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JONA'S healthcare law, ethics and regulation最新文献

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Toward an ethical eugenics: the case for mandatory preimplantation genetic selection. 走向伦理优生学:强制植入前遗传选择的案例。
JONA'S healthcare law, ethics and regulation Pub Date : 2012-01-01 DOI: 10.1097/NHL.0b013e318244c69b
Jacob M Appel
{"title":"Toward an ethical eugenics: the case for mandatory preimplantation genetic selection.","authors":"Jacob M Appel","doi":"10.1097/NHL.0b013e318244c69b","DOIUrl":"https://doi.org/10.1097/NHL.0b013e318244c69b","url":null,"abstract":"<p><p>Preimplantation genetic diagnosis offers the possibility of screening and terminating embryos with severe and life-threatening disabilities. This article argues that under certain conditions, the use of this technology is not merely desirable as a means to reduce human suffering but also an ethically required duty of a parent to a potential child.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"14 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e318244c69b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487197","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: 5
Practice patterns of licensed practical nurses in North Carolina. 北卡罗来纳州执业护士的执业模式。
JONA'S healthcare law, ethics and regulation Pub Date : 2012-01-01 DOI: 10.1097/NHL.0b013e31824768d0
Elizabeth R Parnell, Daria L Kring
{"title":"Practice patterns of licensed practical nurses in North Carolina.","authors":"Elizabeth R Parnell,&nbsp;Daria L Kring","doi":"10.1097/NHL.0b013e31824768d0","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31824768d0","url":null,"abstract":"<p><p> In the United States, state laws develop basic practices to define the scopes of practice for registered nurses and licensed practical nurses (LPNs). The purpose of the study was to describe the actual practice patterns of LPNs working in North Carolina. The results of the study convey an unfavorable pattern regarding LPN scope of practice. Indications are that a paradigm shift might be required in order to reverse the pattern of overpractice by LPNs.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"14 1","pages":"14-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31824768d0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487199","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: 3
Living kidney donor advocacy program: a quality improvement project. 活体肾脏捐赠者倡导项目:质量改善项目。
JONA'S healthcare law, ethics and regulation Pub Date : 2012-01-01 DOI: 10.1097/NHL.0b013e318247689b
Marcia Sue Dewolf Bosek, Isabelle L Sargeant
{"title":"Living kidney donor advocacy program: a quality improvement project.","authors":"Marcia Sue Dewolf Bosek,&nbsp;Isabelle L Sargeant","doi":"10.1097/NHL.0b013e318247689b","DOIUrl":"https://doi.org/10.1097/NHL.0b013e318247689b","url":null,"abstract":"<p><strong>Objective: </strong>: In 2007, the Centers for Medicare & Medicaid Services mandated that kidney transplant programs establish a living donor advocate program to ensure safe care and support for living organ donors. This quality improvement project assessed the impact of establishing a living donor advocate program and identified the ethical commitments and threats living kidney donors perceive throughout the donation process.</p><p><strong>Method: </strong>: This quality improvement project reflects a mixed-methods methodology. Qualitative as well as quantitative data were generated through the donor-advocate consultation sessions and the written Living Donor Satisfaction Survey. Thirteen living donors participated.</p><p><strong>Results: </strong>: No threats to donor rights were identified by either the donor or the advocate. Nonrelated donors were motivated by altruism, whereas related donors were motivated by a sense of family. A majority of donors reported being changed emotionally and spiritually by the act of serving as a living donor. The living kidney donors were overwhelmingly extremely satisfied with their decision to donate and perceived the living donor advocacy program as being very good.</p><p><strong>Discussion: </strong>: Questions have been raised about what role the donor's spouse should have during the informed consent process. Further research is needed to better understand the role and power of an advocate when threats to the donor's rights are noted.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"14 1","pages":"19-26; quiz 27-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e318247689b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487200","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: 4
Living kidney donor advocacy program: a quality improvement project. 活体肾脏捐赠者倡导项目:质量改善项目。
JONA'S healthcare law, ethics and regulation Pub Date : 2012-01-01 DOI: 10.1097/NHL.0b013e31824c9995
{"title":"Living kidney donor advocacy program: a quality improvement project.","authors":"","doi":"10.1097/NHL.0b013e31824c9995","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31824c9995","url":null,"abstract":"","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"14 1","pages":"27-8"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31824c9995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487202","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: 1
Ethical climates in for-profit, nonprofit, and government skilled nursing facilities: managerial implications for partnerships. 营利性、非营利性和政府专业护理机构的道德氛围:合作关系的管理含义。
JONA'S healthcare law, ethics and regulation Pub Date : 2011-10-01 DOI: 10.1097/NHL.0b013e31823b6835
Anna A Filipova
{"title":"Ethical climates in for-profit, nonprofit, and government skilled nursing facilities: managerial implications for partnerships.","authors":"Anna A Filipova","doi":"10.1097/NHL.0b013e31823b6835","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31823b6835","url":null,"abstract":"<p><p>This study investigates ethical climates in government, nonprofit, and for-profit nursing homes and determines their similarities and differences. Surveys were collected from 656 (21.4%) licensed nurses who worked in 100 skilled nursing facilities in one Midwestern state. Shared law and code and caring ethical climates were identified across the 3 sector nursing homes. Those climates were also polarized. Important implications were drawn for consideration of ethical perceptions of each sector during negotiations and contract management.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 4","pages":"125-31; quiz 132-3"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31823b6835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30288396","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: 8
This issue's CEU feature. 本期的CEU功能。
JONA'S healthcare law, ethics and regulation Pub Date : 2011-10-01 DOI: 10.1097/NHL.0b013e3182413868
Rebecca F Cady
{"title":"This issue's CEU feature.","authors":"Rebecca F Cady","doi":"10.1097/NHL.0b013e3182413868","DOIUrl":"https://doi.org/10.1097/NHL.0b013e3182413868","url":null,"abstract":"","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 4","pages":"93"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e3182413868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30287914","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
Is it ethical for a medical practice to dismiss a family based on their decision not to have their child immunized? 因为一个家庭决定不让他们的孩子接种疫苗而解雇他们的医疗实践是否合乎道德?
