Switch to: References

Add citations

You must login to add citations.
  1. The Social Construction of Incompetency: Moving Beyond Embedded Paternalism Toward the Practice of Respect.Supriya Subramani - 2020 - Health Care Analysis 28 (3):249-265.
    This article illustrates the less-acknowledged social construction of the concept of ‘incompetency’ and draws attention to the moral concerns it raises in health care encounters in the south Indian city of Chennai. Based on data drawn from qualitative research, this study suggests that surgeons subjectively construct the idea of incompetency through their understanding of the perceived circumstantial characteristics of the patients and family members they serve. The findings indicate that surgeons often underestimate patients and family members’ capacity based on constructed (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Values at stake at the end of life: Analyses of personal preferences among Swedish physicians.Niels Lynøe, Anna Lindblad, Ingemar Engström, Mikael Sandlund & Niklas Juth - 2023 - Clinical Ethics 18 (2):239-244.
    Background Physician-assisted suicide is a controversial issue and has sometimes raised emotion-laden reactions. Against this backdrop, we have analyzed how Swedish physicians are reasoning about physician-assisted suicide if it were to be legalized. Methods and participants We conducted a cross-sectional study and analyzed 819 randomly selected physicians’ responses from general practitioners, geriatricians, internists, oncologists, psychiatrists, surgeons, and all palliativists. Apart from the main questions about their attitude toward physician-assisted suicide, we also asked what would happen with the respondents’ own trust (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • The influence of values in shared (medical) decision making.Bettina Baldt - 2020 - Ethik in der Medizin 32 (1):37-47.
    Definition of the problemThe Shared Decision Making model is becoming increasingly popular also in the German-speaking context, but it only considers values of patients to be relevant for medical decisions. Nevertheless, studies show that the values of physicians are also influential in medical decisions. Moreover, physicians are often unaware of this influence, which makes it impossible to control it.ArgumentsThe influence of both patients’ and physicians’ values is examined from an empirical and normative perspective. The review about the empirical data provides (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Ethics of Incongruity: moral tension generators in clinical medicine.Nicholas Kontos - 2019 - Journal of Medical Ethics 45 (4):244-248.
    Affectively uncomfortable concern, anxiety, indecisionand disputation over ‘right’ action are among the expressions of moral tension associated with ethical dilemmas. Moral tension is generated and experienced by people. While ethical principles, rules and situations must be worked through in any dilemma, each occurs against a backdrop of people who enact them and stand much to gain or lose depending on how they are applied and resolved. This paper attempts to develop a taxonomy of moral tension based on its intrapersonal and (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • Trends in Swedish physicians’ attitudes towards physician-assisted suicide: a cross-sectional study.Niklas Juth, Mikael Sandlund, Ingemar Engström, Anna Lindblad & Niels Lynøe - 2021 - BMC Medical Ethics 22 (1):1-9.
    AimsTo examine attitudes towards physician-assisted suicide (PAS) among physicians in Sweden and compare these with the results from a similar cross-sectional study performed in 2007.ParticipantsA random selection of 250 physicians from each of six specialties (general practice, geriatrics, internal medicine, oncology, surgery and psychiatry) and all 127 palliative care physicians in Sweden were invited to participate in this study.SettingA postal questionnaire commissioned by the Swedish Medical Society in collaboration with Karolinska Institute in Stockholm. ResultsThe total response rate was 59.2%. Slightly (...)
    Download  
     
    Export citation  
     
    Bookmark   8 citations  
  • Assessment of patient decision-making capacity in the context of voluntary euthanasia for psychic suffering caused by psychiatric disorders: a qualitative study of approaches among Belgian physicians.Frank Schweitser, Johan Stuy, Wim Distelmans & Adelheid Rigo - 2021 - Journal of Medical Ethics 47 (12):38-38.
    ObjectiveIn Belgium, people with an incurable psychiatric disorder can file a request for euthanasia claiming unbearable psychic suffering. For the request to be accepted, it has to meet stringent legal criteria. One of the requirements is that the patient possesses decision-making capacity. The patient’s decision-making capacity is assessed by physicians.The objective of our study is to provide insight in the assessment of decision-making capacity in the context of euthanasia for patients with psychic suffering caused by a psychiatric disorder.MethodTwenty-two semistructured interviews (...)
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Empirical and philosophical analysis of physicians' judgements of medical indications.Joar Björk, Niels Lynöe & Niklas Juth - 2016 - Clinical Ethics 11 (4):190-199.
    Background The aim of this study was to investigate whether physicians who felt strongly for or against a treatment, in this case a moderately life prolonging non-curative cancer treatment, differed in their estimation of medical indication for this treatment as compared to physicians who had no such sentiment. A further aim was to investigate how the notion of medical indication was conceptualised. Methods A random sample of GPs, oncologists and pulmonologists comprised the study group. Respondents were randomised to receive either (...)
    Download  
     
