Recruitment Policies of Non-EU/EEA Nurses and Ethical Issues

Author(s):  
Angèle Flora Mendy

By examining policies of recruiting non-EU/EEA health workers and how ethical considerations are taken into account when employing non-EU/EEA nurses in the United Kingdom, France, and Switzerland, this chapter intends to show that the use of the so-called ‘ethical’ argument to convince national public opinion of the relevance of restrictive recruitment policies is recent (since the 1990s). The analysis highlights the fact that in addition to the institutional legacies, qualification and skills—through the process of their recognition—play an important role in the opening or restriction of the labour market to health professionals from the Global South. The legacy of the past also largely determines the place offered to non-EU/EEA health professionals in the different health systems of host countries.

Author(s):  
Candice Reardon ◽  
Gavin George

Background: Research is needed in order to understand the potential influence of the Bilateral Agreement between South Africa and the United Kingdom (UK), as well as other more recent international and local policies restricting movement of South African health workers abroad; and to determine what effect they have on the migration intentions and plans of health professionals in South Africa.Aim: The aims were to (1) explore the migration intentions and the factors that influence these intentions amongst Community Service (CS) nurses and doctors; (2) explore their views and opinions about the Bilateral Agreement between the UK and South Africa (SA) and other UK policies around the recruitment and employment of foreign health professionals; and (3) understand the impact of these policies on the migration plans of these CS doctors and nurses.Method: Qualitative focus groups and interviews were conducted with 23 CS doctors and nurses. To supplement this, 6 interviews were conducted with nurses and a doctor who had worked in the UK.Results: A higher disposition toward moving abroad was apparent amongst those who had experienced a challenging and frustrating CS year. Poor working conditions, including long work hours, high patient loads and inadequate resources and equipment, as well as low salaries and the perceived ambivalence of the government to the complaints of health practitioners, were influencing decisions to migrate abroad.Conclusion: The findings suggest that government efforts to better manage, recognise and respect the work and contribution of health professionals to the country would go a long way toward retaining health professionals.


2014 ◽  
Vol 22 (6) ◽  
pp. 688-699 ◽  
Author(s):  
Elin Willassen ◽  
Ann-Catrin Blomberg ◽  
Iréne von Post ◽  
Lillemor Lindwall

Background: In recent years, operating theatre nurse students’ education focused on ethics, basic values and protecting and promoting the patients' dignity in perioperative practice. Health professionals are frequently confronted with ethical issues that can impact on patient’s care during surgery. Objective: The objective of this study was to present what operating theatre nursing students perceived and interpreted as undignified caring in perioperative practice. Research design: The study has a descriptive design with a hermeneutic approach. Data were collected using Flanagan’s critical incident technique. Participants and research context: Operating theatre nurse students from Sweden and Norway participated and collected data in 2011, after education in ethics and dignity. Data consisting of 47 written stories and the text were analysed with hermeneutical text interpretation. Ethical considerations: The study was approved by the Karlstad University's Research Ethics Committee. Findings: The findings show careless behaviour and humiliating actions among health professionals. Health professionals commit careless acts by rendering the patient invisible, ignoring the patient’s worry and pain and treating the patient as an object. They also humiliate the patient when speaking in negative terms about the patient’s body, and certain health professionals blame the patients for the situation they are in. Health professionals lack the willingness and courage to protect the patient’s dignity in perioperative practice. Discussion: In the discussion, we have illuminated how professional ethics may be threatened by more pragmatic and utilitarian arguments contained in regulations and transplant act. Conclusion: The findings reveal that patients were exposed to unnecessary suffering; furthermore, the operating theatre nurse students suffered an inner ethical conflict due to the undignified caring situations they had witnessed.


Author(s):  
Sunday Olawale Olaniran ◽  
Ikeoluwapo B. Baruwa

Abstract There is a growing international interest in ethical issues in research and the process by which it can be enhanced. Unlike in the past when research studies were conducted abruptly, almost all organisations and research institutes now have various mechanisms to ensure compliance with ethical standards and procedures. Adult and community education research in Nigeria continues to gain the attention of governments and Non-governmental organisations (NGOs) due to the need to improve the literacy rate among adult learners and out-of-school youths in the country. However, in many workshops and training involving academics and development workers, much of the discussions on ethical issues in data collection and research reportage are not given the necessary attention that it requires. This review paper explores the ethical issues in adult and community education research with a view to re-awakening the consciousness of adult education scholars and practitioners, both in Nigeria and on the continent of Africa, to rethink how research data and processes are managed, such that it conforms with best practices globally.


2017 ◽  
Vol 27 (6) ◽  
pp. 655-673 ◽  
Author(s):  
Melanie Smallman

Over the past 10 years, numerous public debates on new and emerging science and technologies have taken place in the United Kingdom. In this article, we characterise the discourses emerging from these debates and compare them to the discourses in analogous expert scientific and policy reports. We find that while the public is broadly supportive of new scientific developments, they see the risks and social and ethical issues associated with them as unpredictable but inherent parts of the developments. In contrast, the scientific experts and policymakers see risks and social and ethical issues as manageable and quantifiable with more research and knowledge. We argue that these differences amount to two different sociotechnical imaginaries or views of science and how it shapes our world – an elite imaginary of ‘science to the rescue’ shared by scientists and policymakers and public counter-imaginary of ‘contingent progress’. We argue that these two imaginaries indicate that, but also help explain why, public dialogue has had limited impact on public policy.