JONA'S healthcare law, ethics and regulation Pub Date : 2011-10-01 DOI: 10.1097/NHL.0b013e31823a61e5
Dorothy Nulty
{"title":"Is it ethical for a medical practice to dismiss a family based on their decision not to have their child immunized?","authors":"Dorothy Nulty","doi":"10.1097/NHL.0b013e31823a61e5","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31823a61e5","url":null,"abstract":"<p><p> The parents' decision not to have their child immunized stirs up much controversy in the public sector and in the healthcare arena. Much debate surrounds not just the parents' choice but also the practitioner's decision to refuse care based on their refusal. This article presents a common and increasing scenario faced in pediatric practices and explores the ethical implications that it poses for the healthcare provider.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 4","pages":"122-4"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31823a61e5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30287916","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: 6
Conflicting voices: Withhold treatment or not for a patient with chronic self-destructive behavior? 矛盾的声音:对有慢性自我毁灭行为的病人不进行治疗?
JONA'S healthcare law, ethics and regulation Pub Date : 2011-07-01 DOI: 10.1097/NHL.0b013e31822ab019
James M Badger, Rosalind Ekman Ladd
{"title":"Conflicting voices: Withhold treatment or not for a patient with chronic self-destructive behavior?","authors":"James M Badger,&nbsp;Rosalind Ekman Ladd","doi":"10.1097/NHL.0b013e31822ab019","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31822ab019","url":null,"abstract":"<p><p>Patients with a history of chronic self-destructive and self-injurious behavior present many difficulties to healthcare providers. These patients often have related substance abuse and personality disorders that complicate their medical care. Treatment encounters initially may be related to medical treatment of episodic substance intoxicated states with or without self-inflicted injuries. Patients later can develop comorbid medical illnesses associated with nonadherence of treatment or iatrogenic conditions, both of which result in complex end-of-life-care decisions. Institutional familiarity of repeat patients often leaves healthcare providers feeling responsible for the patient despite having little influence over the patients' ultimate behavioral outcomes. This article describes a patient with chronic alcohol abuse, treatment noncompliance, severe personality disorder, recurrent suicidal ideation, self-injurious behavior, alcoholic cirrhosis, and suicide attempt resulting in multisystem injuries leading to an ethical conflict regarding end-of-life care.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 3","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31822ab019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30094166","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: 3
Legal risks posed by the electronic medical record. Letter from the editor. 电子病历带来的法律风险。编辑的来信。
JONA'S healthcare law, ethics and regulation Pub Date : 2011-07-01 DOI: 10.1097/NHL.0b013e31822ed0bd
Rebecca F Cady
{"title":"Legal risks posed by the electronic medical record. Letter from the editor.","authors":"Rebecca F Cady","doi":"10.1097/NHL.0b013e31822ed0bd","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31822ed0bd","url":null,"abstract":"","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 3","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31822ed0bd","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30094169","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
Use of digital health records raises ethics concerns. 使用数字健康记录引发了伦理问题。
JONA'S healthcare law, ethics and regulation Pub Date : 2011-07-01 DOI: 10.1097/NHL.0b013e31822aafbd
Beverly Kopala, Mary Ellen Mitchell
{"title":"Use of digital health records raises ethics concerns.","authors":"Beverly Kopala,&nbsp;Mary Ellen Mitchell","doi":"10.1097/NHL.0b013e31822aafbd","DOIUrl":"https://doi.org/10.1097/NHL.0b013e31822aafbd","url":null,"abstract":"<p><p>There has been a proliferation in the use of digital health records. Although electronic records have many benefits, concerns have been raised about associated risks and barriers. This article focuses on risks associated with development, utilization, and maintenance of provider-owned electronic medical records and institution-owned electronic health records. Strategies to reduce risks and overcome barriers are also offered. Attention to these issues can minimize risks and improve healthcare services delivered to consumers.</p>","PeriodicalId":80291,"journal":{"name":"JONA'S healthcare law, ethics and regulation","volume":"13 3","pages":"84-9; quiz 90-1"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHL.0b013e31822aafbd","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30094167","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: 13
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