An innovative approach to teaching bioethics in management of healthcare

2014 ◽  
Vol 23 (2) ◽  
pp. 167-175 ◽  
Author(s):  
Silviya Aleksandrova-Yankulovska
Keyword(s):  
Ethical Issues ◽  
Death And Dying ◽  
Innovative Approach ◽  
Ethical Considerations ◽  
Educational Approach ◽  
The North ◽  
Bioethical Issues ◽  
Approach To Teaching ◽  
In The Beginning ◽  
Medical University

Background: Bioethical courses were introduced in the curricula in medical universities in Bulgaria in 1990s. In the beginning, the courses were mainly theoretical, and systematic case analyses and discussions of movies were introduced later on. The benefits of using films to teach ethics have been previously analyzed in the literature; however, to our knowledge such studies in Bulgaria are yet lacking. Objective: The aim of this study was to survey the opinions of students and analyze the results from the application of movies in bioethics teaching in a medical university in the north of Bulgaria. Methodology: A survey was carried out among 92 students in the management of healthcare. Two movies were used, and separate protocols for film discussion were developed. Ethical considerations: The study was conducted anonymously and with students’ free informed consent. Results and discussion: The students distinguished in total 21 different dilemmas and concepts in the first movie. The ethical dilemmas were classified into five groups: general ethical issues, deontological issues, special ethical issues, principles of bioethics, and theories of ethics. The second movie focused students’ attention on the issues of death and dying. In total, 18 elements of palliative care were described by the students. The range of different categories was a positive indicator of an increased ethical sensitivity. The students evaluated the movies’ discussions as a generally positive educational approach. They perceived the experience as contributing to their better understanding of bioethical issues. Conclusion: The innovative approach was well accepted by the students. The introduction of movies in the courses of bioethics had the potential to provide vivid illustrations of bioethical issues and to contribute to the exploration of specific theses and arguments. The presentation and discussion should be preceded by accumulation of theoretical knowledge. The future of effective bioethics education lays in the interactive involvement of students.

Assessing formal teaching of ethics in physiology: an empirical survey, patterns, and recommendations

2012 ◽  
Vol 36 (3) ◽  
pp. 188-191 ◽  
Author(s):  
Nandu Goswami ◽  
Jerry Joseph Batzel ◽  
Helmut Hinghofer-Szalkay
Keyword(s):  
Online Survey ◽  
Ethical Issues ◽  
Case Reports ◽  
Mail Survey ◽  
Educational Process ◽  
Ethical Considerations ◽  
Empirical Survey ◽  
Teaching Curriculum ◽  
Medical University ◽  
E Mail

Ethics should be an important component of physiological education. In this report, we examined to what extent teaching of ethics is formally being incorporated into the physiology curriculum. We carried out an e-mail survey in which we asked the e-mail recipients whether their institution offered a course or lecture on ethics as part of the physiology teaching process at their institution, using the following query: “We are now doing an online survey in which we would like to know whether you offer a course or a lecture on ethics as part of your physiology teaching curriculum.” The response rate was 53.3%: we received 104 responses of a total of 195 sent out. Our responses came from 45 countries. While all of our responders confirmed that there was a need for ethics during medical education and scientific training, the degree of inclusion of formal ethics in the physiology curriculum varied widely. Our survey showed that, in most cases (69%), including at our Medical University of Graz, ethics in physiology is not incorporated into the physiology curriculum. Given this result, we suggest specific topics related to ethics and ethical considerations that could be integrated into the physiology curriculum. We present here a template example of a lecture “Teaching Ethics in Physiology” (structure, content, examples, and references), which was based on guidelines and case reports provided by experts in this area (e.g., Benos DJ. Ethics revisited. Adv Physiol Educ 25: 189–190, 2001). This lecture, which we are presently using in Graz, could be used as a base that could lead to greater awareness of important ethical issues in students at an early point in the educational process.

scholarly journals North Thames multi-centre service evaluation: Ethical considerations during COVID-19