2018 ◽  
Vol 45 (5) ◽  
pp. 291-294 ◽  
Author(s):  
Neil C Manson

Over the past couple of decades, there has been an ongoing, often fierce, debate about the ethics of biobank participation. One central element of that debate has concerned the nature of informed consent, must specific reconsent be gained for each new use, or user, or is broad consent ethically adequate? Recently, Thomas Ploug and Søren Holm have developed an alternative to both specific and broad consent: what they call a meta-consent framework. On a meta-consent framework, participants can choose the type of consent framework they require, for different kinds of use, different types of user and so on. Meta-consent involves a distinctive kind of design of the consent process. Here it is argued, first, that although a meta-consent framework does not wrong participants, Ploug and Holm understate the likely costs and burdens of such a framework, so there are good practical reasons not to offer it. Second, although Ploug and Holm allude to some ethical considerations that might seem to ground an ethical argument for providing meta-consent, they do not offer any sound argument, and it does not wrong participants in any way to fail to offer them the opportunity to design their own consent process.


The Physician ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
Indranil Chakravorty ◽  
Vipin Zamvar

This editorial cannot do complete justice to this wider question, but we wish to limit our exploration to the wisdom drawn from a lived-experience of a well-defined cohort of health workers in the United Kingdom who are at the forefront of the COVID-19 pandemic. We have drawn on the experience of a wide range of health professionals through personal contacts, social networks and reported analysis of anonymised surveys from across the health spectrum. 5 The aim of this dialogue is to raise the issues we feel are important in understanding the differential outcomes for health workers and encourage all stakeholders to urgently commission actions which will help to ‘save lives and save (all within) the NHS’.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Charles Tembo ◽  
Allan Maganga ◽  
Peterson Dewah

 This article presents various points of view regarding the treatment of sunken fontanelle by various communities as ignited by the controversial practice of kutara(a practice that involves the father of a child sliding his penis from the lower part of the left and right cheeks to the top of the head, as well as from the lower part of the face to the top of the head, and from the lower back part of the head to the top). The story of Alick Macheso’s use of his manhood to treat nhova (sunken fontanelle) opened a Pandora’s box. The story not only attracted the attention of critics from diverse cultural and ethical backgrounds, but revealed multi-ethnic positions. That is, reactions were steeped in a multiplicity of intellectual, religious and even cultural grounding. Reactions ranged from accusations of backwardness and absurdity, through to medical and Christian orientations toward the treatment of nhova. The overarching idea is that there is a general tendency to dismiss the age-old practice of kutara,coupled with an uncritical celebration of certain positions. The debate that ensued following publication of the story seemed to revolve around ethical considerations. The school of thought that dismisses kutara with disdain regards it as unethical and unimaginable in the present-day world—it is redolent with insinuations of absurdity on the part of those that live and celebrate it. We contend that the raging debate that followed the publication of the story can best be conceptualised within the context of African ethics. We note that kutara has relevance to the spirituality, ethical values, privacy, and protection of children’s rights, among other ethical issues. It is hoped that the article will stir further debate and encourage more research among information practitioners, scholars and researchers into the ethical issues surrounding the treatment of sunken fontanelle in various African communities. It argues for an Afrocentric conceptualisation of phenomena in order to contribute to debates on the renaissance of African cultures, and stresses that it is imperative to harness the life-furthering age-old traditions in African ontological existence.


Think India ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 1758-1769
Author(s):  
Vidisha Madonna D’Souza

Television News has been a resorted platform for Indian viewers over the past decades. A majority of Indian viewers are known to trust this platform for its highly expected one-stop, credible, professionally opinionated sense of reporting.  News channels have become platforms for celebrity journalists and anchors to exercise their authority. News organisations have become backbones of information and public opinion and journalists and their organisational agenda have taken this forward.  With bold and competitive strategies used to enable news presentations, it is essential to examine and recognize existing Television news narrative conventions and practices that have gained momentum in recent years. Through a qualitative analytical approach taken for this research study, it is clear that narrative conventions exist and modify, thus producing fashionable and modernized forms of presentation techniques during prime time. With a clear organisational norm and genre of discourse shared by Indian English television channels today, the paper highlights persisting organisational norms, unconventional discourses, rhetoric (audio and visual) and music – a contributing element as existing contributors of narrative conventions. 


Author(s):  
Brad Partridge ◽  
Wayne Hall

Concussion management policies have become a major priority worldwide for sports that involve frequent collisions between participants because repeated head trauma has been associated with long-term cognitive impairments, mental health problems, and some forms of neurological degeneration. A number of concussion management policies have been developed by professional bodies and subsequently adopted by various sporting leagues. These have offered little guidance on how to navigate ethical issues in identifying and managing concussion. This chapter discusses ethical issues that arise in the diagnosis of concussion, debates about the longer-term consequences of repeated concussion injuries, and the design and implementation of policies that aim to prevent and manage concussion injuries in sporting matches.


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