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  1. Exploring a Model Role Description for Ethicists.Paula Chidwick, Jennifer Bell, Eoin Connolly, Michael D. Coughlin, Andrea Frolic, Laurie Hardingham & Randi Zlotnik Shaul - 2010 - HEC Forum 22 (1):31-40.
    This paper provides a description of the role of the clinical ethicist as it is generally experienced in Canada. It examines the activities of Canadian ethicists working in healthcare institutions and the way in which their work incorporates more than ethics case consultation. The Canadian Bioethics Society established a Taskforce on Working Conditions for Bioethics (hereafter referred to as the Taskforce), to make recommendations on a number of issues affecting ethicists and to develop a model role description. This essay carefully (...)
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  • Systems Bioethics.Jason Scott Robert - 2007 - American Journal of Bioethics 7 (4):80-82.
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  • Clinical Ethics and the Road Less Taken: Mapping the Future by Tracking the Past.Susan B. Rubin & Laurie Zoloth - 2004 - Journal of Law, Medicine and Ethics 32 (2):218-225.
    Clinical ethics, like the broader field of bioethics from which it emerged, is at a critical crossroads in its development, with conflicting paths ahead. It can either claim its distinctive place in the clinical arena, insisting unapologetically on certain minimal standards of professional training, practice and competence, addressing head on debates about various models of and methodological approaches to consultation, and establishing a shared vision of the purpose and meaning of the enterprise of clinical ethics itself. Or, it can devolve (...)
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  • Communication and conflict management training for clinical bioethics committees.M. Edelstein Lauren, G. DeRenzo Evan, Craig Zelizer Elizabeth Waetzig & O. Mokwunye Nneka - 2009 - HEC Forum 21 (4):341-349.
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  • Strange, but not stranger: The peculiar visage of philosophy in clinical ethics consultation. [REVIEW]Mark J. Bliton & Stuart G. Finder - 1999 - Human Studies 22 (1):69-97.
    Baylis, Tomlinson, and Hoffmaster each raise a number of critiques in response to Bliton's manuscript. In response, we focus on three themes we believe run through each of their critiques. The first is the ambiguity between the role of ethics consultation within an institution and the role of the actual ethics consultant in a particular situation, as well as the resulting confusion when these roles are conflated. We explore this theme by revisiting the question of What's going on? in clinical (...)
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  • Moral distress in healthcare practice: The situation of nurses. [REVIEW]Wendy Austin, Gillian Lemermeyer, Lisa Goldberg, Vangie Bergum & Melissa S. Johnson - 2005 - HEC Forum 17 (1):33-48.
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  • Living ethics: a stance and its implications in health ethics.Eric Racine, Sophie Ji, Valérie Badro, Aline Bogossian, Claude Julie Bourque, Marie-Ève Bouthillier, Vanessa Chenel, Clara Dallaire, Hubert Doucet, Caroline Favron-Godbout, Marie-Chantal Fortin, Isabelle Ganache, Anne-Sophie Guernon, Marjorie Montreuil, Catherine Olivier, Ariane Quintal, Abdou Simon Senghor, Michèle Stanton-Jean, Joé T. Martineau, Andréanne Talbot & Nathalie Tremblay - 2024 - Medicine, Health Care and Philosophy 27 (2):137-154.
    Moral or ethical questions are vital because they affect our daily lives: what is the best choice we can make, the best action to take in a given situation, and ultimately, the best way to live our lives? Health ethics has contributed to moving ethics toward a more experience-based and user-oriented theoretical and methodological stance but remains in our practice an incomplete lever for human development and flourishing. This context led us to envision and develop the stance of a “living (...)
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  • Perspectives on the role of the nurse ethicist.Jenny Jones, Paul J. Ford, Giles Birchley & Settimio Monteverde - 2023 - Nursing Ethics 30 (5):652-658.
    This paper offers four contrasting perspectives on the role of the nurse ethicist from authors based in different areas of world, with different professional backgrounds and at different career stages. Each author raises questions about how to understand the role of the nurse ethicist. The first author reflects upon their career, the scope and purpose of their work, ultimately arguing that the distinction between ‘nurse ethicist’ and ‘clinical ethicist’ is largely irrelevant. The second author describes the impact and value that (...)
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  • Systemic approach to clinical ethics—impact of systems thinking and practice on the design of effective ethics consultations.Katharina Woellert - 2022 - Ethik in der Medizin 34 (4):529-548.
    Definition of the problemQuality of care also includes a professional approach to ethical challenges. This involves the moral interpretation of an issue and the management of intra- and interpersonal reflection processes. Combining both is the central task of clinical ethics consultation (CEC). Despite its importance only a few studies have dealt with the appropriate methods for steering reflection processes.ArgumentsCEC requires a theory-based and methodological approach. The argumentation shows the effects that systems theory and systemic methods have on the effectiveness of (...)
