12 Ethics reflection and responsibility of nano drugs

2021 ◽  
pp. 259-274
Author(s):  
Julie Laloy
Keyword(s):  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Henriette Bruun ◽  
Reidar Pedersen ◽  
Elsebeth Stenager ◽  
Christian Backer Mogensen ◽  
Lotte Huniche

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
H. Bruun ◽  
L. Huniche ◽  
E. Stenager ◽  
C. B. Mogensen ◽  
R. Pedersen

Abstract Background An ethics reflection group (ERG) is one of a number of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the significance of ERGs in psychiatric and general hospital departments in Denmark. Methods This is a qualitative action research study, including systematic text condensation of 28 individual interviews and 4 focus groups with clinicians, ethics facilitators and ward managers. Short written descriptions of the ethical challenges presented in the ERGs also informed the analysis of significance. Results A recurring ethical challenge for clinicians, in a total of 63 cases described and assessed in 3 ethical reflection groups, is to strike a balance between respect for patient autonomy, paternalistic responsibility, professional responsibilities and institutional values. Both in psychiatric and general hospital departments, the study participants report a positive impact of ERG, which can be divided into three categories: 1) Significance for patients, 2) Significance for clinicians, and 3) Significance for ward managers. In wards characterized by short-time patient admissions, the cases assessed were retrospective and the beneficiaries of improved dialogue mainly future patients rather than the patients discussed in the specific ethical challenge presented. In wards with longer admissions, the patients concerned also benefitted from the dialogue in the ERG. Conclusion This study indicates a positive significance and impact of ERGs; constituting an interdisciplinary learning resource for clinicians, creating significance for themselves, the ward managers and the organization. By introducing specific examples, this study indicates that ERGs have significance for the patients discussed in the specific ethical challenge, but mostly indirectly through learning among clinicians and development of clinical practice. More research is needed to further investigate the impact of ERGs seen from the perspectives of patients and relatives.


2020 ◽  
Vol 117 (3) ◽  
pp. 384-391
Author(s):  
Tarris Rosell

American gun culture pervades American evangelicalism. Field research of this phenomenon utilizes phenomenological methods, involving online and onsite visits to Frontier Justice, a Kansas City-based gun store and boutique with evangelical Christian owners. Additional research entails concealed-carry gun training and interviews and email correspondence with Christian handgun owners, including the pastor of a church with armed security. Research culminates with the purchase of a used handgun for specified purposes. Theological ethics reflection controversially correlates the phenomenon of dutiful or fanatical evangelical gun ownership with fear, idolatry, and narcissism.


Author(s):  
Samantha Brennan

Feminist ethics is that branch of ethics that is concerned first and foremost with understanding the oppression of women and developing a normative analysis of its wrongness. Analytical feminist ethics uses the tools and techniques of analytical philosophy, such as conceptual analysis, to further understand the injustices revealed by feminist approaches to ethics. The chapter surveys analytic themes, trends, and tendencies within feminist ethics taking a broad lens on what counts. The chapter offers an account of central issues and themes in analytic feminist philosophical engagements with ethics, reflection on examples of important contributions to this discussion, a discussion the extent to which feminist work has changed or entered the mainstream of the field, and current and future directions in analytic feminist ethics.


2019 ◽  
Vol 116 (4) ◽  
pp. 411-420
Author(s):  
Tarris Rosell

The letter to Colossian Christians depicts the apostle as moralist, a teacher of what is good and right, while warning against immorality as he understands it. Some in Colossae have become disoriented or even deluded by teachings contrary to those of the apostles, prompting a moralistic response from Paul. The letter prompts ethics reflection for a contemporary Christian context of potential moral disorientation and delusion on issues such as honesty in government, immigration, and ownership of handguns. Discernment of moral matters is enhanced by tools such as Rosell’s “FARM Box” and a typology of moral situations. Some matters raised by Paul give reason to question the apostle’s moral teachings, such as those pertaining to wives and slaves. Mostly, his letter to Colossians makes good moral sense, arguably with universal application of rules such as, “Above all . . . walk in love.”


2018 ◽  
Vol 26 (4) ◽  
pp. 1243-1255 ◽  
Author(s):  
Heidi Karlsen ◽  
Lillian Lillemoen ◽  
Morten Magelssen ◽  
Reidun Førde ◽  
Reidar Pedersen ◽  
...  

Background: Healthcare personnel in the municipal healthcare systems experience many ethical challenges in their everyday work. In Norway, 243 municipalities participated in a national ethics project, aimed to increase ethical competence in municipal healthcare services. In this study, we wanted to map out what participants in ethics reflection groups experienced as promoters or as barriers to successful reflection. Objectives: To examine what the staff experience as promoters or as barriers to successful ethics reflection. Research design: The study has a qualitative design, where 56 participants in municipal healthcare participated in 10 different focus-group interviews. Ethical considerations: The data collection was based on the participants’ informed consent and approved by the Data Protection Official of the Norwegian Centre for Research Data. Results: The informants had different experiences from ethics reflection group. Nevertheless, we found that there were several factors that were consistently mentioned: competence, facilitator’s role, ethics reflection groups organizing, and organizational support were all experienced as promoters and as a significant effect on ethics reflection groups. The absence of such factors would constitute important barriers to successful ethics reflection. Discussion: The results are coincident with other studies, and indicate some conditions that may increase the possibility to succeed with ethics reflection groups. A systematic approach seems to be important, the systematics of the actual reflections, but also in the organization of ethics reflection group at the workplace. Community healthcare is characterized by organizational instabilities as many vacancies, high workloads, and lack of predictability. This can be a hinder for ethics reflection group. Conclusion: Both internal and external factors seem to influence the organization of ethics reflection group. The municipalities’ instabilities challenging this work, and perceived as a clear inhibitor for the development. The participants experienced that the facilitator is the most important success factor for establishing, carrying out, and to succeed with ethics reflection groups.


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