End-of-Life Decisions in Intensive Care Units in Croatia —Pre COVID-19 Perspectives and Experiences From Nurses and Physicians
AbstractHealthcare professionals working in intensive care units (ICUs) are often involved in end-of-life decision-making. No research has been done so far about these processes taking place in Croatian ICUs. The aim of this study was to investigate the perceptions, experiences, and challenges healthcare professionals face when dealing with end-of-life decisions in ICUs in Croatia. A qualitative study was performed using professionally homogenous focus groups of ICU nurses and physicians (45 in total) of diverse professional and clinical backgrounds at three research sites (Zagreb, Rijeka, Split). In total, six institution...
Source: Journal of Bioethical Inquiry - December 1, 2021 Category: Medical Ethics Source Type: research
Correction to: “To Normalize is to Impose a Requirement on an Existence.” Why Health Professionals Should Think Twice Before Using the Term “Normal” With Patients
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - December 1, 2021 Category: Medical Ethics Source Type: research
It Is Time to Stop Racial Exclusion in Scholarly Citations
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - December 1, 2021 Category: Medical Ethics Source Type: research
Rules and Resistance: A Commentary on “An Archeology of Corruption in Medicine”
AbstractIn the paper “An archeology of corruption in medicine” (2018), Miles Little, Wendy Lipworth, and Ian Kerridge (“the authors” or “Little et al.”) present an account of corruption and describe its prevalent forms in medicine. In presenting an individual-focused account of corruption found within “soc ial entities” (organizations, institutions, and systems), Little et al. argue that these entities are corruptible by nature and that certain individuals are prone to take advantage of the corruptibility of social entities to pursue their own ends. The authors state that this is not preventable, so the way...
Source: Journal of Bioethical Inquiry - December 1, 2021 Category: Medical Ethics Source Type: research
The Side Effects of Not Being Vaccinated: Individual Risk and Vaccine Hesitancy Nationalism
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - November 24, 2021 Category: Medical Ethics Source Type: research
Semi-Automated Care: Video-Algorithmic Patient Monitoring and Surveillance in Care Settings
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - November 17, 2021 Category: Medical Ethics Source Type: research
Between “Medical” and “Social” Egg Freezing
AbstractEgg freezing has led to heated debates in healthcare policy and bioethics. A crucial issue in this context concerns the distinction between “medical” and “social” egg freezing (MEF and SEF)—contrasting objections to bio-medicalization with claims for oversimplification. Yet such categorization remains a criterion for regulation. This paper aims to explore the “regulatory boundary-work” around the “medical”–”social” distinction in different egg freezing regulations. Based on systematic documents’ analysis we present a cross-national comparison of the way the “medical”–”social” dif...
Source: Journal of Bioethical Inquiry - November 16, 2021 Category: Medical Ethics Source Type: research
Reflecting Before, During, and After the Heat of the Moment: A Review of Four Approaches for Supporting Health Staff to Manage Stressful Events
AbstractBeing a healthcare professional in both paediatric and adult hospitals will mean being exposed to human tragedies and stressful events involving conflict, misunderstanding, and moral distress. There are a number of different structured approaches to reflection and discussion designed to support healthcare professionals process and make sense of their feelings and experiences and to mitigate against direct and vicarious trauma. In this paper, we draw from our experience in a large children ’s hospital and more broadly from the literature to identify and analyse four established approaches to facilitated reflective...
Source: Journal of Bioethical Inquiry - November 6, 2021 Category: Medical Ethics Source Type: research
Risk, Responsibility, Rudeness, and Rules: The Loneliness of the Social Distance Warrior
AbstractWe have a responsibility to obey COVID-19 rules, in order to minimize risk. Yet it is still seen as rude to challenge people who do not respect those rules, when in fact the opposite is true; it is rude to increase risk to others. In this paper I analyse the relationship between risk, responsibility, and rudeness by analysing the evolution of the main governmental slogans and rules and explore the complex relationship between simplicity, safety, and perceived fairness of these rules, and how these features in turn influence the extent to which we act responsibly. I begin by exploring the relationship between rudene...
Source: Journal of Bioethical Inquiry - October 25, 2021 Category: Medical Ethics Source Type: research
Anatomy of Being, Metaphysics of Death: The Case of Avicenna ’s Logical Dissection
AbstractElucidating a metaphysics of medicine is vital for framing a coherent medical ethics. In this paper, I examine the historical case of Avicenna, the eleventh century physician-philosopher. Avicenna radicalizes the dissective power of reason using a logicized Aristotelian metaphysics to clarify concepts at the metaphysical level, which I call his anatomy of being. One of the practical consequences of Avicenna ’s metaphysics is a dehumanizing eschatology of death. I outline the main elements of Avicenna’s thought that constitute his anatomy of being. Through an examination of his logic, metaphysics, and psychology...
Source: Journal of Bioethical Inquiry - October 21, 2021 Category: Medical Ethics Source Type: research
Physician –Patient Relationship, Assisted Suicide and the Italian Constitutional Court
AbstractIn 2017, Italy passed a law that provides for a systematic discipline on informed consent, advance directives, and advance care planning. It ranges from decisions contextual to clinical necessity through the tool of consent/refusal to decisions anticipating future events through the tools of shared care planning and advance directives. Nothing is said in the law regarding the issue of physician assisted suicide. Following the DJ Fabo case, the Italian Constitutional Court declared the constitutional illegitimacy of article 580 of the criminal code in the part in which it does not exclude the punishment of those who...
Source: Journal of Bioethical Inquiry - October 21, 2021 Category: Medical Ethics Source Type: research
It Is Time to Stop Racial  Exclusion in Scholarly Citations
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - October 21, 2021 Category: Medical Ethics Source Type: research
The Ethics of Adultcentrism in the Context of COVID-19: Whose Voice Matters?
AbstractAdultcentrism is an inherent feature of the social fabrics comprising most resource-rich countries in the twenty-first century that undermines the capacities, value, and voices of young people in various ways. In the context of COVID-19, we are confronted with the question of whose voice matters and must ask: is adultcentrism ethically permissible during a pandemic? This Critical Controversy examines this question in relation to evolving concepts of childhood, children ’s rights, and the capacities of young people, to highlight areas of tension, future research, and potential for critical dialogue. (Source: Journ...
Source: Journal of Bioethical Inquiry - October 20, 2021 Category: Medical Ethics Source Type: research
The Pensive Gaze
(Source: Journal of Bioethical Inquiry)
Source: Journal of Bioethical Inquiry - October 20, 2021 Category: Medical Ethics Source Type: research
“To Normalize is to Impose a Requirement on an Existence.” Why Health Professionals Should Think Twice Before Using the Term “Normal” With Patients
AbstractThe term “normal” is culturally ubiquitous and conceptually vague. Interestingly, it appears to be a descriptive-normative-hybrid which, unnoticedly, bridges the gap between the descriptive and the normative. People’s beliefs about normality are descriptive and prescriptive and depend on both an averag e and an ideal. Besides, the term has generally garnered popularity in medicine. However, if medicine heavily relies on the normal, then it should point out how it relates to the concept of health or to statistics, and what, after all, normal means. Most importantly, the normativity of the normal ne eds to be a...
Source: Journal of Bioethical Inquiry - October 18, 2021 Category: Medical Ethics Source Type: research
