BMC Medical Ethics最新文献

{"title":"Family involvement in medical decision-making: examining the applicability of the legal framework in Flemish general practice through a vignette survey.","authors":"Flore Vermijs, Katrien Bombeke, Veerle Buffel, Hakki Demirkapu, Kristof Van Assche, Paul Van Royen, Marta Łotoczuk, Josefien van Olmen","doi":"10.1186/s12910-026-01381-y","DOIUrl":"10.1186/s12910-026-01381-y","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"28"},"PeriodicalIF":3.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-hospital cardiac arrest: a call for moral agency in modern medical practice.","authors":"Christina Louise Joerck, Alexander Sejr Skovbo Kristensen, Martin Holdgaard Lunding, Lars Grassmé Binderup, Lotte Huniche, Mette Aaby Smith, Søren Mikkelsen, Henriette Bruun","doi":"10.1186/s12910-026-01384-9","DOIUrl":"10.1186/s12910-026-01384-9","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"27"},"PeriodicalIF":3.1,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring ethical dilemmas in the care of pregnant women in Ghana: a case of \"maternal-foetal conflicts in a peri-urban hospital in Ghana\".","authors":"Zaid Haruna, Mary Amoakoh-Coleman","doi":"10.1186/s12910-025-01376-1","DOIUrl":"10.1186/s12910-025-01376-1","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"25"},"PeriodicalIF":3.1,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12911119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing satisfaction and performance of the CUREC electronic submission system.","authors":"Waraya Krisnoi, Issaree Khemakanaka, Peeraphon Lueboonthavatchai, Prida Tasanapradit, Raveenan Mingpakanee, Nuntaree Chaichanawongsaroj","doi":"10.1186/s12910-026-01379-6","DOIUrl":"10.1186/s12910-026-01379-6","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"26"},"PeriodicalIF":3.1,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital ethics committees: responsibilities, competencies and challenges.","authors":"Daniel Sperling, Israel Doron, Gila Yakov","doi":"10.1186/s12910-025-01365-4","DOIUrl":"10.1186/s12910-025-01365-4","url":null,"abstract":"<p><strong>Background: </strong>Hospital Ethics Committees (HECs) aim to address complex ethical dilemmas and provide ethical counselling and guidance in hospital and clinical setting. Despite their formal and legalistic authority in Israel, little is known about their actual practices, structure and perceived role by their members.</p><p><strong>Methods: </strong>This qualitative study employed Interpretative Phenomenological Analysis (IPA) to explore the lived experiences of HEC members in Israeli hospitals and the meaning they attach to their roles. Thirteen semi-structured interviews were conducted with committee chairs and members with diverse professional and institutional backgrounds in nine hospitals throughout the country. Data were analyzed using thematic coding to identify key patterns and insights.</p><p><strong>Results: </strong>Five major themes emerged: (1 Offering support through decisive means; (2) Committee composition, member characteristics and ethics training; (3) Common ethical issues discussed in the Ethics Committee; (4) Committee's decisional functioning; and (5) Committee's relationships with various entities, and the limitations of its operation.</p><p><strong>Conclusions: </strong>HECs in Israel serve a unique dual role as legal and ethical decision-making bodies. While they support clinicians and, to some extent, patients, their potential is hindered by systemic gaps in training, collaboration and engagement. Further research is recommended to explore patient experiences and evaluate committee effectiveness in advancing ethical clinical practice.</p>","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"24"},"PeriodicalIF":3.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: How to deal with the criterion of severe mental distress for late termination of pregnancy? A scoping literature review and a content analysis of clinical ethics consultations.","authors":"Charlotte Wetterauer, Jan Schürmann, Laura Winkler, Anna Lisa Westermair, Nikola Biller-Andorno, Sibil Tschudin, Gwendolin Manegold-Brauer, Manuel Trachsel","doi":"10.1186/s12910-025-01294-2","DOIUrl":"10.1186/s12910-025-01294-2","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":"27 1","pages":"8"},"PeriodicalIF":3.1,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12821865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of assent documents and supportive pediatric care practices: results from a national