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Are We Victim of Our Own Success 我们是自己成功的受害者吗
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.35248/2155-9627.19.10.336
S. Roudani
{"title":"Are We Victim of Our Own Success","authors":"S. Roudani","doi":"10.35248/2155-9627.19.10.336","DOIUrl":"https://doi.org/10.35248/2155-9627.19.10.336","url":null,"abstract":"Pakistan is losing creative minds every day. Every youth aspires to go and work abroad for a better life perspective. The increasing migration of young mind has been the challenge for every developing state. The attraction of working abroad has pulled many intelligent minds out of the state. Nursing is one of the highlighted profession in this regards. Every new nurse graduate wishes to work abroad. This nurse’s shortage has been the most concerning issue across the globe majorly in developing states. Aga Khan University has been one of the well-known and market competitive education university. They are producing highly capable medical professional over last 3 decades including doctors and nurses. However very few alumni of this institution are serving the country. Moreover this international university is deprived of their own graduates in their organization. This issue created disturbed equilibrium of nurse vs. patient ratio. This causes lack of quality of health care provision to the people of Pakistan.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69967868","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
Effectiveness of Simulation for Students' Critical Thinking and Financial Constraints in Developing Countries 模拟对发展中国家学生批判性思维和经济约束的有效性
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.35248/2155-9627.19.10.339
Anila Naz Ali Sher, T. Rahman
{"title":"Effectiveness of Simulation for Students' Critical Thinking and Financial Constraints in Developing Countries","authors":"Anila Naz Ali Sher, T. Rahman","doi":"10.35248/2155-9627.19.10.339","DOIUrl":"https://doi.org/10.35248/2155-9627.19.10.339","url":null,"abstract":"ABSTRACT This review paper is aimed at discussing the characteristics of simulation as teaching strategy as well as an assessment tool and its usability to enhance critical thinking among nursing students. “Simulation is a \"technique\" not a technology that focuses on creating real-life situations to allow students to practice or gain skills in a safe environment”. Likewise, critical thinking is a skillful application of knowledge for judgment and evaluation of complex issues or problems . “The effect of simulation courseware on critical thinking in undergraduate nursing students: Multi-site pre-post study” by has chosen to create a platform for discussion. The purpose of this study was to evaluate the effect of an integrated pediatric nursing simulation used in a practicum on students’ critical thinking and to identify the effects of number of simulation exposures on critical thinking in a multisite environment in three different nursing schools. The objective of the study was to explore and examined the effects of exposures of simulation coursework on critical thinking of nursing students. Keywords: Simulation; Healthy Skepticism; Intellectual eagerness, Prudence","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69968788","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
Autonomy Overrides Professional Obligations! An Ethical Analysis 自主高于职业义务!伦理分析
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.35248/2155-9627.19.10.340
I. Liaqat, A. Yaqoob, M. Liaqat, S. Nadeem
{"title":"Autonomy Overrides Professional Obligations! An Ethical Analysis","authors":"I. Liaqat, A. Yaqoob, M. Liaqat, S. Nadeem","doi":"10.35248/2155-9627.19.10.340","DOIUrl":"https://doi.org/10.35248/2155-9627.19.10.340","url":null,"abstract":"Autonomy is considered the prime principle in medical ethics. Health care providers (HCP’s) are obligated to respect patients’ autonomy in almost every situation. Even if patients’ take decisions that poses could threat their life. It is especially challengeable in case of children where the key decision-makers are parents. This paper identifies such conditions in which there is a conflict between the parents’ autonomy to make decisions on behalf of their child and beneficence to improve children's health. A question arises with this situation on that, is it right to respect parent's autonomy or not, but HCP’s are committed to do in the best interest of their patients.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"23 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69968838","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
Healthcare Professionalsâ Perspectives on End-of-Life Care According toAutonomy of Practical Reason 医疗保健ProfessionalsâÂÂ基于实践理性自主性的临终关怀展望
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.24105/2155-9627.10.333
Gonçalves Am, A. Vieira, A. Vilaça, Gonçalves Mm, R. Meneses