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  • Trauma Informed Ethics Consultation.Elizabeth Lanphier & Uchenna E. Anani - 2022 - American Journal of Bioethics 22 (5):45-57.
    We argue for the addition of trauma informed awareness, training, and skill in clinical ethics consultation by proposing a novel framework for Trauma Informed Ethics Consultation (TIEC). This approach expands on the American Society for Bioethics and Humanities (ASBH) framework for, and key insights from feminist approaches to, ethics consultation, and the literature on trauma informed care (TIC). TIEC keeps ethics consultation in line with the provision of TIC in other clinical settings. Most crucially, TIEC (like TIC) is systematically sensitive (...)
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  • Narrative Awareness in Ethics Consultations: The Ethics Consultant as Story‐Maker.Larry Churchill - 2014 - Hastings Center Report 44 (s1):36-39.
    Much has been written about the importance of narrative in teaching ethics and humanities to medical students and residents, as well as the value of narratives in clinical care. Relatively little has been said about the essential role of narrative in bioethics consultations. For most consults, the interpretation of narratives is the central moral feature, and the ethics consultant is inevitably one of the narrators. In a recent consult in which I participated, at least three narratives were in play. The (...)
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  • Conceptualizing Boundaries for the Professionalization of Healthcare Ethics Practice: A Call for Empirical Research.Nancy C. Brown & Summer Johnson McGee - 2014 - HEC Forum 26 (4):325-341.
    One of the challenges of modern healthcare ethics practice is the navigation of boundaries. Practicing healthcare ethicists in the performance of their role must navigate meanings, choices, decisions and actions embedded in complex cultural and social relationships amongst diverse individuals. In light of the evolving state of modern healthcare ethics practice and the recent move toward professionalization via certification, understanding boundary navigation in healthcare ethics practice is critical. Because healthcare ethics is endowed with many boundaries which often delineate concerns about (...)
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  • The Practice Setting: site of ethical conflict for some mothers and midwives.Faye E. Thompson - 2003 - Nursing Ethics 10 (6):588-601.
    Practitioners’ ethical orientation and responses vary between practice settings. Yet, currently, the ethics for midwifery practice that is explicit in the literature and which provides the ideals of socialization into practice, is that of bio(medical)ethics. Traditional bioethics, developed because of World War II atrocities and increased scientific research, is based on moral philosophy, normative theory, abstract universal principles and objective problem solving, all of which focus on right and wrong ‘action’ for resolving dilemmas. They exclude context and relationship. Personal narratives (...)
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  • Revitalizing a hospital ethics committee.Henry J. Silverman - 1994 - HEC Forum 6 (4):189-222.
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  • Re-visioning our potential: Networking ethics mentors and healthcare ethics committees. [REVIEW]Kevin G. Murphy - 2001 - HEC Forum 13 (2):160-170.
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  • Living with end-stage renal disease: Moral responsibilities of patients.Karen Schipper, Elleke Landeweer & Tineke A. Abma - 2018 - Nursing Ethics 25 (8):1017-1029.
    Background: Living with a renal disease often reduces quality of life because of the stress it entails. No attention has been paid to the moral challenges of living with renal disease. Objectives: To explore the moral challenges of living with a renal disease. Research design: A case study based on qualitative research. We used Walker’s ethical framework combined with narrative ethics to analyse how negotiating care responsibilities lead to a new perspective on moral issues. Participants and research context: One case (...)
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  • Beyond the consult question: Nurse ethicists as architects of moral spaces.Ian D. Wolfe - 2023 - Nursing Ethics 30 (5):710-719.
    Nurse Ethicists bring a unique perspective to clinical ethics consultation. This perspective provides an appreciation of ethical tensions that will exist beyond the consult question into the moral space of patient care. These tensions exist even when an ethically preferable plan of action is identified. Ethically appropriate courses of action can still lead to moral dilemmas for others. The nurse ethicist provides a lens well suited to identify and respond to these dilemmas. The nurse–patient relationship is the ethical foundation of (...)
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  • E-walks bring ethics to the bedside: A nurse ethicist’s reflections.Brenda Barnum - 2023 - Nursing Ethics 30 (5):720-729.
    The unique role of the nurse ethicist in the clinical setting is one meant to enhance the ethical capacity of nurses, and front-line healthcare providers. As a nurse ethicist, it is also my goal to enhance the ethical climate of each individual work area, patient care unit, and the broader institution by encouraging ethical conversations, navigating ethical dilemmas, and seeking creative solutions to minimize moral distress and burnout. To provide preventive ethics support and education, I began regularly visiting patient care (...)