    Export citation  
     
    Bookmark   7 citations  
  • Compulsory Treatment in Chronic Anorexia Nervosa by All Means? Searching for a Middle Ground Between a Curative and a Palliative Approach.Manuel Trachsel, Verina Wild, Nikola Biller-Andorno & Tanja Krones - 2015 - American Journal of Bioethics 15 (7):55-56.
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • How individual ethical frameworks shape physician trainees’ experiences providing end-of-life care: a qualitative study.Sarah Rosenwohl-Mack, Daniel Dohan, Thea Matthews, Jason Neil Batten & Elizabeth Dzeng - 2021 - Journal of Medical Ethics 47 (12):e72-e72.
    ObjectivesThe end of life is an ethically challenging time requiring complex decision-making. This study describes ethical frameworks among physician trainees, explores how these frameworks manifest and relates these frameworks to experiences delivering end-of-life care.DesignWe conducted semistructured in-depth exploratory qualitative interviews with physician trainees about experiences of end-of-life care and moral distress. We analysed the interviews using thematic analysis.SettingAcademic teaching hospitals in the United States and United Kingdom.ParticipantsWe interviewed 30 physician trainees. We purposefully sampled across three domains we expected to be (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Value-impregnated factual claims may undermine medical decision-making.Niels Lynøe, Gert Helgesson & Niklas Juth - 2018 - Clinical Ethics 13 (3):151-158.
    Clinical decisions are expected to be based on factual evidence and official values derived from healthcare law and soft laws such as regulations and guidelines. But sometimes personal values instead influence clinical decisions. One way in which personal values may influence medical decision-making is by their affecting factual claims or assumptions made by healthcare providers. Such influence, which we call ‘value-impregnation,’ may be concealed to all concerned stakeholders. We suggest as a hypothesis that healthcare providers’ decision making is sometimes affected (...)
    Download  
     
    Export citation  
     
    Bookmark   5 citations  
  • Heed or disregard a cancer patient’s critical blogging? An experimental study of two different framing strategies.Niels Lynøe, Sara NattochDag, Magnus Lindskog & Niklas Juth - 2016 - BMC Medical Ethics 17 (1):1.
    We have examined healthcare staff attitudes of toward a blogging cancer patient who publishes critical posts about her treatment and their possible effect on patient-staff relationships and treatment decisions. We used two versions of a questionnaire containing a vignette based on a modified real case involving a 39-year-old cancer patient who complained on her blog about how she was encountered and the treatment she received. Initially she was not offered a new, and expensive treatment, which might have influenced her perception (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • „Wir gehen hin und her“ Versuch einer Operationalisierung des Überlegungsgleichgewichts am Beispiel der Kindes- und Erwachsenenschutzbehörde in der Schweiz.Mathias Lindenau & Marcel Meier Kressig - 2019 - Zeitschrift für Praktische Philosophie 6 (1):117--144.
    Auch in der Sozialen Arbeit stellt sich die Notwendigkeit, Entscheide ethisch legitimieren zu müssen. Nicht nur können durch ihre Interventionen hohe ethische Güter der betroffenen Person berührt sein, sondern zudem treten nicht selten auch Entscheidungssituationen auf, in denen die anstehende Entscheidung unsicher und umstritten ist. Anhand der erwachsenenschutzrechtlichen Seite der Kindes- und Erwachsenenschutzbehörde in der Schweiz werden wir in diesem Beitrag den Versuch unternehmen, John Rawls’ Überlegungsgleichgewicht in seinen Grundzügen in eine konkrete Praxis zu überführen mit dem Ziel, ethische Leitlinien (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • Restraint in somatic healthcare: how should it be regulated?Amina Guenna Holmgren, Ann-Christin von Vogelsang, Anna Lindblad & Niklas Juth - forthcoming - Journal of Medical Ethics.
    Restraint is regularly used in somatic healthcare settings, and countries have chosen different paths to regulate restraint in somatic healthcare. One overarching problem when regulating restraint is to ensure that patients with reduced decision-making capacity receive the care they need and at the same time ensure that patients with a sufficient degree of decision-making capacity are not forced into care that they do not want. Here, arguments of justice, trust in the healthcare system, minimising harm and respecting autonomy are contrasted (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Einwilligungsfähigkeit: inhärente Fähigkeit oder ethisches Urteil?Helena Hermann, Manuel Trachsel & Nikola Biller-Andorno - 2016 - Ethik in der Medizin 28 (2):107-120.
    ZusammenfassungDie Bestimmung der Einwilligungsfähigkeit von Patienten beinhaltet weitreichende ethische und rechtliche Implikationen. Ausreichende Klärung des Begriffs ist daher unerlässlich. Solche Bemühungen gelten vorwiegend der Definition von Kriterien hinsichtlich relevanter mentaler Fähigkeiten. Grundlegendere Aspekte werden kaum explizit besprochen, so die Frage, ob Einwilligungsfähigkeit eher eine inhärente Fähigkeit oder ein ethisches Urteil bezeichnet. Zentral bei dieser Unterscheidung ist der Stellenwert ethischer Überlegungen die Zulässigkeit fürsorglicher Bevormundung betreffend. Geht man von einer inhärenten Fähigkeit aus, schließen solche Überlegungen an die Beurteilung von Einwilligungsfähigkeit an. (...)
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Decision-making capacity: from testing to evaluation.Helena Hermann, Martin Feuz, Manuel Trachsel & Nikola Biller-Andorno - 2020 - Medicine, Health Care and Philosophy 23 (2):253-259.
    Decision-making capacity (DMC) is the gatekeeping element for a patient’s right to self-determination with regard to medical decisions. A DMC evaluation is not only conducted on descriptive grounds but is an inherently normative task including ethical reasoning. Therefore, it is dependent to a considerable extent on the values held by the clinicians involved in the DMC evaluation. Dealing with the question of how to reasonably support clinicians in arriving at a DMC judgment, a new tool is presented that fundamentally differs (...)
    Download  
     
    Export citation  
     
    Bookmark   8 citations