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  1. Making complex decisions in uncertain times: experiences of Dutch GPs as gatekeepers regarding hospital referrals during COVID-19—a qualitative study.Anne B. Wichmann, Yvonne Engels, Jaap Schuurmans, Janneke Dujardin & Dieke Westerduin - 2021 - BMC Medical Ethics 22 (1):1-8.
    BackgroundGeneral practitioners often act as gatekeeper, authorizing patients’ access to hospital care. This gatekeeping role became even more important during the current COVID-19 crisis as uncertainties regarding COVID-19 made estimating the desirability of hospital referrals (for outpatient or inpatient hospitalization) complex, both for COVID and non-COVID suspected patients. This study explored Dutch general practitioners’ experiences and ethical dilemmas faced in decision making about hospital referrals in times of the COVID-19 pandemic.MethodsSemi-structured interviews with Dutch general practitioners working in the Netherlands were (...)
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  • Allocating Ventilators During the COVID-19 Pandemic and Conscientious Objection.Mark Wicclair - 2020 - American Journal of Bioethics 20 (7):204-207.
    Volume 20, Issue 7, July 2020, Page 204-207.
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  • Ethically Allocating COVID-19 Drugs Via Pre-approval Access and Emergency Use Authorization.Jamie Webb, Lesha D. Shah & Holly Fernandez Lynch - 2020 - American Journal of Bioethics 20 (9):4-17.
    Allocating access to unapproved COVID-19 drugs available via Pre-Approval Access pathways or Emergency Use Authorization raises unique challenges at the intersection of clinical care and research....
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  • Towards a feminist global ethics.Rosemarie Tong - 2022 - Global Bioethics 33 (1):14-31.
    In this article, I explain what makes a global bioethics “feminist” and why I think this development makes a better bioethics. Before defending this assertion explicitly, I engage in some preliminary work. First, I attempt to define global bioethics, showing why the so-called feminist sameness-difference debate [are men and women fundamentally the same or fundamentally different?] is of relevance to this attempt. I then discuss the difference between rights-based feminist approaches to global bioethics and care-based feminist approaches to global bioethics. (...)
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  • Why should HCWs receive priority access to vaccines in a pandemic?Xavier Symons, Steve Matthews & Bernadette Tobin - 2021 - BMC Medical Ethics 22 (1):1-9.
    BackgroundViral pandemics present a range of ethical challenges for policy makers, not the least among which are difficult decisions about how to allocate scarce healthcare resources. One important question is whether healthcare workers should receive priority access to a vaccine in the event that an effective vaccine becomes available. This question is especially relevant in the coronavirus pandemic with governments and health authorities currently facing questions of distribution of COVID-19 vaccines.Main textIn this article, we critically evaluate the most common ethical (...)
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  • Why Healthcare Workers Should Not Be Prioritized in Ventilator Triage.William Sveen & Armand H. Matheny Antommaria - 2020 - American Journal of Bioethics 20 (7):133-135.
    Volume 20, Issue 7, July 2020, Page 133-135.
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  • Flattening the Rationing Curve: The Need for Explicit Guidelines for Implicit Rationing during the COVID-19 Pandemic.Kayte Spector-Bagdady, Naomi Laventhal, Megan Applewhite, Janice I. Firn, Norman D. Hogikyan, Reshma Jagsi, Adam Marks, Renee McLeod-Sordjan, Lisa S. Parker, Lauren B. Smith, Christian J. Vercler & Andrew G. Shuman - 2020 - American Journal of Bioethics 20 (7):77-80.
    Volume 20, Issue 7, July 2020, Page 77-80.
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  • Using Functionality Rather than Elective Nature to Characterize Neurosurgeries During Pandemic Triage.Nathan A. Shlobin, Joshua M. Rosenow & Paul J. Ford - 2020 - American Journal of Bioethics 20 (7):196-198.
    Volume 20, Issue 7, July 2020, Page 196-198.
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  • Implementing VA’s Authoritative Ethical Guidance in a Pandemic.Toby Schonfeld, David Alfandre, Kenneth Berkowitz, Barbara Chanko, Mary Beth Foglia & Cynthia Geppert - 2020 - American Journal of Bioethics 20 (7):145-147.
    Volume 20, Issue 7, July 2020, Page 145-147.
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  • Examining Public Trust in Categorical versus Comprehensive Triage Criteria.Jon Rueda, Ivar R. Hannikainen, Joaquín Hortal-Carmona & David Rodriguez-Arias - 2020 - American Journal of Bioethics 20 (7):106-109.
    Volume 20, Issue 7, July 2020, Page 106-109.
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  • Justice and Guidance for the COVID-19 Pandemic.Rosamond Rhodes - 2020 - American Journal of Bioethics 20 (7):163-166.
    Volume 20, Issue 7, July 2020, Page 163-166.
