Practice-Based Clinical Research and Ethical Decision Making-Part I: Deciding Whether to Incorporate Practice-Based Research into Your Clinical Practice

- Many influential doctors including prominent psychiatrists played an important and pivotal role in the plans of the Nazi regime. This article examines their activities in helping to facilitate the two processes of sterilization and euthanasia and well as detailing the specific behavior and status of several of these members of the psychiatric profession. In addition, mention is made of the practice of the profession in Italy briefly describing the fate of some of the psychiatric patients, that of Jewish psychiatrists and those supporting the racist Nazi policies. Finally, reasons for why psychiatrists were so prominently involved are proposed as well as suggestion as to where they erred in ethical decision making. The importance of ethics teaching with a focus of history of the profession is advocated as well as a warning of the dangers of allowing political and economic pressures to affect clinical practice and judgment. Keywords: psychiatry, Nazi, Holocaust, euthanasia, sterilization, Italy.

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Toward a Hermeneutic Model of Ethical Decision Making in Clinical Practice

Ethics & Behavior ◽

10.1207/s15327019eb0704_6 ◽

1997 ◽

Vol 7 (4) ◽

pp. 347-365 ◽

Cited By ~ 14

Author(s):

Ephi J. Betan

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Ethical Decision ◽

Ethical Decision Making

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When four principles are too many: bloodgate, integrity and an action-guiding model of ethical decision making in clinical practice

Journal of Medical Ethics ◽

10.1136/medethics-2011-100136 ◽

2011 ◽

Vol 38 (4) ◽

pp. 195-196 ◽

Cited By ~ 7

Author(s):

William Muirhead

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Ethical Decision ◽

Ethical Decision Making

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Ethical Decision-Making of Health Professionals Caring for HIV-Infected People in Hunan, China: A Qualitative Study

10.21203/rs.3.rs-36067/v1 ◽

2020 ◽

Author(s):

Hangyu Huang ◽

Deborah Koniak-Griffin ◽

Honghong Wang ◽

Min Yang

Keyword(s):

Decision Making ◽

Clinical Practice ◽

Health Professionals ◽

Ethical Decision ◽

Ethical Decision Making ◽

Ethical Issues ◽

Ethical Dilemmas ◽

Hunan Province ◽

Negative Attitudes ◽

Infected People

Abstract Background: Numerous ethical issues surged the moment AIDS was discovered. As advocates of HIV-infected people, health professionals encounter many ethical dilemmas in clinical practice. However, it remains unclear how health professionals solve these issues. To explore the ethical decision-making experiences of health professionals who care for HIV-infected people in Hunan Province, China, and to discuss the strategies for enhancing ethical decision-making competence in AIDS care. Methods: This descriptive qualitative research adopted semi-structured, in-depth interview and thematic analysis. Participants were recruited by purposive sampling. In total, twenty-two participants completed the interview. Results: Three themes emerged from data analyses of the interviews: (1) common ethical dilemma experienced by health professionals, (2) factors influencing ethical judgment, (3) ethical motivations. Conclusion: About two thirds of informants failed to recall ethical dilemmas experienced in their clinical practice. Emotions, gender, occupation, and difficulty balancing different roles may influence the ethical judgments of health professionals. In the ethical decision-making process, most informants took other people’s interests into consideration and conformed to law and professional codes of conduct. However, negative attitudes towards HIV-infected people still exist among a few professionals. Furthermore, some informants showed a misunderstanding of ethical principles. And the fear of medical disputes (conflicts with families and others) was experienced by many informants, influencing their ethical behaviors. Hence, more efforts are needed to eliminate negative attitudes towards HIV-infected patients. This study underscores the importance of continuing ethical education for HIV/AIDS-related professionals to enhance their ethical decision-making competence. Moreover, sound governmental laws may promote ethical behavior in AIDS care.

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