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  1. Ethical Framework to Address Barriers to Healthcare for People with Disabilities in India.Rajeswaran Thiagesan, Vijayaprasad Gopichandran & Hilaria Soundari - 2023 - Asian Bioethics Review 15 (3):307-317.
    Disability is one of the key public health issues in India and the burden will increase given the trend of an aging population. People with disabilities experience greater vulnerability as they may develop secondary health issues. They face various barriers while accessing health services. This is a major ethical concern. In this article, we frame the barriers to healthcare provision to persons with disabilities and propose an ethical framework to address these barriers. This ethical framework is derived from the basic (...)
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  • Colombian adolescents’ preferences for independently accessing sexual and reproductive health services: a cross-sectional and bioethics analysis.Julien Brisson, Bryn Williams-Jones & Vardit Ravitsky - 2022 - Sexual and Reproductive Healthcare 100698 (32).
    Objective Our study sought to (1) describe the practices and preferences of Colombian adolescents in accessing sexual and reproductive health services: accompanied versus alone; (2) compare actual practices with stated preferences; and (3) determine age and gender differences regarding the practice and these stated preferences. -/- Methods 812 participants aged 11–24 years old answered a survey in two Profamilia clinics in the cities of Medellin and Cali in Colombia. A cross-sectional analysis was performed to compare participants’ answers based on the (...)
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  • Translating Cultural Safety to the UK.Amali U. Lokugamage, Elizabeth Rix, Tania Fleming, Tanvi Khetan, Alice Meredith & Carolyn Ruth Hastie - 2023 - Journal of Medical Ethics 49 (4):244-251.
    Disproportional morbidity and mortality experienced by ethnic minorities in the UK have been highlighted by the COVID-19 pandemic. The ‘Black Lives Matter’ movement has exposed structural racism’s contribution to these health inequities. ‘Cultural Safety’, an antiracist, decolonising and educational innovation originating in New Zealand, has been adopted in Australia. Cultural Safety aims to dismantle barriers faced by colonised Indigenous peoples in mainstream healthcare by addressing systemic racism.This paper explores what it means to be ‘culturally safe’. The ways in which New (...)
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  • Fostering ethical reflection on health data research through co-design: A pilot study.Joanna Sleigh & Julia Amann - 2022 - International Journal of Ethics Education 7 (2):325-342.
    Health research ethics training is highly variable, with some researchers receiving little to none, which is why ethical frameworks represent critical tools for ethical deliberation and guiding responsible practice. However, these documents' voluntary and abstract nature can leave health researchers seeking more operationalised guidance, such as in the form of checklists, even though this approach does not support reflection on the meaning of principles nor their implications. In search of more reflective and participatory practices in a pandemic context with distance (...)
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  • Administration of pro re nata medications by the nurse to incapacitated patients: An ethical perspective.Mojtaba Vaismoradi, Cathrine Fredriksen Moe, M. Flores Vizcaya-Moreno & Piret Paal - 2022 - Clinical Ethics 17 (1):5-13.
    The administration of pro re nata medications is the responsibility of the nurse. However, ethical uncertainties often happen due to the inability of incapacitated patients to collaborate with the nurse in the process of decision making for pro re nata medication administration. There is a lack of integrative knowledge and insufficient understanding regarding ethical considerations surrounding the administration of pro re nata medications to incapacitated patients. Therefore, they have been discussed in this paper and practical strategies to avoid unethical practices (...)
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  • Moral neutralization: Nurses’ evolution in unethical climate workplaces.Hamideh Hakimi, Soodabeh Joolaee, Mansoureh Ashghali Farahani, Patricia Rodney & Hadi Ranjbar - 2020 - BMC Medical Ethics 21 (1):1-10.
    Introduction Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations shows a deterioration in their moral sensitivity and actions. The study reported in this paper aimed to explore the experiences of nurses regarding negative changes in their moral practice. Materials and methods This was a qualitative study utilizing an inductive thematic analysis approach, which was conducted from (...)
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  • The ethics of refusing to care for patients during the coronavirus pandemic: A Chinese perspective.Junhong Zhu, Teresa Stone & Marcia Petrini - 2021 - Nursing Inquiry 28 (1):e12380.
    As a result of the coronavirus (COVID‐19) pandemic, health professionals are faced with situations they have not previously encountered and are being forced to make difficult ethical decisions. As the first group to experience challenges of caring for patients with coronavirus, Chinese nurses endure heartbreak and face stressful moral dilemmas. In this opinion piece, we examine three related critical questions: Whether society has the right to require health professionals to risk their lives caring for patients; whether health professionals have the (...)