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  • To Procure or Not to Procure: Hospitals Face Significant Ethical Dilemmas Regarding Organ Donation During the COVID-19 Pandemic.Jordan Potter, Jessica Ginsberg, Jason Lesandrini & Amy Andrelchik - 2020 - American Journal of Bioethics 20 (7):193-195.
    Volume 20, Issue 7, July 2020, Page 193-195.
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  • COVID-19 and Biomedical Experts: When Epistemic Authority is (Probably) Not Enough.Pietro Pietrini, Andrea Lavazza & Mirko Farina - 2022 - Journal of Bioethical Inquiry 19 (1):135-142.
    This critical essay evaluates the potential integration of distinct kinds of expertise in policymaking, especially during situations of critical emergencies, such as the COVID-19 pandemic. This article relies on two case studies: herd immunity and restricted access to ventilators for disabled people. These case studies are discussed as examples of experts’ recommendations that have not been widely accepted, though they were made within the boundaries of expert epistemic authority. While the fundamental contribution of biomedical experts in devising public health policies (...)
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  • A Call for Dialysis-Specific Resource Allocation Guidelines During COVID-19.Jordan A. Parsons & Dominique E. Martin - 2020 - American Journal of Bioethics 20 (7):199-201.
    Volume 20, Issue 7, July 2020, Page 199-201.
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  • COVID-19 underscores the important role of Clinical Ethics Committees in Africa.Adetayo Emmanuel Obasa, Anita Kleinsmidt, Siti Mukaumbya Kabanda & Keymanthri Moodley - 2021 - BMC Medical Ethics 22 (1):1-9.
    BackgroundThe COVID-19 pandemic has magnified pre-existing challenges in healthcare in Africa. Long-standing health inequities, embedded in the continent over centuries, have been laid bare and have raised complex ethical dilemmas. While there are very few clinical ethics committees (CECs) in Africa, the demand for such services exists and has increased during the COVID-19 pandemic. The views of African healthcare professionals or bioethicists on the role of CECs in Africa have not been explored or documented previously. In this study, we aim (...)
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  • Disability and Contingency Care.Ryan H. Nelson, Bharath Ram & Mary Anderlik Majumder - 2020 - American Journal of Bioethics 20 (7):190-192.
    Volume 20, Issue 7, July 2020, Page 190-192.
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  • COVID-19, Pandemic Triage, and the Polymorphism of Justice.Jonathan H. Marks - 2020 - American Journal of Bioethics 20 (7):103-106.
    Volume 20, Issue 7, July 2020, Page 103-106.
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  • Is It Possible to Allocate Life? Triage, Ageism, and Narrative Identity.Mahmut Alpertunga Kara - 2023 - The New Bioethics 29 (4):322-339.
    Triage protocols can exclude older patients for the sake of effectiveness and this may be defended as the older have already had their fair share of life, which can mean fair amounts or complete lives. Nevertheless, if life is considered as a narrative, mentioning amounts might be nonsensical. Narratives have a quality of unity; so, life events are fragments whose meanings are dependent on the meaning of the whole. Thus, time units do not represent a reliable measure of the content (...)
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  • Reconceptualizing Triage to Incorporate Principles of Risk and Uncertainty: An Example from Deep Brain Stimulation Patients with Treatment-Resistant Disorders.Lavina Kalwani, Kristin Kostick, Eric A. Storch & Gabriel Lázaro-Muñoz - 2020 - American Journal of Bioethics 20 (7):207-209.
    Volume 20, Issue 7, July 2020, Page 207-209.
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  • Ethical Challenges in Advance Care Planning During the COVID-19 Pandemic.Anveet S. Janwadkar & Trevor M. Bibler - 2020 - American Journal of Bioethics 20 (7):202-204.
    Volume 20, Issue 7, July 2020, Page 202-204.
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  • Ethical Considerations for “Reopening” Health Care Organizations Amid COVID-19.Thomas D. Harter - 2020 - American Journal of Bioethics 20 (7):95-97.
    Volume 20, Issue 7, July 2020, Page 95-97.
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  • COVID-19 and Financial Vulnerability: What Health Care Organizations and Society Owe Each Other.Thomas D. Harter, Ana Iltis, Maria C. Clay & Mark Aulisio - 2020 - American Journal of Bioethics 20 (7):139-141.
    Volume 20, Issue 7, July 2020, Page 139-141.
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  • What if some patients are more “important” than others? A possible framework for Covid-19 and other emergency care situations.Mirko D. Garasic & Andrea Lavazza - 2022 - BMC Medical Ethics 23 (1):1-11.
    BackgroundThe Covid-19 pandemic caused situations where, in some hospitals, there were more patients in need of urgent treatment in intensive care units (ICU) than were available. In particular, there were not sufficient ventilators or critical care resources for all patients in danger of dying from respiratory failure or other organ failures.DiscussionAs the “first come, first served” criterion was not considered adequate, more nuanced and fairer clinical criteria were proposed to assess whom to treat first. One type of patients that has (...)
