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  1. The ASBH Approach to Certify Clinical Ethics Consultants Is Both Premature and Inadequate.Mark Siegler - 2019 - Journal of Clinical Ethics 30 (2):109-116.
    In November 2018 the American Society for Bioethics and Humanities (ASBH) administered the first Healthcare Ethics Consultant Certification examination to 138 candidates, 136 of whom (98.5 percent) passed and were “certified” as “healthcare ethics consultants.” I believe this certification process is both premature and inadequate.Certification for ethics consultants is premature because, as Kornfeld and Prager state repeatedly in their article in this issue of The Journal of Clinical Ethics, “The Clinician as Clinical Ethics Consultant: An Empirical Method of Study,” there (...)
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  • The Fetus as a Patient: A Contested Concept and its Normative Implications.Dagmar Schmitz & Angus Clarke - 2018 - Routledge.
    Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care. Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection. This volume explores the usefulness and limitations of the concept of ¿fetal patient¿ against the background of the recent seminal developments in prenatal or (...)
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  • The inconsistency argument: why apparent pro-life inconsistency undermines opposition to induced abortion.William Simkulet - 2022 - Journal of Medical Ethics 48 (7):461-465.
    Most opposition to induced abortion turns on the belief that human fetuses are persons from conception. On this view, the moral status of the fetus alone requires those in a position to provide aid—gestational mothers—to make tremendous sacrifices to benefit the fetus. Recently, critics have argued that this pro-life position requires more than opposition to induced abortion. Pro-life theorists are relatively silent on the issues of spontaneous abortion, surplus in vitro fertilisation human embryos, and the suffering and death of born (...)
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  • Ethics Consultation in U.S. Hospitals: A National Follow-Up Study.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):5-18.
    A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to 68,000. The (...)
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  • Is there a need for a clear advice? A retrospective comparative analysis of ethics consultations with and without recommendations in a maximum-care university hospital.Roman Pauli, Dominik Groß & Dagmar Schmitz - 2021 - BMC Medical Ethics 22 (1):1-10.
    BackgroundThe theory and practice of ethics consultations (ECs) in health care are still characterized by many controversies, including, for example, the practice of giving recommendations. These controversies are complicated by an astonishing lack of evidence in the whole field. It is not clear how often a recommendation is issued in ethics consultations and when and why this step is taken. Especially in a facilitation model in which giving recommendations is optional, more data would be helpful to evaluate daily practice, ensure (...)
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  • Should pregnant women be charged for non-invasive prenatal screening? Implications for reproductive autonomy and equal access.Eline M. Bunnik, Adriana Kater-Kuipers, Robert-Jan H. Galjaard & Inez D. de Beaufort - 2020 - Journal of Medical Ethics 46 (3):194-198.
    The introduction of non-invasive prenatal testing in healthcare systems around the world offers an opportunity to reconsider funding policies for prenatal screening. In some countries with universal access healthcare systems, pregnant women and their partners are asked to pay for NIPT. In this paper, we discuss two important rationales for charging women for NIPT: to prevent increased uptake of NIPT and to promote informed choice. First, given the aim of prenatal screening, high or low uptake rates are not intrinsically desirable (...)
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  • Just choice: a Danielsian analysis of the aims and scope of prenatal screening for fetal abnormalities.Greg Stapleton, Wybo Dondorp, Peter Schröder-Bäck & Guido de Wert - 2019 - Medicine, Health Care and Philosophy 22 (4):545-555.
    Developments in Non-Invasive Prenatal Testing (NIPT) and cell-free fetal DNA analysis raise the possibility that antenatal services may soon be able to support couples in non-invasively testing for, and diagnosing, an unprecedented range of genetic disorders and traits coded within their unborn child’s genome. Inevitably, this has prompted debate within the bioethics literature about what screening options should be offered to couples for the purpose of reproductive choice. In relation to this problem, the European Society of Human Genetics (ESHG) and (...)
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  • Shall parent / patient wishes be fulfilled in any case? A series of 32 ethics consultations: from reproductive medicine to neonatology.Mirella Muggli, Christian De Geyter & Stella Reiter-Theil - 2019 - BMC Medical Ethics 20 (1):4.
    Questions concerning the parent/ patient’s autonomy are seen as one of the most important reasons for requesting Ethics Consultations. Respecting parent/ patient’s autonomy also means respecting the patient’s wishes. But those wishes may be controversial and sometimes even go beyond legal requirements. The objective of this case series of 32 ECs was to illustrate ethically challenging parent / patients’ wishes during the first stages of life and how the principle of patient’s autonomy was handled. The case series has a qualitative (...)
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  • The Notion of Neutrality in Clinical Ethics Consultation.Alessandra Gasparetto, Ralf J. Jox & Mario Picozzi - 2018 - Philosophy, Ethics, and Humanities in Medicine 13:3.