2021 ◽  
pp. 147775092110635
Author(s):  
Namithaa Sunil Kumar ◽  
Pippa Sipanoun ◽  
Mariana Dittborn ◽  
Mary Doyle ◽  
Sarah Aylett
Keyword(s):  
Ethical Issues ◽  
Service Evaluation ◽  
Ethical Considerations ◽  
Vulnerable Children ◽  
Complex Needs ◽  
Face To Face ◽  
The North ◽  
Paediatric Care ◽  
Survey Responses ◽  
The Impact

Objectives During the COVID-19 pandemic, healthcare resources including staff were diverted from paediatric services to support COVID-positive adult patients. Hospital visiting restrictions and reductions in face-to-face paediatric care were also enforced. We investigated the impact of service changes during the first wave of the pandemic on children and young people (CYP), to inform recommendations for maintaining their care during future pandemics. Design A multi-centre service evaluation was performed through a survey of consultant paediatricians working within the North Thames Paediatric Network, a group of paediatric services in London. We investigated six areas: redeployment, visiting restrictions, patient safety, vulnerable children, virtual care and ethical issues. Results Survey responses were received from 47 paediatricians across six National Health Service Trusts. Children's right to health was largely believed to be compromised by the prioritisation of adults during the pandemic (81%; n = 33). Sub-optimal paediatric care due to redeployment (61%; n = 28) and the impact of visiting restrictions on CYP's mental health (79%; n = 37) were reported. Decreased hospital attendances of CYP were associated with parental fear of COVID-19 infection-risks (96%; n = 45) and government ‘stay at home’ advice (89%; n = 42). Reductions in face-to-face care were noted to have disadvantaged those with complex needs, disabilities and safeguarding concerns. Conclusion Consultant paediatricians perceived that paediatric care was compromised during the first wave of the pandemic, resulting in harm to children. This harm must be minimised in subsequent pandemics. Recommendations for future practice which were developed from our findings are provided, including maintaining face-to-face care for vulnerable children.

Utilising Indigenous Knowledge or Crime against Humanity?: A Critical Engagement with the Debate Generated by Alick Macheso’s Use of Manhood to Treat Nhova (Sunken Fontanelle)

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Charles Tembo ◽  
Allan Maganga ◽  
Peterson Dewah
Keyword(s):  
Ethical Issues ◽  
General Tendency ◽  
Ethical Values ◽  
Ethical Considerations ◽  
Lower Back ◽  
African Ethics ◽  
Cultural Grounding ◽  
The Face ◽  
Left And Right ◽  
Points Of View

 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.

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

2018 ◽  
Author(s):  
Angèle Flora Mendy
Keyword(s):  
Public Opinion ◽  
Health Professionals ◽  
Ethical Issues ◽  
Health Workers ◽  
Ethical Considerations ◽  
Host Countries ◽  
Ethical Argument ◽  
The Past ◽  
The United Kingdom ◽  
Institutional Legacies

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.

Radiocarbon Dating of Aghios Antonios, Potos, and Intersite Chronological Variability in South Thasos, Greece

Radiocarbon ◽  
2015 ◽  
Vol 57 (5) ◽  
pp. 807-823 ◽  
Author(s):  
Yannis Maniatis ◽  
Nerantzis Nerantzis ◽  
Stratis Papadopoulos
Keyword(s):  
Bronze Age ◽  
Northern Greece ◽  
Population Movements ◽  
Radiocarbon Dates ◽  
The North ◽  
Chronological Sequence ◽  
Hilltop Settlement ◽  
In The Beginning ◽  
Early Late ◽  
Of Greece

Radiocarbon dates obtained for the coastal hilltop settlement of Aghios Antonios Potos in south Thasos are statistically treated to define the absolute chronology for the start and the end of the various habitation and cultural phases at the site. The location was first occupied during the Final Neolithic (FN) between 3800 and 3600 BC, extending this much contested phase to the lowest up to now record for Thasos and the northern Greece. The site is continuously inhabited from Early Bronze Age I until the early Late Bronze Age (LBA; 1363 BC) when it was abandoned. Comparison with other sites in Thasos and particularly with the inland site of Kastri Theologos showed that the first occupation at Aghios Antonios came soon after the abandonment of Kastri in the beginning of the 4th millennium. In fact, after the decline and abandonment of Aghios Antonios in the LBA, the site of Kastri was reinhabited, leading to the hypothesis that part of the coastal population moved inland. The presumed chronological sequence of alternate habitation between the two settlements may evoke explanations for sociocultural and/or environmental dynamics behind population movements in prehistoric Thasos. A major conclusion of the project is that the 4th millennium occupation gap attested in many sites of Greece, especially in the north, is probably bridged in south Thasos, when the data from all sites are taken together. The mobility of people in Final Neolithic south Thasos may explain the general phenomenon of limited occupational sequences in the FN of north Greece.

