The Ethical Implications of Burnout: A Moral Imperative to Prioritize Physician Well-Being, Resilience, and Professional Fulfillment

2021 ◽  
pp. 87-111
Author(s):  
Fay J. Hlubocky ◽  
Mehmet E. Dokucu ◽  
Anthony L. Back
Keyword(s):  
Well Being ◽  
Moral Imperative ◽  
Ethical Implications ◽  
Professional Fulfillment

scholarly journals Mobile bystanders and rubbernecks, disaster tourists, and helpers. Towards a theoretical framework for critically studying action possibilities at accident sites

2021 ◽  
pp. 205015792098482
Author(s):  
Linus Andersson ◽  
Ebba Sundin
Keyword(s):  
Digital Media ◽  
News Media ◽  
Well Being ◽  
Theoretical Framework ◽  
Communication Studies ◽  
Mobile Media ◽  
Ethical Implications ◽  
Theoretical Perspectives ◽  
Media And Communication ◽  
Media Practices

This article addresses the phenomenon of mobile bystanders who use their smartphones to film or take photographs at accident scenes, instead of offering their help to people in need or to assist medical units. This phenomenon has been extensively discussed in Swedish news media in recent years since it has been described as a growing problem for first responders, such as paramedics, police, and firefighters. This article aims to identify theoretical perspectives that are relevant for analyzing mobile media practices and discuss the ethical implications of these perspectives. Our purpose is twofold: we want to develop a theoretical framework for critically approaching mobile media practices, and we want to contribute to discussions concerning well-being in a time marked by mediatization and digitalization. In this pursuit, we combine theory from social psychology about how people behave at traumatic scenes with discussions about witnessing in and through media, as developed in media and communication studies. Both perspectives offer various implications for normative inquiry, and in our discussion, we argue that mobile bystanders must be considered simultaneously as transgressors of social norms and as emphatic witnesses behaving in accordance with the digital media age. The article ends with a discussion regarding the implications for further research.

Gaming the gamer? – The ethics of exploiting psychological research in video games

2016 ◽  
Vol 14 (2) ◽  
pp. 106-123 ◽  
Author(s):  
Johnny Hartz Søraker
Keyword(s):  
Video Games ◽  
Social Relations ◽  
Video Game ◽  
Game Design ◽  
User Behavior ◽  
Well Being ◽  
Psychological Research ◽  
Rating Systems ◽  
Content Type ◽  
Ethical Implications

Purpose The purpose of this paper is to investigate the ethical implications of video game companies employing psychologists and using psychological research in game design. Design/methodology/approach The author first argues that exploiting psychology in video games may be more ethically problematic than familiar application domains like advertising, gambling and political rhetoric. Then an overview of the effects particular types of game design may have on user behavior is provided, taking into account various findings and phenomena from behavioral psychology and behavioral economics. Findings Finally, the author concludes that the corresponding ethical problems cannot – and should not – be addressed by means of regulation or rating systems. The author argues instead that a more promising countermeasure lies in using the same psychological research to educate gamers (children in particular) and thereby increase their capacity for meta-cognition. Originality/value The importance of this lies in the tremendous effect these behavior-modifying technologies may have upon our self-determination, well-being and social relations, as well as corresponding implications for the society.

“I need to have a fulfilling job”: A qualitative study of surgeon well-being and professional fulfillment

2021 ◽  
Author(s):  
Heather R. Walker ◽  
Ethan Evans ◽  
Raminder Nirula ◽  
John Hyngstrom ◽  
Cindy Matsen ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Well Being ◽  
Professional Fulfillment

Ethical Implications of Electroconvulsive Therapy: A Review

2021 ◽  
pp. EHPP-D-21-00002
Author(s):  
David González-Pando ◽  
Ana González-Menéndez ◽  
Víctor Aparicio-Basauri ◽  
César Luís Sanz de la Garza ◽  
José Esteban Torracchi-Carrasco ◽  
...  
Keyword(s):  
Lived Experience ◽  
Electroconvulsive Therapy ◽  
Medical Literature ◽  
Well Being ◽  
Conclusive Evidence ◽  
Healthcare Provision ◽  
Ethical Implications ◽  
Safe Technique ◽  
Bioethical Debate

This article examines in depth whether electroconvulsive therapy (ECT) satisfies bioethics’ four healthcare provision principles: nonmaleficence, beneficence, justice, and autonomy. Treating patients ethically implies protecting them from damages, working to ensure their well-being, and respecting their decisions once they have been correctly informed. Although most of the medical literature states that ECT is an effective and safe technique, there is no conclusive evidence of long-term effectiveness. The frequent and sometimes persistent side effects such as amnesia that imply a profound disturb of lived experience, or the difficulties regarding the informed consent process, allow us to conclude that the bioethical debate about ECT is not currently closed, and the information provided to patients needs to be revised.

Addressing bullying behaviour by patients and families

2019 ◽  
Vol 32 (4) ◽  
pp. 224-227
Author(s):  
Renate Ilse ◽  
David Neilipovitz
Keyword(s):  
Environmental Factors ◽  
Patient Experience ◽  
Ethical Dilemma ◽  
Well Being ◽  
Care Team ◽  
Decision Makers ◽  
Ethical Implications ◽  
Health Support ◽  
Substitute Decision Makers

This article explores the ethical dilemma of maintaining patient experience and care team well-being when faced with coercive behaviour, specifically bullying by patients, families and substitute decision-makers, which is directed toward providers and health support workers. We discuss some of the contributing societal and environmental factors, the ethical implications for health leaders, and suggest some practical options for managing bullying situations in hospitals.