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  • Revisiting the ethical framework governing water fluoridation and food fortification.Ahmad Shakeri, Christopher Adanty & Howsikan Kugathsan - 2020 - Clinical Ethics 15 (4):175-180.
    Food fortification and water fluoridation are two public health initiatives that involve the passive consumption of nutrients through food and water supplies. While ethical analyses of food fortification and water fluoridation have been done separately, none have been done together. In this paper, we will consider whether the similarities between food fortification and water fluoridation override their differences and thus what ethical conclusions can be cross-pollinated between the two interventions. This study does three things: first, we review the origin, reasoning (...)
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  • Proportionality in Public Health Regulation: The Case of Dietary Supplements.David B. Resnik - 2018 - Food Ethics 2 (1):1-16.
    The idea that the degree of infringement public health interventions have on individual rights should be proportional to the degree of expected benefits has emerged as an influential principle in public health ethics and policy. While proportionality makes sense in theory, it may be difficult to implement in practice, due to the inherent conflict between individual rights and the common good underlying the principle. To apply the proportionality principle to a decision of policy, one must still find a reasonable way (...)
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  • The struggle for clinical ethics in Jordanian Hospitals.Ala Obeidat & Paul A. Komesaroff - 2019 - Journal of Bioethical Inquiry 16 (3):309-321.
    The Arab and Islamic world is in cultural, political and ethical flux. Pressures of globalisation contend with ancient ideas and concepts that permeate cultural frameworks. Health professionals are among the many groups battling to accommodate the rapidly changing conditions. In many predominantly Muslim countries intense debates are underway among clinicians about the impact of the forces of change on their practices. To help understand these forces we conducted a study of the experiences of clinicians in the Hashemite Kingdom of Jordan, (...)
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  • Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud.Jorge Tomas Insua - 2019 - Persona y Bioética 22 (2):223-246.
    Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud Principialismo, bioética personalista e princípios de ação em medicina e serviços de saúde Since there is a gap and differences between bioethical concepts and other principles of action arising from the practice of modern medicine, their comparison is reasonable. Modern medicine has created principles of action based on evidence and principles of quality in medicine, and bioethical argumentation frequently resorts to principlism or personalist bioethics. This article (...)
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  • Experimental Design: Ethics, Integrity and the Scientific Method.Jonathan Lewis - 2020 - In Ron Iphofen (ed.), Handbook of Research Ethics and Scientific Integrity. Springer. pp. 459-474.
    Experimental design is one aspect of a scientific method. A well-designed, properly conducted experiment aims to control variables in order to isolate and manipulate causal effects and thereby maximize internal validity, support causal inferences, and guarantee reliable results. Traditionally employed in the natural sciences, experimental design has become an important part of research in the social and behavioral sciences. Experimental methods are also endorsed as the most reliable guides to policy effectiveness. Through a discussion of some of the central concepts (...)
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  • Ethics of task shifting in the health workforce: exploring the role of community health workers in HIV service delivery in low- and middle-income countries.Hayley Mundeva, Jeremy Snyder, David Paul Ngilangwa & Angela Kaida - 2018 - BMC Medical Ethics 19 (1):71.
    Task shifting is increasingly used to address human resource shortages impacting HIV service delivery in low- and middle-income countries. By shifting basic tasks from higher- to lower-trained cadres, such as Community Health Workers, task shifting can reduce overhead costs, improve community outreach, and provide efficient scale-up of essential treatments like antiretroviral therapies. Although there is rich evidence outlining positive outcomes that CHWs bring into HIV programs, important questions remain over their place in service delivery. These challenges often reflect concerns over (...)
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  • Ethics education in public health: where are we now and where are we going?Victoria Doudenkova, Jean-Christophe Bélisle-Pipon, Louise Ringuette, Vardit Ravitsky & Bryn Williams-Jones - 2017 - International Journal of Ethics Education 2 (2):109-124.
    Over the last decade there has been a noticeable increase in attention, on the part of public health scholars and professionals, to the important ethical challenges that arise in the context of public health policy, practice and research. This has arguably been a driver for the development of public health ethics as both a specialized field of study in bioethics and a subject for professional education. But how is PHE taught in public health programs and schools? Are current educational approaches (...)
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