Invited Commentary on “No Correlation Between Ethical Judgment in Trolley Dilemmas and Vaccine Scenarios for Nurse Specialist Students”

2020 ◽  
Vol 15 (4) ◽  
pp. 298-299
Author(s):  
Heidi Matisonn
Keyword(s):  
Ethical Judgment ◽  
Nurse Specialist ◽  
Trolley Dilemmas

scholarly journals No Correlation Between Ethical Judgment in Trolley Dilemmas and Vaccine Scenarios for Nurse Specialist Students

2020 ◽  
Vol 15 (4) ◽  
pp. 292-297
Author(s):  
Gry Oftedal ◽  
Ingrid H. Ravn ◽  
Fredrik A. Dahl
Keyword(s):  
Ethical Judgment ◽  
Ethics Committees ◽  
Point Estimate ◽  
Nurse Specialist ◽  
Weak Correlation ◽  
Core Issue ◽  
Trolley Dilemmas ◽  
Trolley Problems ◽  
High Willingness

We tested whether responses to trolley problems by nurse specialist students correlated with their responses to hypothetical vaccine problems, as a follow-up to a similar study on ethics committees. No statistically significant correlation was found between the trolley and vaccination scores. These results confirmed and strengthened the finding of a very weak correlation (possibly zero), and the point estimate was even lower than for the ethics committees. Hence, the nurse specialists’ responses to the trolley problems cannot be used to indicate any direction for their responses to the vaccine problems, although there is a common core issue of sacrificing some for many. The respondents reported a relatively high willingness to push one man in front of a trolley to save five. They also reported a high willingness to act in trolley dilemmas compared with vaccination dilemmas, although the dimensions of risk–reward ratios and consent heavily favored the latter.

scholarly journals Trolley Dilemmas Fail to Predict Ethical Judgment in a Hypothetical Vaccination Context

2018 ◽  
Vol 14 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Fredrik Andreas Dahl ◽  
Gry Oftedal
Keyword(s):  
At Risk ◽  
Research Ethics ◽  
Ethical Judgment ◽  
Ethics Committee ◽  
Voluntary Participation ◽  
Vaccine Trials ◽  
Vaccination Trial ◽  
Core Issue ◽  
Willingness To Sacrifice ◽  
Trolley Dilemmas

We investigated whether the responses of 68 ethics committee members and staff to trolley dilemmas could predict their responses to research ethics problems concerning vaccine trials. Trolley dilemmas deal with the issue of sacrificing some for the benefit of many, which is also a core issue in the vaccination trial dilemmas. The subjects’ responses to trolley dilemmas showed no statistically significant correlation with their responses to our vaccination trial dilemmas. We concluded that, if there is a component of transferable intuition between the contexts, it must be small and dominated by other factors. Furthermore, the willingness to sacrifice some for many was larger in the trolley context, despite a more favorable risk/reward ratio and the voluntary participation of the subjects at risk in the vaccination situations. We conclude that one’s general willingness to trade lives in the trolley context may be an artifact that is due to its unrealistic setting.

«Wie ein ANP-Team laufen lernt» – Herausforderungen und Chancen von ANP-Teams am Universitätskinderspital Zürich

Pflege ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Andrea Ullmann-Bremi ◽  
Anna-Barbara Schlüer ◽  
Gabriela Finkbeiner ◽  
Yvonne Huber
Keyword(s):  
Nurse Practitioner ◽  
Nursing Practice ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Advanced Nursing Practice ◽  
Clinical Nurse

Im angloamerikanischen und nordeuropäischen Raum wurden verschiedene ANP-Einzelrollen entwickelt, unter anderem die der Clinical Nurse Specialist und der Nurse Practitioner. Diese universitär ausgebildeten Pflegespezialisten sind in der Schweiz weiterhin sehr rar. Um vor diesem Hintergrund die Praxis dennoch nachhaltig weiterentwickeln zu können, wurden in den letzten acht Jahren im Kinderspital Zürich kontinuierlich Advanced-Nursing-Practice-Teams (ANP-Teams) aufgebaut. Dieser Ansatz bewährte sich durch gezielte und angemessene Leistungserbringung in hochkomplexen Situationen. In diesem Artikel wird die Zusammensetzung der ANP-Teams diskutiert, wobei der Personalmix einen Schlüsselfaktor darstellt. Unterstützende Elemente stellen dabei sowohl die Aufgabendefinition als auch Aufgabenteilung in Klinik- und Konzeptteams dar. Die ANP-Teams arbeiten motiviert und zielgerichtet, sie integrieren Pflegende verschiedenster Erfahrungs- und Ausbildungsniveaus, wodurch gegenseitiges Lernen gefördert wird.

Do Family Planning Field Workers Approve of Induced Abortion?

1980 ◽  
Vol 1 (1) ◽  
pp. 49-63 ◽  
Author(s):  
George P. Cernada
Keyword(s):  
Family Planning ◽  
Health Services ◽  
Ethical Judgment ◽  
Induced Abortion ◽  
Educational Activity ◽  
The Public ◽  
Contraceptive Services ◽  
Legal Restrictions ◽  
Field Workers

The Taiwan Government has begun to consider relaxing legal restrictions on induced abortion. The four hundred field workers who provide contraceptive services and referrals as part of the Governmental health services at the township level were surveyed about induced abortion. These workers are considered to be most likely to be involved in future governmental programs related to abortion. Major findings were that the workers, although favorable in general to induced abortion as expected are often unfavorable under certain circumstances, differ somewhat from the public they serve, and do not espouse views in consonance with existing laws. Furthermore, cumulative ethical judgment scales are shown to exist which could have important program implications. Recommendations for educational activity are made.

Sign in / Sign up

Export Citation Format

Share Document