Conceptual models for understanding physician burnout, professional fulfillment, and well-being

2019 ◽  
Vol 49 (11) ◽  
pp. 100658 ◽  
Author(s):  
Miriam T. Stewart ◽  
Suzanne Reed ◽  
Jennifer Reese ◽  
Meghan M. Galligan ◽  
John D. Mahan
Keyword(s):  
Conceptual Models ◽  
Well Being ◽  
Physician Burnout ◽  
Professional Fulfillment

Physician Wellness Is an Ethical and Public Health Issue

2018 ◽  
Vol 158 (6) ◽  
pp. 970-971 ◽  
Author(s):  
Rosandra Walker ◽  
Harold Pine
Keyword(s):  
Public Health ◽  
Well Being ◽  
Public Health Issue ◽  
Health And Wellness ◽  
Physician Burnout ◽  
Sustainable Change ◽  
Ethical Implications ◽  
Physician Wellness ◽  
Hospital Systems ◽  
The Impact

Attention to physician well-being has traditionally focused on substance abuse, usually with disciplinary implications. But, in recent years, greater notice has been granted toward physician burnout and overall wellness. Burnout and its sequelae not only affect physicians and physicians-in-training as individuals, but the impact then multiplies as it affects these physicians’ patients, colleagues, and hospital systems. In addition, the American Medical Association Code of Medical Ethics charges physicians with a responsibility to maintain their own health and wellness as well as promote that of their colleagues. Therefore, the question of physician wellness has both public health and ethical implications. The causes of burnout are multifactorial, and the solutions to sustainable change are multitiered.

Some Ethical Implications for Capitalism of the Socialist Calculation Debate

1988 ◽  
Vol 6 (1) ◽  
pp. 165-182 ◽  
Author(s):  
Israel M. Kirzner
Keyword(s):  
Economic System ◽  
Consumer Preference ◽  
Well Being ◽  
Welfare Economics ◽  
Economic Calculation ◽  
Ethical Implications ◽  
Socialist Calculation Debate ◽  
Positive Economics ◽  
Moral Superiority ◽  
Economic Well Being

The debate that raged in the interwar period between the Austrian economists (who argued the thesis that under socialism it would not be possible to engage in rational economic calculation) and socialist economists (who rejected that thesis) was, narrowly conceived, a debate in positive economics. What was being discussed was certainly not the morality of capitalism or of socialism. Nor, strictly speaking, was the debate even about society's economic well-being under socialism; it concerned the ability of central planners to make decisions that take appropriate account of relevant resource scarcities, in the light of consumer preference rankings. To be sure, the extraordinary interest which surrounded the debate and the passions that lurked barely below its surface testified to the powerful implications of the debate for crucial issues in welfare economics. The Austrians were not merely exploring the economies of socialism; they were in effect demonstrating that, as an economic system attempting to serve the needs of its citizens, socialism must inevitably fail. But, even if the debate is interpreted in its broadest terms, as a debate in welfare economics, it represented a sharp break widi traditional polemics relating to the socialism-capitalism issue. Traditionally the arguments for or against capitalism had, until 1920, been deeply involved in ediical questions. Mises's 1920 challenge to socialism, in contrast, was explicit in making no attempt to address any claims concerning the alleged moral superiority of socialism. He simply argued that, as an economic system, socialism was inherendy incapable of fulfilling the objectives of its proponents; central planners are unable to plan centrally.

Spirituality as an ethical challenge in Indian palliative care: A systematic review

2015 ◽  
Vol 14 (5) ◽  
pp. 561-582 ◽  
Author(s):  
Joris Gielen ◽  
Sushma Bhatnagar ◽  
Santosh K. Chaturvedi
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Content Analysis ◽  
Spiritual Care ◽  
Data Extraction ◽  
Empirical Studies ◽  
Well Being ◽  
Three Dimensions ◽  
Ethical Challenge ◽  
Ethical Implications

AbstractObjective:Spiritual care is recognized as an essential component of palliative care (PC). However, patients' experience of spirituality is heavily context dependent. In addition, Western definitions and findings regarding spirituality may not be applicable to patients of non-Western origin, such as Indian PC patients. Given the particular sociocultural, religious, and economic conditions in which PC programs in India operate, we decided to undertake a systematic review of the literature on spirituality among Indian PC patients. We intended to assess how spirituality has been interpreted and operationalized in studies of this population, to determine which dimensions of spirituality are important for patients, and to analyze its ethical implications.Method:In January of 2015, we searched five databases (ATLA, CINAHL, EMBASE, PsycINFO, and PubMed) using a combination of controlled and noncontrolled vocabulary. A content analysis of all selected reports was undertaken to assess the interpretation and dimensions of spirituality. Data extraction from empirical studies was done using a data-extraction sheet.Results:A total of 39 empirical studies (12 qualitative, 21 quantitative, and 6 mixed-methods) and 18 others (10 reviews, 4 opinion articles, and 4 case studies) were retrieved. To date, no systematic review on spirituality in Indian PC has been published. Spirituality was the main focus of only six empirical studies. The content analysis revealed three dimensions of spirituality: (1) the relational dimension, (2) the existential dimension, and (3) the values dimension. Religion is prominent in all these dimensions. Patients' experiences of spirituality are determined by the specifically Indian context, which leads to particular ethical issues.Significance of results:Since spiritual well-being greatly impacts quality of life, and because of the substantial presence of people of Indian origin living outside the subcontinent, the findings of our review have international relevance. Moreover, our review illustrates that spirituality can be an ethical challenge and that more ethical reflection on provision of spiritual care is needed.

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