{"title":"Healthcare Professionalsâ Perspectives on End-of-Life Care According toAutonomy of Practical Reason","authors":"Gonçalves Am, A. Vieira, A. Vilaça, Gonçalves Mm, R. Meneses","doi":"10.24105/2155-9627.10.333","DOIUrl":"https://doi.org/10.24105/2155-9627.10.333","url":null,"abstract":"Nowadays, innovative medical technologies almost mask death, although they are not free of ethical concerns. Regarding end-of-life decisions, publications demonstrate that doctors don’t intend for themselves what they practice with patients. We aimed to assess health professionals’ perspectives about their own end-of-life decisions, asking them “In case of advanced oncological disease, would you prefer rescue or comfort therapy?” and “In case of advanced chronic disease, would you prefer admission in an Intensive Care Unit (ICU) or palliative care?”. The sample included 57% doctors. 80% of all participants chose comfort therapy and 84% chose palliative care. Nurses chose comfort therapy and palliative care more frequently than doctors (p<0.05); both doctors and nurses from surgical areas preferred rescue therapy and ICU admission (p<0.05); more than half of pediatricians answered rescue therapy and ICU admission, this trend was also observed in oncologist/palliative care doctors and surgeons, with a statistical difference (p<0.05) compared to other doctors; on the opposite, 90% from Emergency and Intensive Medicine doctors answered comfort therapy and palliative care (p<0.05). Communication with patients and families must be more effective, making them understand that the appropriate clinical decision is the most ethically correct. Death is not something to be avoided at all costs, but rather a moment on life cycle. These issues should be discussed in advance, anticipating the possible need for admission to ICU, rescue therapy or setting limits and gently stops.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69014377","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
Recta Ratio Agibilium (The Line of Reason of Those Who Act): Perspectivesabout Autonomy in Situations of Clinical Emergency 行为者的理性之线:临床紧急情况下的自主性透视
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.35248/2155-9627.19.10.338
Gonçalves Ma, D. Leal, S. Costa, Borges Ed
{"title":"Recta Ratio Agibilium (The Line of Reason of Those Who Act): Perspectivesabout Autonomy in Situations of Clinical Emergency","authors":"Gonçalves Ma, D. Leal, S. Costa, Borges Ed","doi":"10.35248/2155-9627.19.10.338","DOIUrl":"https://doi.org/10.35248/2155-9627.19.10.338","url":null,"abstract":"Bioethicists emphasized the principle of autonomy in clinical practice as a duty of the physician and the inalienable right of the patient. However, in emergency situations, clinical judgment often privileges the principle of beneficence, in pursue to save lives. The authors describe three real, imminent and life-threatening clinical situations. Then, it was asked doctors, patients, family members and bioethicists about their judgment of the clinical actions taken. Doctors, patients and their families agreed on almost all answers. Bioethicists, on the other hand, had more opposing evaluations. Is bioethics swerving from patients’ will and from clinical practice reality? Paul Ricouer's thought deserves the authors reflexion on its phronesis dimension. Acting with prudence and providing an humanized clinical practice lead us to find the recta ratio agibilium (the line of reason of those who act).","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69968009","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: 2
Are Intensive Care and Dementia Incompatible 重症监护和痴呆不相容吗
Journal of clinical research & bioethics Pub Date : 2019-01-01 DOI: 10.35248/2155-9627.19.10.337
A. MaiaGoncalves, S. Costa, J. Morais, R. Dias, S. Bernardo
{"title":"Are Intensive Care and Dementia Incompatible","authors":"A. MaiaGoncalves, S. Costa, J. Morais, R. Dias, S. Bernardo","doi":"10.35248/2155-9627.19.10.337","DOIUrl":"https://doi.org/10.35248/2155-9627.19.10.337","url":null,"abstract":"Dementia is an increasingly relevant, recurrent, ethical and clinical challenge in contemporary medicine. The present study aimed to assess whether admission of these patients in intensive care units (ICU) should be considered or excluded. Clinicians (internists, intensivists and neurologists) were asked to answer this question, and also to rank the criteria they considered most relevant in refusing admission to an ICU. For most doctors, dementia per se does not preclude admission in ICU. Functional reserve and degree of disability were the most important factors, followed by cognitive impairment and comorbidities. Family expectations and age were the least important variables when considering admission.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"10 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69967927","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
Assessing the comprehensive integrated HIV prevention behavioral health outcomes of at-risk minority populations 评估高危少数群体艾滋病毒综合预防行为健康结果
Journal of clinical research & bioethics Pub Date : 2018-10-09 DOI: 10.4172/2155-9627-C1-004
pMaurice Mongkuop