survey in Japan.","authors":"Ai Unzaki, Yuko Ohnuki, Mizuho Yamazaki Suzuki, Tomoari Mori, Kei Takeshita","doi":"10.1186/s12910-025-01375-2","DOIUrl":"10.1186/s12910-025-01375-2","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"23"},"PeriodicalIF":3.1,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating DNACPR decisions: a qualitative study of DNACPR factor variability and implementation among NHS Doctors.","authors":"Silan Fidan, Simon Cohn","doi":"10.1186/s12910-025-01286-2","DOIUrl":"10.1186/s12910-025-01286-2","url":null,"abstract":"<p><strong>Background: </strong>The ongoing absence of a national Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) policy means that there remains a lack of explicit guidance on how clinicians should select, measure and assess relevant factors when deciding whether to implement a DNACPR order. Although previous studies have raised this as a concern, this qualitative study explores the extent to which individual clinicians not only adopt personal strategies to assess patients, but also value having a degree of professional autonomy when making DNACPR decisions.</p><p><strong>Methods: </strong>Sixteen semi-structured interviews were conducted with National Health Service (NHS) clinicians via video calls. Participants were recruited via snowball sampling. Thematic analysis was conducted using an inductive approach. Initial codes were generated from the interview transcripts, which were then organised into overarching themes based on patterns and relationships identified across the coded data.</p><p><strong>Results: </strong>Four main groupings summarise the different considerations adopted by doctors when making DNACPR decisions: age, frailty, assessment of quality of life, and perceived outcome. However, whilst the same general areas for consideration were drawn on, the participating doctors nevertheless assessed them differently and often prioritised them in different ways. In the absence of explicit, standardised guidance for weighting these factors, decisions were often made on the basis of individual judgement and local convention.</p><p><strong>Conclusion: </strong>This study demonstrates that physician-level variation in DNACPR decision-making reflects the inherent tension clinicians experience when balancing individual patient needs with the absence of explicit, standardised guidance. The ability to make decisions on a case-by-case basis, with the freedom to weigh diverse factors in a nuanced way is an important aspect of clinical decision-making. However, this can lead to inadvertent bias if decisions are based on factors not necessarily supported by established evidence.</p><p><strong>Recommendations: </strong>Our findings highlight a clear need for a more robust and equitable framework for these critical conversations, whilst also enabling clinicians to be able to make case-by-case decisions. The development of a national DNAPR policy that integrates evidence-based data may help doctors select and weigh factors appropriately, and provide a framework for the initiation of DNACPR discussions. However, such a policy must nevertheless be sufficiently flexible to permit doctors the autonomy required to make nuanced decisions on the basis of a range of patient-specific contextual assessments. Our key recommendation, therefore, is that clinicians should be supported not only by improved procedures and processes, but also by confidence that their professional judgement is rooted in the most current clinical evidence.</p>","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"22"},"PeriodicalIF":3.1,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"War, ethics, and market presence: policy shifts of global pharmaceutical companies in Russia following the 2022 invasion of Ukraine.","authors":"Daniel J Hurst, Krisha Darji, Christopher A Bobier","doi":"10.1186/s12910-025-01360-9","DOIUrl":"10.1186/s12910-025-01360-9","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"20"},"PeriodicalIF":3.1,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Researcher awareness and submission practices to ethics committees in Saudi Arabia: a cross-sectional study.","authors":"Roaa S Bogdadi, Dr Nahid A Qushmaq, Eng Rahaf Al Hasheem, Dr Marivel M De Guzman, Wijdan A Baeshen, Sara M Aljeaid","doi":"10.1186/s12910-026-01382-x","DOIUrl":"10.1186/s12910-026-01382-x","url":null,"abstract":"","PeriodicalId":55348,"journal":{"name":"BMC Medical Ethics","volume":" ","pages":"21"},"PeriodicalIF":3.1,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}