Facilitating Healthcare Ethics Research: Assessement of Moral Reasoning and Moral Orientation from a Single Interview

1992 ◽  
Vol 1 (4) ◽  
pp. 371-376 ◽  
Author(s):  
Donnie J. Self ◽  
Joy D. Skeel
Keyword(s):  
Moral Reasoning ◽  
Healthcare Workers ◽  
Healthcare Providers ◽  
Ethics Committees ◽  
Theoretical Work ◽  
Healthcare Ethics ◽  
Moral Orientation ◽  
Moral Voice ◽  
Ethics Research ◽  
Hospital Ethics

In recent years, the theoretical work of Gilligan in women's psychological development has led to the development of the concept of moral orientation or moral voice in contrast to the concept of moral reasoning or moral judgment developed by Kohlberg. These concepts have been of particular interest in gender studies, especially as applied to adolescence. These concepts of moral orientation and moral reasoning are being increasingly employed in healthcare ethics studies in a wide variety of settings. The recent work has included studies of physicians, nurses, dentists, veterinarians, social workers, teachers of medical ethics, and hospital ethics committees. However, the study of moral development in healthcare providers has been hampered because collecting the necessary data from healthcare workers has been labor intensive and extremely time consuming. More efficient methods are needed.

The Educational Needs of Ethics Committees

1994 ◽  
Vol 3 (3) ◽  
pp. 467-477 ◽  
Author(s):  
Glenn G. Griener ◽  
Janet L. Storch
Keyword(s):  
Moral Reasoning ◽  
Ethics Committees ◽  
Educational Needs ◽  
Educational Programs ◽  
Body Of Knowledge ◽  
Hospital Ethics Committees ◽  
Short Course ◽  
Healthcare Professions ◽  
Hospital Ethics ◽  
Course Of Study

Hospital ethics committees must be knowledgeable if they are to perform consultations, advise administrators on policy, or offer educational programs. Because the membership of the committee is interdisciplinary, with most drawn from the healthcare professions, the individuals who join cannot be expected to bring knowledge of bioethies with them. Therefore, a new committee must spend time developing expertise before it can appropriately serve the hospital community. Although the need for committee self-education is generally recognized, it is seldom discussed in any detail. When discussed at all, expertise in bioethies is usually described as composed of a familiarity with an identifiable body of knowledge and mastery over techniques of moral reasoning. It is assumed that a committee can develop this expertise early in its life through a short course of study.

Successes and Failures of Hospital Ethics Committees: A National Survey of Ethics Committee Chairs

2002 ◽  
Vol 11 (1) ◽  
pp. 87-93 ◽  
Author(s):  
GLENN McGEE ◽  
JOSHUA P. SPANOGLE ◽  
ARTHUR L. CAPLAN ◽  
DINA PENNY ◽  
DAVID A. ASCH
Keyword(s):  
National Survey ◽  
Ethics Committees ◽  
Ethics Committee ◽  
Joint Commission ◽  
Healthcare Ethics ◽  
Healthcare Organizations ◽  
Hospital Ethics Committees ◽  
Healthcare Ethics Committee ◽  
Hospital Ethics ◽  
Successes And Failures

In 1992, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) passed a mandate that all its approved hospitals put in place a means for addressing ethical concerns.Although the particular process the hospital uses to address such concerns—ethics consultant, ethics forum, ethics committee—may vary, the hospital or healthcare ethics committee (HEC) is used most often. In a companion study to that reported here, we found that in 1998 over 90% of U.S. hospitals had ethics committees, compared to just 1% in 1983, and that many have some and a few have sweeping clinical powers in hospitals.

The Outsourcing of Ethical Thinking

2018 ◽  
Vol 24 (2) ◽  
pp. 138-149
Author(s):  
Erik Nordenhaug ◽  
Jack Simmons
Keyword(s):  
Moral Reasoning ◽  
Personal Responsibility ◽  
Ethics Committees ◽  
Professional Behaviour ◽  
Moral Voice ◽  
Ethical Thinking ◽  
The Individual ◽  
The Way

The teaching of professional rules, procedures and standards, as well as the existence of ethics committees and legal advisers to achieve desired behaviours for a given profession, produces an unforeseen by-product of altering the way individuals relate to ethics. The institutionalization of a moral voice, a kind of artificial conscience for the legally defined ‘artificial person’, tends to do the ethical thinking for the individual who thinks being moral means methodically following the professionally approved rules. Professionalism and the type of methodological reason it requires are becoming a substitute for internal moral reasoning and personal responsibility, despite the belief that we are becoming more morally responsibly through professional behaviour.

scholarly journals 2019 Novel Coronavirus Vaccination among Post-graduate Residents and Fellows

2021 ◽  
Vol 12 ◽  
pp. 215013272110229
Author(s):  
Mostafa Abohelwa ◽  
Mohamed Elmassry ◽  
John Abdelmalek ◽  
Drew Payne ◽  
Kenneth Nugent
Keyword(s):  
Side Effects ◽  
Healthcare Workers ◽  
Healthcare Providers ◽  
The United States ◽  
Health Sciences ◽  
Institutional Review Board ◽  
Institutional Review ◽  
Texas Tech University ◽  
Novel Coronavirus ◽  
United States Healthcare

