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Online journal of health ethics最新文献

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COVID Remains 2023 2023年仍有COVID
Online journal of health ethics Pub Date : 2023-06-01 DOI: 10.18785/jhe.1901.01
S. Davis
{"title":"COVID Remains 2023","authors":"S. Davis","doi":"10.18785/jhe.1901.01","DOIUrl":"https://doi.org/10.18785/jhe.1901.01","url":null,"abstract":"Editor's introduction to Vol. 19, Issue 1 of the Journal of Health Ethics","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88345481","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 Framework for Personal Respiratory Ethics 个人呼吸伦理框架
Online journal of health ethics Pub Date : 2023-06-01 DOI: 10.18785/jhe.1901.04
I. Goddard
{"title":"A Framework for Personal Respiratory Ethics","authors":"I. Goddard","doi":"10.18785/jhe.1901.04","DOIUrl":"https://doi.org/10.18785/jhe.1901.04","url":null,"abstract":"The Covid-19 pandemic raises the need for an ethical framework that addresses the unique ethical challenges and questions arising from airborne infectious diseases. For example, are we ever ethically obliged to wear a face mask? If so, why and when? The Respiratory Ethics Framework (REF) herein proposes pathways to answers grounded in ethical norms and the moral principles of non-harm, beneficence and respect for personal autonomy. REF is a personal ethics wherein your ethical duty to increase your respiratory hygiene efforts—such as by donning a mask—is proportional to your estimation of an increase in the likelihood that your respiratory effluent poses a risk of harmful infection to others. REF includes illustrated decision models that instantiate a framework of proportionality between levels of risk, ethical duty and mitigation that shapes risk mitigation across domains.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86310925","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
Why the West Should Help China Reduce Unrecognized and Preventable COVID-19 Deaths 为什么西方应该帮助中国减少未被识别和可预防的COVID-19死亡
Online journal of health ethics Pub Date : 2023-06-01 DOI: 10.18785/jhe.1901.02
G. Gellert
{"title":"Why the West Should Help China Reduce Unrecognized and Preventable COVID-19 Deaths","authors":"G. Gellert","doi":"10.18785/jhe.1901.02","DOIUrl":"https://doi.org/10.18785/jhe.1901.02","url":null,"abstract":"","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82728697","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
Ethical Considerations Surrounding Vaccine Development During A Public Health Crisis 公共卫生危机期间疫苗开发的伦理考虑
Online journal of health ethics Pub Date : 2023-06-01 DOI: 10.18785/jhe.1901.03
Sayed Arsalan Akhter Zaidi, Kainat Saleem, Rahul Bollam, Bushra Zaidi
{"title":"Ethical Considerations Surrounding Vaccine Development During A Public Health Crisis","authors":"Sayed Arsalan Akhter Zaidi, Kainat Saleem, Rahul Bollam, Bushra Zaidi","doi":"10.18785/jhe.1901.03","DOIUrl":"https://doi.org/10.18785/jhe.1901.03","url":null,"abstract":"Epidemics and Pandemics have been plaguing mankind since many centuries, and are a cause of major healthcare expense in modern times. The novel coronavirus pandemic of 2019-2020 spread worldwide faster than many previous pandemics, including EBOLA in 2017. Although personal protective equipment, and social distancing slowed the outbreak, a vaccine is needed to ensure global immunization and to stop this deadly outbreak. Developing a vaccine in times of a public health crisis comes with a lot of ethical considerations, including overlooking proper informed consent, the issue of using placebo in control arm of trials, extended timelines of development of vaccines, randomized placebo control trial of secondary vaccine once the first vaccine is approved, and utilizing vulnerable population for trials. These issues are often overlooked due to the urgency of the situation, and the need of developing a cure/vaccine can lead to potential oversight of many regulations. We discuss some of these issues related to vaccine development in a pandemic situation in this commentary paper. We also discuss some of the arguments supporting a secondary vaccine development such as logistical/economic issue, better efficacy, and the conditions of Equipoise.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"442 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78244289","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
Discussing the Injustice of the COVID-19 Vaccine Pass Imposed on Medical Consultation in Public Hospitals in Hong Kong 探讨香港公立医院在求诊时须出示新冠肺炎疫苗通行证的不公正
Online journal of health ethics Pub Date : 2022-12-01 DOI: 10.18785/jhe.1802.02
F. Cheng
{"title":"Discussing the Injustice of the COVID-19 Vaccine Pass Imposed on Medical Consultation in Public Hospitals in Hong Kong","authors":"F. Cheng","doi":"10.18785/jhe.1802.02","DOIUrl":"https://doi.org/10.18785/jhe.1802.02","url":null,"abstract":"The COVID-19 pandemic has devastated public health, economy and social life all over the world, especially wherever a vaccine pass scheme has been implemented. Many countries have begun to relax schedules to return to normal activities. In contrast, Hong Kong continues to tighten the utilisation of a vaccine pass for medical services in order to boost vaccination rates. Such a practice not only significantly challenges ethical and operative concerns but also threatens health equity and social justice for healthcare decision-makers and practitioners, consequently hurting public health and community well-being. This discussion analyses the various arguments, reviews vaccine hesitancy and suggests a holistic approach for solutions (aside from vaccination and medications) to strengthen individual immunity and therefore to deal with this disease more effectively, efficiently and ethically, including personal hygiene and lifestyle.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80726447","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
Theory Building as Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, and Ethics 作为综合反思的理论建设:通过人际交往研究、医学教育和伦理学来理解医生的反思
Online journal of health ethics Pub Date : 2022-12-01 DOI: 10.18785/jhe.1802.05
