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  1. Bioethics and International Human Rights.David C. Thomasma - 1997 - Journal of Law, Medicine and Ethics 25 (4):295-306.
    Increasingly, the world seems to shrink due to our ever-expanding technological and communication capacities. Correspondingly, our awareness of other cultures increases. This is especially true in the field of bioethics because the technological progress of medicine throughout the world is causing dramatic and challenging intersections with traditionally held values. Think of the use of pregnancy monitoring technologies like ultrasound to abort fetuses of the “wrong” sex in India, the sale of human organs in and between countries, or the disjunction between (...)
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  • Informed Consent in a Multicultural Cancer Patient Population: implications for nursing practice.Donelle M. Barnes, Anne J. Davis, Tracy Moran, Carmen J. Portillo & Barbara A. Koenig - 1998 - Nursing Ethics 5 (5):412-423.
    Obtaining informed consent, an ethical obligation of nurses and other health care providers, occurs routinely when patients make health care decisions. The values underlying informed consent (promotion of patients’ well-being and respect for their self-determination) are embedded in the dominant American culture. Nurses who apply the USA’s cultural values of informed consent when caring for patients who come from other cultures encounter some ethical dilemmas. This descriptive study, conducted with Latino, Chinese and Anglo-American cancer patients in a large, public, west-coast (...)
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  • East meets West: Cross-cultural perspective in end-of-life decision making from Indian and German viewpoints. [REVIEW]Subrata Chattopadhyay & Alfred Simon - 2008 - Medicine, Health Care and Philosophy 11 (2):165-174.
    Culture creates the context within which individuals experience life and comprehend moral meaning of illness, suffering and death. The ways the patient, family and the physician communicate and make decisions in the end-of-life care are profoundly influenced by culture. What is considered as right or wrong in the healthcare setting may depend on the socio-cultural context. The present article is intended to delve into the cross-cultural perspectives in ethical decision making in the end-of-life scenario. We attempt to address the dynamics (...)
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  • Factors influencing preferences of Korean people toward advance directives.Su Hyun Kim - 2011 - Nursing Ethics 18 (4):505-513.
    Although Korean society has begun to seek a way of utilizing advance directives, there is not much known about the factors influencing the average Korean person’s preference toward advance directives. The purpose of this study was to examine factors, in addition to demographic variables, influencing preferences regarding advance directives. These include: to what extent people’s awareness of advance directives, preferences of extending their life at the end of life, experience of illness and medical care, and family functioning independently influence the (...)
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  • Truth-telling to a cancer patient about poor prognosis: A clinical case report in cross-cultural communication.Mohammad Razai - 2018 - Clinical Ethics 13 (3):159-164.
    Ethical principles are not mere abstract concepts of academic interest. They have to be applied by care providers in the real world under complex, challenging and often perplexing conditions. This paper discusses, through the case of an ethnic minority patient with metastasis of bowel cancer, the ethical dilemma of truth-telling and withholding information about poor prognosis. It highlights the complexities of applying ethical principles in a different cultural milieu, reflecting on different ethical frameworks and justifications. The paper also discusses some (...)
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  • Extubating Mrs. K: Psychological Aspects of Surrogate Decision Making.Tia Powell - 1999 - Journal of Law, Medicine and Ethics 27 (1):81-86.
    Mrs. K is a thirty-one-year-old Russian-speaking mother of two, who was brought in by ambulance after attempting suicide by jumping in front of train. Probable depression x months. Stressor: lost custody battle over older child. Current status: deep coma, ventilator-dependent, and prognosis grim. Next of kin is estranged husband; he demands participation in medical decision making. Legal proxy is patient's boyfriend; forcibly removed from the intensive care unit for agitated behavior and alcohol intoxication.I magine the difficulty for the ICU staff (...)
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  • Acculturation and end-of-life decision making: Comparison of japanese and japanese-american focus groups.Seiji Bito, Shinji Matsumura, Marjorie Kagawa Singer, Lisa S. Meredith, Shunichi Fukuhara & Neil S. Wenger - 2007 - Bioethics 21 (5):251–262.
    Variation in decision-making about end-of-life care among ethnic groups creates clinical conflicts. In order to understand changes in preferences for end-of-life care among Japanese who immigrate to the United States, we conducted 18 focus groups with 122 participants: 65 English-speaking Japanese Americans, 29 Japanese-speaking Japanese Americans and 28 Japanese living in Japan.Negative feelings toward living in adverse health states and receiving life-sustaining treatment in such states permeated all three groups. Fear of being meiwaku, a physical, psychological or financial caregiving burden (...)
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