of Healthcare Ethics","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Intellectual Lightening": A Tribute to John Harris through a Collection of Memories, Imaginary Books, Fictional Reviews, and an Interview. "智慧之光"：通过回忆、想象书籍、小说评论和访谈集向约翰-哈里斯致敬。

IF 1.5 4区医学

Cambridge Quarterly of Healthcare Ethics Pub Date : 2024-11-20 DOI: 10.1017/S0963180124000574

Inez de Beaufort

引用次数: 0