Background Coronavirus-2 (COVID-19) has caused a worldwide pandemic since December 2019. Since then, clinical trials with vaccines have been started and completed, and at present, 3 COVID-19 vaccines have been approved for use in the United States. Healthcare providers were among the first to get vaccinated, but the precise attitudes of healthcare workers toward vaccination are uncertain. Objective To understand residents and fellows’ attitudes toward vaccination and record any side effects after vaccination. Methods We conducted an anonymous survey that was open from 3-1-2021 to 3-12-2021 using distribution lists from the Graduate Medical Education office on the Lubbock campus of the Texas Tech University Health Sciences Center after getting approval from the Institutional Review Board (L21-088). Results Eighty-one residents and fellows (26.6% out of 304) responded to our survey. Among those who responded, 63 (77.8 %) were between 25 and 35 years old, and 41 (50.6%) were males. Seventy-seven (95.1%) received the vaccine (Pfizer-BioNTech), 78 (96.3%) reported that they supported vaccination, and 3 (3.7%) reported that they did not want vaccination. Eight members (9.8%) had tested positive for COVID-19 infection before vaccination, but only 1 (1.23%) had tested positive for COVID-19 antibodies. All residents and fellows reported side effects after the vaccination, including pain at the injection site (77; 100%), local redness (9; 11.6%), local swelling (13; 16.8%), fever (25; 32.5%), fatigue (25; 32.5%), chills (34; 44.1 %), headache (38; 49.4%). Conclusions Most medical trainees have a high interest in COVID-19 vaccination; however, a few reported that they did not want vaccination.

Commentary: Mrs. J—Culture and Healthcare Ethics Committees

2010 ◽  
Vol 19 (4) ◽  
pp. 537-540
Author(s):  
John R. Stone
Keyword(s):  
Ethical Issues ◽  
Ethics Committees ◽  
Healthcare Ethics ◽  
Healthcare Ethics Committees

The heart-rending story of Mrs. J raises many complex ethical issues. Key elements include suffering, disagreement, culture, religion, perspective, and facts. Overarching concerns include whose voices and stories should count, the connection of pain with suffering, and how healthcare ethics committees should respond.

Hospital ethics committees in the United Kingdom

HEC Forum ◽  
1996 ◽  
Vol 8 (5) ◽  
Author(s):  
EricM. Meslin ◽  
Claire Rayner ◽  
Vic Larcher ◽  
Tony Hope ◽  
Julian Savulescu
Keyword(s):  
United Kingdom ◽  
Ethics Committees ◽  
The United Kingdom ◽  
Hospital Ethics Committees ◽  
Hospital Ethics

scholarly journals Adenovirus and RNA-based COVID-19 vaccines’ perceptions and acceptance among healthcare workers in Saudi Arabia: a national survey

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e048586
Author(s):  
Mohamad-Hani Temsah ◽  
Mazin Barry ◽  
Fadi Aljamaan ◽  
Abdullah Alhuzaimi ◽  
Ayman Al-Eyadhy ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Providers ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Vectored Vaccine ◽  
To Receive

ObjectivesThe aim of this study was to compare the perception, confidence, hesitancy and acceptance rate of various COVID-19 vaccine types among healthcare workers (HCWs) in Saudi Arabia, a nation with Middle East respiratory syndrome coronavirus experience.DesignNational cross-sectional, pilot-validated questionnaire.SettingOnline, self-administered questionnaire among HCWs.ParticipantsA total of 2007 HCWs working in the Kingdom of Saudi Arabia participated; 1512 (75.3%) participants completed the survey and were included in the analysis.InterventionData were collected through an online survey sent to HCWs during 1–15 November 2020. The main outcome measure was HCW acceptance of COVID-19 candidate vaccines. The associated factors of vaccination acceptance were identified through a logistic regression analysis and via measurement of the level of anxiety, using the Generalised Anxiety Disorder 7 scale.ResultsAmong the 1512 HCWs who were included, 62.4% were women, 70.3% were between 21 and 40 years of age, and the majority (62.2%) were from tertiary hospitals. In addition, 59.5% reported knowing about at least one vaccine; 24.4% of the participants were sure about their willingness to receive the ChAdOx1 nCoV-19 vaccine, and 20.9% were willing to receive the RNA BNT162b2 vaccine. However, 18.3% reported that they would refuse to receive the Ad5-vectored vaccine, and 17.9% would refuse the Gam-COVID-Vac vaccine. Factors that influenced the differential readiness of HCWs included their perceptions of the vaccine’s efficiency in preventing the infection (33%), their personal preferences (29%) and the vaccine’s manufacturing country (28.6%).ConclusionsAwareness by HCWs of the several COVID-19 candidate vaccines could improve their perceptions and acceptance of vaccination. Reliable sources on vaccine efficiency could improve vaccine uptake, so healthcare authorities should use reliable information to decrease vaccine hesitancy among frontline healthcare providers.

Influence of Interpersonal Relationships on Helping Norms among Japanese University Students

1991 ◽  
Vol 68 (3_suppl) ◽  
pp. 1119-1129 ◽  
Author(s):  
R. Ibusuki ◽  
T. Naito
Keyword(s):  
University Students ◽  
Moral Reasoning ◽  
Interpersonal Relationships ◽  
Interpersonal Relations ◽  
Two Dimensions ◽  
Female Students ◽  
Moral Orientation ◽  
Japanese University ◽  
Japanese Students ◽  
Strong Relation

The present research assessed the effect of interpersonal relationships on two aspects of Japanese university students' moral judgment, manner of application and contents of helping norms. In Study 1, 68 university students (34 men, 34 women) answered questionnaires which requested evaluation of behaviors in helping situations with variable behaviors by agents and different interpersonal relations between agent and victim and between subject and agent. Subjects were asked to evaluate each case on two scales, moral evaluation and expectation. Female Japanese students showed strong relation-based morality on these two dimensions. In Study 2, 30 female students were interviewed using questions from the questionnaire given in Study 1 and others about the moral reasoning behind their relation-based judgments. Their answers showed that the female Japanese university students tended to make judgments without reference to the principle of universality or justice even when they knew the principle. The result suggests a relation-based moral orientation rather than a justice orientation.

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