    Clinical ethics consultation, as an activity that may be provided by clinical ethics committees and consultants, is nowadays a well-established practice in North America. Although it has been increasingly implemented in Europe and elsewhere, no agreement can be found among scholars and practitioners on the appropriate role or approach the consultant should play when ethically problematic cases involving conflicts and uncertainties come up. In particular, there is no consensus on the acceptability of consultants making recommendations, offering moral advice upon request, (...)
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  • A Brave New World of Bespoke Babies?Tom Shakespeare - 2017 - American Journal of Bioethics 17 (1):19-20.
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  • Health Care Ethics Consultation: An Update on Core Competencies and Emerging Standards from the American Society for Bioethics and Humanities’ Core Competencies Update Task Force.Anita J. Tarzian & Asbh Core Competencies Update Task Force 1 - 2013 - American Journal of Bioethics 13 (2):3-13.
    Ethics consultation has become an integral part of the fabric of U.S. health care delivery. This article summarizes the second edition of the Core Competencies for Health Care Ethics Consultation report of the American Society for Bioethics and Humanities. The core knowledge and skills competencies identified in the first edition of Core Competencies have been adopted by various ethics consultation services and education programs, providing evidence of their endorsement as health care ethics consultation (HCEC) standards. This revised report was prompted (...)
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  • Clinical ethics, information, and communication: review of 31 cases from a clinical ethics committee. [REVIEW]R. Forde - 2005 - Journal of Medical Ethics 31 (2):73-77.
    Objectives: To summarise the types of case brought to the Clinical Ethics Committee of the National Hospital of Norway from 1996 to 2002 and to describe and discuss to what extent issues of information/communication have been involved in the ethical problems. Design: Systematic review of case reports. Findings: Of the 31 case discussions, (20 prospective, 11 retrospective), 19 cases concerned treatment of children. Twenty cases concerned ethical problems related to withholding/withdrawing of treatment. In 25 cases aspects of information/communication were involved (...)
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  • A critique of the 'fetus as patient'.Anne Drapkin Lyerly, Margaret Olivia Little & Ruth R. Faden - 2008 - American Journal of Bioethics 8 (7):42 – 44.
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  • Bioethics Mediation: A Guide to Shaping Shared Solutions.Jacquelyn Slomka, Nancy Neveloff Dubler & Carol B. Liebman - 2005 - Hastings Center Report 35 (2):45.
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  • Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure.Autumn Fiester - 2015 - American Journal of Bioethics 15 (1):29-36.
    Clinical ethics consultations are sometimes deemed complete at the moment when the consultants make a recommendation. In CECs that involve actual ethical conflict, this view of a consult's endpoint runs the risk of overemphasizing the conflict's resolution at the expense of the consult's process, which can have deleterious effects on the various parties in the conflict. This overly narrow focus on reaching a decision or recommendation in consults that involve profound moral disagreement can result in two types of adverse, lingering (...)
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  • Dotting the I's and crossing the T's: autonomy and/or beneficence? The 'fetus as a patient' in maternal–fetal surgery.H. Catarina M. L. Rodrigues, Paul P. van den Berg & Marcus Düwell - 2013 - Journal of Medical Ethics 39 (4):219-223.
    Chervenak and McCullough, authors of the most acknowledged ethical framework for maternal–fetal surgery, rely on the ‘ethical–obstetrical’ concept of the fetus as a patient in order to determine what is morally owed to fetuses by both physicians and the women who gestate them in the context of prenatal surgery. In this article, we reconstruct the argumentative structure of their framework and present an internal criticism. First, we analyse the justificatory arguments put forward by the authors regarding the moral status of (...)
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  • Bioethics mediation: a guide to shaping shared solutions.Nancy N. Dubler - 2011 - Nashville, Tenn.: Vanderbilt University Press. Edited by Carol B. Liebman.
    Why mediation? -- What makes bioethics mediation unique? -- Before you begin a bioethics mediation program -- The stages of bioethics mediation -- Techniques for mediating bioethics disputes -- How to write a bioethics mediation chart note -- Mediation with a competent patient : Mr. Samuels's case -- Mediation with a dysfunctional family : Mrs. Bates's case -- A complex mediation with a large and involved family : Mrs. Leonari's case -- Discharge planning for a dying patient : a role-play (...)
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  • The “Fetus as Patient”: A Critique.Stephen D. Brown - 2008 - American Journal of Bioethics 8 (7):47-50.
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  • Moving Towards a New Hospital Model of Clinical Ethics.Evan G. DeRenzo - 2019 - Journal of Clinical Ethics 30 (2):121-127.
    The role of clinical ethics consultant in hospitals was created about 30 years ago. Since that time, two very different models for clinical ethics consultation, and who should perform it, have arisen: clinician ethicists and nonclinician ethicists, or bioethicists. Neither model provides everything that hospitals might need, and both include perspectives that are not ideal for hospital practice. It’s time for a new model, one designed specifically to meet the needs of hospital patients, one we might call the hospital model (...)
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