A. Vicini, Ashley Duggan, Allen F. Shaughnessy
{"title":"Theory Building as Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, and Ethics","authors":"A. Vicini, Ashley Duggan, Allen F. Shaughnessy","doi":"10.18785/jhe.1802.05","DOIUrl":"https://doi.org/10.18785/jhe.1802.05","url":null,"abstract":"Grounded in a presupposition that a single explanatory framework cannot fully account for the expansive learning processes that occur during medical residency, the article examines developing physicians’ reflective writing from three disciplinary lenses. The goal is to understand how the multi-dimensional nature of medical residency translates into assembling educational experiences and constructing meaning that cannot be fully explained through a single discipline. An interdisciplinary research team across medical education, communication, and ethics qualitatively analyzed reflective entries (N=756) completed by family medicine residents (N=33) across an academic year. Results provide evidence for moving toward an integrated thematic explanation across disciplines. The authors suggest that the integration of disciplinary explanations allows for comprehensive understanding of reflection as a cornerstone in the broader formation of the physician. Examples provide evidence for an integrated understanding of a fuller human experience by considering the three thematic explanations as co-occurring, reciprocal processes.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83168163","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
Applying lessons learned: nursing facility administrators’ operational and ethical challenges during COVID-19 应用经验教训:2019冠状病毒病期间护理机构管理人员面临的业务和道德挑战
Online journal of health ethics Pub Date : 2022-12-01 DOI: 10.18785/jhe.1802.03
M. Wickersham
{"title":"Applying lessons learned: nursing facility administrators’ operational and ethical challenges during COVID-19","authors":"M. Wickersham","doi":"10.18785/jhe.1802.03","DOIUrl":"https://doi.org/10.18785/jhe.1802.03","url":null,"abstract":"Operational and ethical challenges for nursing homes across the United States during the COVID-19 pandemic were daunting, that experience perhaps only a forecast of future epidemics that nursing home administrators and operators may face. This article describes administrator-identified challenges and focuses on how nursing homes might learn from their experiences by increasing flexibility to meet evolving needs, improving quality assurance and disaster planning, using ethics policies and ethical decision-making processes to work through difficult decisions, and leading the way in creating new policies that will make nursing home care safer and more appropriate for patients with ever-changing needs.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75110556","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
Why Do the Police Reject Counseling? An Examination of Necessary Changes to Police Subculture 为什么警察拒绝心理咨询?论警察亚文化的必要变革
Online journal of health ethics Pub Date : 2022-12-01 DOI: 10.18785/jhe.1802.04
Noel Otu, Ntiense Otu
{"title":"Why Do the Police Reject Counseling? An Examination of Necessary Changes to Police Subculture","authors":"Noel Otu, Ntiense Otu","doi":"10.18785/jhe.1802.04","DOIUrl":"https://doi.org/10.18785/jhe.1802.04","url":null,"abstract":"This paper reviews the concept of police subculture and examines its role in the management and acceptance of treatment for stress-related injury. In particular, we examine the impact of stigma that attaches to treatment within this subculture. The persistence of the dominant police subculture remains a significant obstacle to officers seeking treatment for stress-related illnesses. The subculture has historically resisted acknowledging the need for treatment in response to the occupational and/or organizational stress-related injury that results from frequent exposure to work-related trauma. Many police administrators are still embedded within and resist changes to the subculture, which results in an atmosphere that is unwelcoming to officers seeking or accepting treatment. This study draws on both qualitative and quantitative studies and modifies labeling theory to determine the sources of stigma involved in the police subculture. The paper reviews the reasons why officers refuse treatment, discusses the issue of stigmatization and labeling, and argues for the need to change police subculture, at least in part by ensuring that administrators support treatment and good health for officers. It is revealed that the stigmatization of officers who seek and receive treatment directly results in others’ refusal/rejection of it. The study recommends that departments address the subcultural processes of labeling and stigmatization associated with stress counseling at the individual, management, and organizational levels to bring about a shift in police subculture and improve the level of occupational health and safety for officers on the force.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89562674","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
Ethical and Moral Imperatives of 2022 2022年的伦理和道德要求
Online journal of health ethics Pub Date : 2022-12-01 DOI: 10.18785/jhe.1802.01
S. Davis
{"title":"Ethical and Moral Imperatives of 2022","authors":"S. Davis","doi":"10.18785/jhe.1802.01","DOIUrl":"https://doi.org/10.18785/jhe.1802.01","url":null,"abstract":"Editor's introduction to the Journal of Health Ethics vol. 18, no. 2","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72990671","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
2022: Global Ethical Think Tank 2022年:全球伦理智库
Online journal of health ethics Pub Date : 2022-08-01 DOI: 10.18785/jhe.1801.01
S. Davis
{"title":"2022: Global Ethical Think Tank","authors":"S. Davis","doi":"10.18785/jhe.1801.01","DOIUrl":"https://doi.org/10.18785/jhe.1801.01","url":null,"abstract":"Editor's introduction to Volume 18, Number 1 of the Journal of Health Ethics.","PeriodicalId":89828,"journal":{"name":"Online journal of health ethics","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78872615","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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