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  • Documenting Clinical Ethics Consultation.Amanda Porter - 2021 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 4 (1).
    This short perspective piece is about the documentation of clinical ethics consultation in Canada. It is written at a time when the Canadian Association of Practicing Health Care Ethicists is endeavoring to develop standards of practice for clinical ethics in Canada. This brief commentary is informed by my experience working in clinical ethics in three different provinces, but it is primarily an attempt to draw attention to the normative questions: How much and what kinds of information should be included in (...)
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  • Surprise Billing as a Source of Vulnerability—An Ethics Question Indeed.Leslie Kuhnel - 2020 - American Journal of Bioethics 20 (8):114-116.
    Volume 20, Issue 8, August 2020, Page 114-116.
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  • Ethical Leadership and Employees’ Perceptions About Raising Ethical Concerns to Managers in the Veterans Health Administration.Mary Beth Foglia & Jennifer Hadary Cohen - 2019 - AJOB Empirical Bioethics 10 (3):155-163.
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  • Decolonization of the West, Desuperiorisation of Thought, and Elative Ethics.Björn Freter - 2019 - In Elvis Imafidon (ed.), Handbook on African Philosophy of Difference. Springer. pp. 1-24.
    Through the vehicle of Nicolas Sarkozy’s so-called “Dakar Address” we will analyse the West’s persisting lack of insight into the need for a Western decolonization. We will try to identify the dangers that come from this refusal, such as the abidance in colonial patterns, the enduring self-understanding as superior com-pared to Africa, and the persisting unwillingness to accept the colonial guilt. Decolonization has to be understood as a two-fold business. Decolonization is over-coming endured and perpetrated violence. It is not only (...)
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  • Rereading Frankenstein: What If Victor Frankenstein Had Actually Been Evil?Jason Scott Robert - 2018 - Hastings Center Report 48 (6):21-24.
    As we reread Mary Shelley's Frankenstein at two hundred years, it is evident that Victor Frankenstein is both a mad scientist (fevered, obsessive) and a bad scientist (secretive, hubristic, irresponsible). He's also not a very nice person. He's a narcissist, a liar, and a bad “parent.” But he is not genuinely evil. And yet when we reimagine him as evil—as an evil scientist and as an evil person—we can learn some important lessons about science and technology, our contemporary society, and (...)
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  • Clinical Ethics and the Road Less Taken: Mapping the Future by Tracking the Past.Susan B. Rubin & Laurie Zoloth - 2004 - Journal of Law, Medicine and Ethics 32 (2):218-225.
    Clinical ethics, like the broader field of bioethics from which it emerged, is at a critical crossroads in its development, with conflicting paths ahead. It can either claim its distinctive place in the clinical arena, insisting unapologetically on certain minimal standards of professional training, practice and competence, addressing head on debates about various models of and methodological approaches to consultation, and establishing a shared vision of the purpose and meaning of the enterprise of clinical ethics itself. Or, it can devolve (...)
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  • Beyond the Recommendation: Discerning Achievable Goals in Clinical Ethics Consultation.Joseph B. Fanning, Nanibaa’ A. Garrison & Larry R. Churchill - 2015 - American Journal of Bioethics 15 (1):42-44.
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  • Sturdy for common things: cultivating moral sensemaking on the front lines of practice.David M. Browning - 2012 - Journal of Medical Ethics 38 (4):233-235.
    This essay argues that the field of bioethics should concern itself especially with the process of making moral sense that unfolds among clinicians, patients and family members during common but high-stakes conversations occurring on the front lines of practice. The essay outlines the parameters of a bioethics grounded in the moral experience of patients, families and practitioners. It challenges ethicists, educators, and clinician leaders to commit themselves to advocating and developing creative approaches to learning that will cultivate the moral sensibilities (...)
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  • Resistance and Insubordination.Hilde Lindemann Nelson - 1995 - Hypatia 10 (2):23 - 40.
    I introduce the notion of the counterstory: a story that contributes to the moral self-definition of its teller by undermining a dominant story, undoing it and retelling it in such a way as to invite new interpretations and conclusions. Counterstories can be told anywhere, but particularly when told within chosen communities, they permit their tellers to reenter, as full citizens, the communities of place whose goods have been only imperfectly available to its marginalized members.
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  • Challenging norms in bioethics—helping others to find their voice.Barry DeCoster - 2008 - American Journal of Bioethics 8 (7):9 – 11.
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  • The denver community bioethics committee: Healthcare decisions in adult protection and long-term care settings. [REVIEW]Lynn D. Mason - 1995 - HEC Forum 7 (5):284-289.
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  • Joining the team: Ethics consultation at the Cleveland clinic. [REVIEW]George J. Agich - 2003 - HEC Forum 15 (4):310-322.
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