scholarly journals Ethical Considerations on Pediatric Genetic Testing Results in Electronic Health Records

2020 ◽  
Vol 11 (05) ◽  
pp. 755-763
Author(s):  
Shibani Kanungo ◽  
Jayne Barr ◽  
Parker Crutchfield ◽  
Casey Fealko ◽  
Neelkamal Soares
Keyword(s):  
Genetic Testing ◽  
Best Practices ◽  
Health Care Providers ◽  
Genetic Information ◽  
Ethical Issues ◽  
Interdisciplinary Approach ◽  
Care Providers ◽  
Ethical Considerations ◽  
Electronic Health ◽  
Genetic Results

Abstract Background Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this leads to challenges in both storage and disclosure of genetic results, particularly when parental results are combined with child genetic results. Privacy and Ethical Considerations Accidental disclosure and erroneous documentation of genetic results can occur due to the nature of their presentation in the EHR and documentation processes by clinicians. Genetic information is both sensitive and identifying, and requires a considered approach to both timing and extent of disclosure to families and access to clinicians. Methods This article uses an interdisciplinary approach to explore ethical issues surrounding privacy, confidentiality of genetic data, and access to genetic results by health care providers and family members, and provides suggestions in a stakeholder format for best practices on this topic for clinicians and informaticians. Suggestions are made for clinicians on documenting and accessing genetic information in the EHR, and on collaborating with genetics specialists and disclosure of genetic results to families. Additional considerations for families including ethics around results of adolescents and special scenarios for blended families and foster minors are also provided. Finally, administrators and informaticians are provided best practices on both institutional processes and EHR architecture, including security and access control, with emphasis on the minimum necessary paradigm and parent/patient engagement and control of the use and disclosure of data. Conclusion The authors hope that these best practices energize specialty societies to craft practice guidelines on genetic information management in the EHR with interdisciplinary input that addresses all stakeholder needs.

scholarly journals An Innovative Approach to Teaching Sustainable Design and Management

Procedia CIRP ◽  
2015 ◽  
Vol 36 ◽  
pp. 29-34 ◽  
Author(s):  
Andreas Riel ◽  
Alan Lelah ◽  
Guillaume Mandil ◽  
Maud Rio ◽  
Serge Tichkiewitch ◽  
...  
Keyword(s):  
Sustainable Design ◽  
Innovative Approach ◽  
Approach To Teaching

Floral diversity, phytogeography, and climatic amelioration during the Early Carboniferous (Dinantian)

Paleobiology ◽  
1985 ◽  
Vol 11 (3) ◽  
pp. 293-309 ◽  
Author(s):  
Anne Raymond
Keyword(s):  
Plant Diversity ◽  
Early Carboniferous ◽  
High Latitudes ◽  
New Genera ◽  
Generic Level ◽  
The North ◽  
Floral Diversity ◽  
High Level ◽  
In The Beginning

Phytogeographic analysis of three Early Carboniferous intervals (Tournaisian–early Visean, Visean, and late Visean–early Namurian A) indicates a high level of phytogeographic differentiation in the beginning of the Early Carboniferous that decreases toward the end of this period. Climatic amelioration (warmer or wetter conditions) in the north middle and high latitudes, caused by the collision of Laurussia and Gondwana at the end of the Early Carboniferous, may be responsible for this decrease in phytogeographic provinciality. Toward the end of the Early Carboniferous, a large number of equatorial genera expand their ranges northward, and the average generic diversity of assemblages in the north high latitudes (Siberia) also rises. Both support the hypothesis of climatic amelioration. Northward migration of equatorial forms and the appearance of new genera endemic to Siberia both contributed to the rise in Siberian diversity. Although this trend is not statistically significant, additional evidence of diversity increase in northern high latitudes tied to climatic amelioration comes from the northernmost limit of diverse (≥ 10 genera) assemblages, which rises from 20°N at the beginning to 55°N at the end of the Early Carboniferous. Global plant diversity assessed at the generic level remained constant during the Early Carboniferous. The increase in Siberian diversity was offset by a decrease in equatorial diversity, perhaps due to the loss of pronounced latitudinal climatic gradients between north-middle and equatorial latitudes.