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  • More than Warm Fuzzy Feelings: The Imperative of Institutional Morale in Hospital Pandemic Responses.Jeremy R. Garrett & Leslie Ann McNolty - 2020 - American Journal of Bioethics 20 (7):92-94.
    Volume 20, Issue 7, July 2020, Page 92-94.
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  • Ethical Dilemmas in Covid-19 Medical Care: Is a Problematic Triage Protocol Better or Worse than No Protocol at All?Sheri Fink - 2020 - American Journal of Bioethics 20 (7):1-5.
    Volume 20, Issue 7, July 2020, Page 1-5.
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  • It’s Not Easy Bein’ Fair.Kyle Ferguson & Arthur L. Caplan - 2020 - American Journal of Bioethics 20 (7):160-162.
    Volume 20, Issue 7, July 2020, Page 160-162.
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  • Ethical Challenges Experienced by Healthcare Workers Delivering Clinical Care during Health Emergencies and Disasters: A Rapid Review of Qualitative Studies and Thematic Synthesis.Mariana Dittborn, Constanza Micolich, Daniela Rojas & Sofía P. Salas - 2022 - AJOB Empirical Bioethics 13 (3):179-195.
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  • Towards collective moral resilience: the potential of communities of practice during the COVID-19 pandemic and beyond.Janet Delgado, Serena Siow, Janet de Groot, Brienne McLane & Margot Hedlin - 2021 - Journal of Medical Ethics 47 (6):374-382.
    This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising (...)
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  • Mistrust and inconsistency during COVID-19: considerations for resource allocation guidelines that prioritise healthcare workers.Alexander T. M. Cheung & Brendan Parent - 2021 - Journal of Medical Ethics 47 (2):73-77.
    As the USA contends with another surge in COVID-19 cases, hospitals may soon need to answer the unresolved question of who lives and dies when ventilator demand exceeds supply. Although most triage policies in the USA have seemingly converged on the use of clinical need and benefit as primary criteria for prioritisation, significant differences exist between institutions in how to assign priority to patients with identical medical prognoses: the so-called ‘tie-breaker’ situations. In particular, one’s status as a frontline healthcare worker (...)
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  • From Moral Distress to Mutual Recognition: Diaries Kept by French Care Professionals During the Covid Crisis.Brenda Bogaert & Jean-Philippe Pierron - 2023 - Ethics and Social Welfare 17 (1):35-50.
    This article focuses on the experiences of social care workers during the first wave of the Covid pandemic. The method involved analyzing diaries kept by 65 professionals in 8 French regions during the first lockdown in France in the spring of 2020. As a form of non-binding, narrative expression, keeping diaries breaks with traditional models of reporting common in social care structures and allowed professionals to reflect on the experience as it was lived. In the diaries, professionals explored how the (...)
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  • Between Crisis and Convention: How Should We Address Contingency?Trevor Bibler - 2020 - Hastings Center Report 50 (5):17-19.
    The Covid‐19 pandemic has brought about renewed conversation about equality and equity in the distribution of medical resources. Much of the recent conversation has focused on creating and implementing policies in times of crisis when resources are exhausted. Depending on how the pandemic develops, some communities may implement crisis measures, but many health care facilities are currently experiencing shortages of staff and materials even if the facilities have not implemented crisis standards. There is a need for shared conversation about equality (...)
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  • Corona and Community: The Entrenchment of Structural Bias in Planning for Pandemic Preparedness.Jeffrey T. Berger & Dana Ribeiro Miller - 2020 - American Journal of Bioethics 20 (7):112-114.
    Volume 20, Issue 7, July 2020, Page 112-114.
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  • Why Healthcare Workers Ought to Be Prioritized in ASMR During the SARS-CoV-2 Pandemic.Mark P. Aulisio & Thomas May - 2020 - American Journal of Bioethics 20 (7):125-128.
    Volume 20, Issue 7, July 2020, Page 125-128.
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  • Reimagining quarantine: Assuring hopefulness in nursing and healthcare.Bernardo O. A. Arde, Epifania M. R. Purisima, Hirokazu Ito & Rozzano C. Locsin - 2022 - Nursing Inquiry 29 (4):e12481.
    This article aimed to explore issues of concern related to quarantine, its social consequences and influences, challenging its effects on human behavioral expressions during social isolation. The advent of the coronavirus disease 2019 (COVID-19) pandemic impacted human lives in multifarious ways, threatening the meaning of normalcy. Quarantine, lockdown, isolation, and other terms reflecting conditions limiting human freedoms have become synonymous in importance to safety, security, and survival. To understand human defiance in the face of maintaining limited mobility during the COVID-19 (...)
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