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Facing decisions about life and death--communication with parents. 面对生死抉择——与父母沟通。
Bioethics forum Pub Date : 2002-01-01
Marcia Levetown
{"title":"Facing decisions about life and death--communication with parents.","authors":"Marcia Levetown","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>How can healthcare professionals, most of whom have never personally been confronted with such tragic situations, best help parents and their children make decisions about life and death that will minimize the suffering of children and their parents? Research studies and the professional experience of those attuned to these problems can be instructive. This paper reviews and gives advice about the communication between healthcare professionals and parents and children facing life and death.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 3-4","pages":"16-22"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22382569","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
Moral fatigue--a nursing perspective. 道德疲劳——一个护理的视角。
Bioethics forum Pub Date : 2002-01-01
Susan Taylor
{"title":"Moral fatigue--a nursing perspective.","authors":"Susan Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is perhaps inevitable that a phenomenon called moral fatigue would be labeled, described, and applied to nurses, whose working environment has more than its share of moral conflicts. When professionals' duties to patients and their families--duties that are caught up in uncertainty and fast-paced institutional and cultural change--are made to seem irrelevant to the patients' real needs, the resulting discomfort of professionals is generally called moral distress. This article explores the dimensions of moral distress among nurses and presents moral fatigue as a holistic experience with both personal and institutional consequences.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 1-2","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560915","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
Virtue, foible, and practice--medicine's arduous moral triad. 美德、缺点和实践——医学上艰巨的道德三位一体。
Bioethics forum Pub Date : 2002-01-01
Griffin Trotter
{"title":"Virtue, foible, and practice--medicine's arduous moral triad.","authors":"Griffin Trotter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Moral distress is often discussed as a response to the moral dilemmas that professional and other caregivers encounter in their effort to balance competing moral principles, or to provide care in difficult cases, to difficult patients, in spite of difficult institutional requirements or policy. In this essay, a reforming ER clinician and teaching physician, offers a personal approach to moral distress. Assuming that a clinician's own foibles may sometimes contribute to another's distress, and that attempting to rationalize or subvert these foibles causes moral fatigue, he offers personal guidelines for healthcare providers--four strategies that less-than-perfect practitioners may use while striving to attain the ideal of the competent, compassionate, altruistic, calm, and wise clinician.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 1-2","pages":"30-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560914","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
Moral distress in healthcare. 医疗保健中的道德困境。
Bioethics forum Pub Date : 2002-01-01
Judith Andre
{"title":"Moral distress in healthcare.","authors":"Judith Andre","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 1-2","pages":"44-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560916","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
Moral distress--the role of ethics consultation in the NICU. 道德困境——伦理咨询在新生儿重症监护室中的作用。
Bioethics forum Pub Date : 2002-01-01
Lucia Wocial
{"title":"Moral distress--the role of ethics consultation in the NICU.","authors":"Lucia Wocial","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Moral distress is a common occurrence for individuals involved in the care of critically ill infants. The ability to reason through difficult situations is often complicated by intensely emotional circumstances. Ethics consultation in the Neonatal Intensive Care Unit is a useful tool for caregivers and families who face moral problems. Understanding the responsibility of caregivers and parents to act as independent moral agents is an essential element in reducing moral distress and working collaboratively to resolve moral problems.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 1-2","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22562082","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
Case study: James vs. the Board of Education. 案例研究:詹姆斯诉教育委员会案。
Bioethics forum Pub Date : 2002-01-01
Robert L Potter
{"title":"Case study: James vs. the Board of Education.","authors":"Robert L Potter","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 3-4","pages":"63-4"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383087","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
In the patient's best interest--a call to action, a call to balance. 为了病人的最大利益,呼吁采取行动,呼吁保持平衡。
Bioethics forum Pub Date : 2002-01-01
Norma J Hirsch
{"title":"In the patient's best interest--a call to action, a call to balance.","authors":"Norma J Hirsch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses, physicians, and other healthcare professionals often complain that a loss of freedom or other obstacles hinder their ability to act in the best interest of the patient. These barriers cause professional burnout and moral outrage, and may contribute to a migration away from medicine or, more broadly, healthcare. Understanding the historical underpinnings of the phrase \"in the patient's best interest,\" and realizing that healthcare, which is fundamentally a moral enterprise must be built on sound business principles can help healthcare professionals reframe the issue, and reclaim their original commitment to a difficult path.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 1-2","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560913","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
To show our humanness--relational and communicative competence in pediatric palliative care. 展现我们的人性——在儿童姑息治疗中的关系和沟通能力。
Bioethics forum Pub Date : 2002-01-01
David Browning
{"title":"To show our humanness--relational and communicative competence in pediatric palliative care.","authors":"David Browning","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The death of a child is perhaps the worst tragedy a family ever has to endure. The communication that occurs among children, parents, and healthcare professionals at the end of a child's life must be grounded in caring, and compassionate relationships. These relationships require particular skills, knowledge and attitudes that are not fully addressed in many approaches to communication training currently available to practitioners. This essay proposes elements of a pedagogy for relational and communicative competence in pediatric palliative care that is rooted in ethical and ethnographic principles.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 3-4","pages":"23-8"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383082","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
Children's participation in healthcare in the UK--gesture, rhetoric, or real involvement? 英国儿童参与医疗保健——姿态、言辞还是实际参与?
Bioethics forum Pub Date : 2002-01-01
Bernie Carter
{"title":"Children's participation in healthcare in the UK--gesture, rhetoric, or real involvement?","authors":"Bernie Carter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the United Kingdom (England, Wales, Scotland, and Northern Ireland) children and their best interests are protected through a range of best practice initiatives, and legislation and guidance at country, national, European, and global levels. Some of the recent commitment by the government may be the result of enlightened thinking, but some of it has resulted from the aftermath of at least two major healthcare incidents. This article reviews the UK's recent national and international efforts to protect its thirteen million children and ensure that their voices are heard.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 3-4","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383083","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
Confidentiality for mental health concerns in adolescent primary care. 青少年初级保健中心理健康问题的保密性。
Bioethics forum Pub Date : 2002-01-01
Larry Wissow, Kate Fothergill, Jane Forman
{"title":"Confidentiality for mental health concerns in adolescent primary care.","authors":"Larry Wissow,&nbsp;Kate Fothergill,&nbsp;Jane Forman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Guidelines from several national professional groups and a patchwork of state laws support the option to provide confidential mental healthcare for adolescents as a way to reduce barriers to treatment. These guidelines do not, however, help doctors decide when and to what extent confidentiality might be appropriate. We propose a set of practical considerations that clinicians can use to develop and justify confidentiality and family involvement in individual cases. Use of this framework may increase clinician comfort in discussing confidentiality and mental health topics with adolescents, and thus reduce barriers to the management of mental health problems in adolescent primary care.</p>","PeriodicalId":80662,"journal":{"name":"Bioethics forum","volume":"18 3-4","pages":"43-54"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22383085","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
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