Situating requests for medical aid in dying within the broader context of end-of-life care: ethical considerations

2018 ◽  
Vol 45 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Lori Seller ◽  
Marie-Ève Bouthillier ◽  
Veronique Fraser
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Ethical Issues ◽  
Retrospective Chart Review ◽  
Median Number ◽  
Life Care ◽  
Ethical Considerations ◽  
Term Care ◽  
Medical Aid ◽  
Aid In Dying

BackgroundMedical aid in dying (MAiD) was introduced in Quebec in 2015. Quebec clinical guidelines recommend that MAiD be approached as a last resort when other care options are insufficient; however, the law sets no such requirement. To date, little is known about when and how requests for MAiD are situated in the broader context of decision-making in end-of-life care; the timing of MAiD raises potential ethical issues.MethodsA retrospective chart review of all MAiD requests between December 2015 and June 2017 at two Quebec hospitals and one long-term care centre was conducted to explore the relationship between routine end-of-life care practices and the timing of MAiD requests.ResultsOf 80 patients requesting MAiD, 54% (43) received the intervention. The median number of days between the request for MAiD and the patient’s death was 6 days. The majority of palliative care consults (32%) came less than 7 days prior to the MAiD request and in another 25% of cases occurred the day of or after MAiD was requested. 35% of patients had no level of intervention form, or it was documented as 1 or 2 (prolongation of life remains a priority) at the time of the MAiD request and 19% were receiving life-prolonging interventions.InterpretationWe highlight ethical considerations relating to the timing of MAiD requests within the broader context of end-of-life care. Whether or not MAiD is conceptualised as morally distinct from other end-of-life options is likely to influence clinicians’ approach to requests for MAiD as well as the ethical importance of our findings. We suggest that in the wake of the 2015 legislation, requests for MAiD have not always appeared to come after an exploration of other options as professional practice guidelines recommend.

“. . . In the Beginning I Was Frightened, Because Jews and Arabs Were Living Together . . . but Now I Don’t Feel That There Are Jews and Arabs . . .”: Palestinian Families in Israel Migrating in Search of Work

2017 ◽  
Vol 11 (2) ◽  
pp. 77-93 ◽  
Author(s):  
Tal Meler
Keyword(s):  
Qualitative Research ◽  
Internal Migration ◽  
Educational System ◽  
Palestinian Women ◽  
Families Of Origin ◽  
The North ◽  
Living Together ◽  
In The Beginning ◽  
And Coping ◽  
National Borders

Internal migration tendencies among Palestinian in Israel are limited by both internal and external barriers. Recently, however, it appears that many Palestinian families have migrated from the north of Israel southward to Beersheba in search of work. This article is based on qualitative research I conducted among Palestinian women in Israel who moved south because of economic and occupational hardship. These women find themselves tending to their households while living far from their families of origin and those of their husbands, confronting and adjusting to their new environment and coping with life in a “city of difference” in Jewish space and among the Arab-Bedouin population at work. Internal migration affects many areas of life, extending beyond the personal and family sphere to challenge the politics of expanse in Israel, which is grounded in segregative and exclusionary principles and blurs accepted lines in the Israeli educational system. This situation generates space for new dialogue, or alternatively delineates lines of separation and structures new urban and cultural segmentation processes. The article sheds light on the complexity of the nationalist-ethnic triangle that takes shape in cities and clarifies the women’s experiences as they cross spatial and national borders—an unusual experience in Israeli life.

Sign in / Sign up

Export Citation Format

Share Document