Patient Autonomy, Capacity, and Consent

Author(s):  
Mary Donnelly ◽  
Jessica Berg

This chapter explores a number of key issues: the role of competence and capacity, advance directives, and decisions made for others. It analyses the ways these are treated in the United States and in selected European jurisdictions. National-level capacity legislation and human rights norms play a central role in Europe, which means that healthcare decisions in situations of impaired capacity operate in accordance with a national standard. In the United States, the legal framework is more state-based (rather than federal), and the courts have played a significant role, with both common law and legislation varying considerably across jurisdictions. Despite these differences, this chapter identifies some similar legal principles which have developed.

2013 ◽  
Vol 10 (3) ◽  
pp. i-viii
Author(s):  
Joseph Lo Bianco ◽  
Joy Kreeft Peyton

A framework to examine vitality of languages in a specific context, developed by Francois Grin and elaborated by Joseph Lo Bianco, specifies that three conditions are necessary for language vitality and revitalization: Capacity Development, Opportunity Creation, and Desire (COD). This framework was developed as a tool to help communities and governments support regional and minority languages and to promote policy development at the national level related to language revitalization and use. The framework is used in this issue as a guide for examining the vitality of languages spoken in the United States as “heritage” languages, which are spoken by individuals who have home, community, and intergenerational connections with the languages as well as some proficiency in them.


2020 ◽  
Vol 3 (1) ◽  
pp. 299-315
Author(s):  
Carol S. Steiker ◽  
Jordan M. Steiker

This review addresses four key issues in the modern (post-1976) era of capital punishment in the United States. First, why has the United States retained the death penalty when all its peer countries (all other developed Western democracies) have abolished it? Second, how should we understand the role of race in shaping the distinctive path of capital punishment in the United States, given our country's history of race-based slavery and slavery's intractable legacy of discrimination? Third, what is the significance of the sudden and profound withering of the practice of capital punishment in the past two decades? And, finally, what would abolition of the death penalty in the United States (should it ever occur) mean for the larger criminal justice system?


Author(s):  
Mary Gilmartin ◽  
Patricia Burke Wood ◽  
Cian O’Callaghan

This introductory chapter provides an overview of the book's main themes. This book addresses three key issues that are central to the current politicisation of migration and citizenship, but that take particular forms in the United Kingdom and the United States. These three issues, each of which is discussed in a separate chapter, are borders and walls, mobility, and belonging. Borders and walls are the material articulation of state boundaries and state sovereignty. The role of borders is increasingly seen as the regulation of the movement of people: facilitating easy movement across borders for some, but making that movement more difficult for most. In contrast, the mobility of capital, through the actions of transnational corporations in particular, receives little attention.


2005 ◽  
Vol 2 (3) ◽  
pp. 285-298 ◽  
Author(s):  
Henrik Hansson ◽  
Paul Mihailidis ◽  
Carl Holmberg

This study aims to comparatively explore the role of the state (federal policy) in distance-education initiatives in the higher education communities of Sweden and the United States. In a globalized context, education institutes now have the capabilities to provide education and educational resources more efficiently and to a wide-ranging and diverse audience. Within the education sector and distance education, the role of the state and federal policy becomes increasingly important, in terms of how distance-education platforms are developed and implemented in institutions of higher education. The first section of this article provides an overview of the United States and Sweden's current higher education and distance-education landscapes, focusing on the role of the state and federal policy with respect to the funding and overall aims of distance education. The development of distance education in Sweden is highly related to political goals and policies, the top down/domestic/‘inside’ approach. The governing body dictates the funding and policy for distance education, and implementation is left to the university body. In the United States, the landscape differs in that no one federal institution provides direct funding or unified guidelines for developing distance education, but universities are left to their own devices and capabilities for implementation. In Sweden, high ambitions and goals are set at the national level, but the educational organizations are changing only slowly. The pressures on the education organizations are high because of steadily decreasing funding and fewer and fewer staff in relation to students. In the United States, education functions primarily as a state and local responsibility. In conclusion, the article aims to exploit the differences between the two countries' role of the state (federal policy) in distance-education policy, and present a middle ground which would be most balanced for distance education, entailing some federal supervision with the allowance for a certain level of autonomy in regards to development, implementation, funding and longevity.


2020 ◽  
pp. 089976402096458
Author(s):  
Anne-Marie Boyer ◽  
Katherine R. Cooper ◽  
Shaun M. Dougherty ◽  
Rong Wang ◽  
Michelle Shumate

Collaborative governance research examines the role of individuals, organizations, and partnerships within a community to understand why particular interorganizational networks emerge. We take a different tact, arguing that communities adopt collaborative governance models based upon exposure to the models and the individual and organizational resources in a community. We conducted a web-based national-level scan of communities in the United States ( N = 1,162) for the presence of one model of collaborative governance, education-focused collective impact. We found that spatial proximity, poverty rate, and individual resources each predicted the existence of collective impact in a U.S. county. Implications for collaborative governance research are drawn from the results.


Author(s):  
Magdeline Aagard ◽  
Irena Papadopoulos ◽  
Jessica Biles

Nurses in the United States value their role in providing compassionate care to their patients, the family and community. This article discusses an international survey that explored key issues of compassion in nursing, specifically qualitative findings from a sample of nurses from the United States of America. Fifteen countries participated in this survey, with a total of 1,323 completed questionnaires. The article presents the background; study methods and analysis; and results and discussion. Qualitative data from the United States nurses revealed the following findings: compassion was defined caring with listening, developing a relationship, alleviating suffering, touch, and going beyond the normal role of the nurse.Findings of this study provide some understanding of the ways in which nurses in the United States provide compassionate care.


2008 ◽  
Vol 20 (3) ◽  
pp. 97-105 ◽  
Author(s):  
Smita C. Banerjee ◽  
Kathryn Greene ◽  
Marina Krcmar ◽  
Zhanna Bagdasarov ◽  
Dovile Ruginyte

This study demonstrates the significance of individual difference factors, particularly gender and sensation seeking, in predicting media choice (examined through hypothetical descriptions of films that participants anticipated they would view). This study used a 2 (Positive mood/negative mood) × 2 (High arousal/low arousal) within-subject design with 544 undergraduate students recruited from a large northeastern university in the United States. Results showed that happy films and high arousal films were preferred over sad films and low-arousal films, respectively. In terms of gender differences, female viewers reported a greater preference than male viewers for happy-mood films. Also, male viewers reported a greater preference for high-arousal films compared to female viewers, and female viewers reported a greater preference for low-arousal films compared to male viewers. Finally, high sensation seekers reported a preference for high-arousal films. Implications for research design and importance of exploring media characteristics are discussed.


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