{"title":"Assessing the comprehensive integrated HIV prevention behavioral health outcomes of at-risk minority populations","authors":"pMaurice Mongkuop","doi":"10.4172/2155-9627-C1-004","DOIUrl":"https://doi.org/10.4172/2155-9627-C1-004","url":null,"abstract":"","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310701","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
Knowledge on Prescribed Artemether-Lumefantrine among Outpatients and Caretakers Attending Temeke Hospital: Patients Fundamental Rights Temeke医院门诊患者和护理人员对处方蒿甲醚-氨苯曲明的了解:患者的基本权利
Journal of clinical research & bioethics Pub Date : 2018-09-28 DOI: 10.4172/2155-9627.1000330
Emmanuel John Msovela, J. Masalu
{"title":"Knowledge on Prescribed Artemether-Lumefantrine among Outpatients and Caretakers Attending Temeke Hospital: Patients Fundamental Rights","authors":"Emmanuel John Msovela, J. Masalu","doi":"10.4172/2155-9627.1000330","DOIUrl":"https://doi.org/10.4172/2155-9627.1000330","url":null,"abstract":"Background: Patients have fundamental rights and dignity of receiving adequate information regarding their illness and therapeutic management. Adequate information is essential for good adherence of the prescribed drugs and for participating in decisions about treatment. The main objective of this study to assess the knowledge on prescribed Artemether-lumefantrine (AL) among outpatients and caretakers attending Temeke hospital. \u0000 \u0000Methods: This was a cross sectional study involving 224 outpatients and caregivers who were attending at Temeke Hospital and received (AL) drugs. \u0000 \u0000Result:Only 105 (46.9%) understood the Interval of hours required to take AL pills; their knowledge did not vary with sex. However those with university/college education (74.1%) were more likely to be knowledgeable as compared to those with primary or lower education (45%). Fifty eight percent of participants did not understand the number of days required to complete AL dosage, while only 114 (50.9%) understood the instructions written on the AL package. When asked about the consequences associated with incomplete AL dosage, 176 (78.6%) did not understand the risks of not completing AL dosage. More than half (58.5%) of participants were not satisfied with the information given by health workers about risks and benefits of the prescribed AL. The Majority (84.8%) of participants did not discuss with care provider about managing the prescribed AL. In this regard 198 (89.2%) of participants did not get an opportunity to ask any question about their prescribed drug. \u0000 \u0000Conclusion: Finally the prescribers must increase the time to spend with patients so as to enable them to understand the instruction provided because is the patients fundamental as articulated in the Universal Declaration of bioethics and Human Right (UDBHR).","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"9 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44433132","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
A Review on Impact of General Data Protection Regulation on ClinicalStudies and Informed Consent 通用数据保护条例对临床研究和知情同意的影响综述
Journal of clinical research & bioethics Pub Date : 2018-08-24 DOI: 10.4172/2155-9627.1000327
Giannuzzi, Annalisa Landi, F. Bartoloni, A. Ceci
{"title":"A Review on Impact of General Data Protection Regulation on ClinicalStudies and Informed Consent","authors":"Giannuzzi, Annalisa Landi, F. Bartoloni, A. Ceci","doi":"10.4172/2155-9627.1000327","DOIUrl":"https://doi.org/10.4172/2155-9627.1000327","url":null,"abstract":"To harmonise personal data protection laws throughout the Europe, the Data Protection Directive 95/46/EC has been repealed by the new European General Data Protection Regulation (GDPR) Reg. (EU) 2016/679. GDPR will allow the data protection of the considerable number of citizens of the European Union. In this way, the Regulation will effect also on clinical investigations, and specifically, on the information process to provide consent. This paper goes to elucidating the main changes derived by the GDPR and to giving practical information on how to deal with informed consent and assent documents in concurrence with the regulation. Special spotlights on paediatric research and secondary use have been provided.","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"09 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46981435","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
Challenges in ethical conduct of clinical trials in India- root cause for non-compliance 印度临床试验伦理行为的挑战——不合规的根本原因
Journal of clinical research & bioethics Pub Date : 2018-05-31 DOI: 10.4172/2155-9627-C1-006
pAbhishil Suvarnap
{"title":"Challenges in ethical conduct of clinical trials in India- root cause for non-compliance","authors":"pAbhishil Suvarnap","doi":"10.4172/2155-9627-C1-006","DOIUrl":"https://doi.org/10.4172/2155-9627-C1-006","url":null,"abstract":"","PeriodicalId":89408,"journal":{"name":"Journal of clinical research & bioethics","volume":"09 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42561402","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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