scholarly journals Ethical issues of evaluation practice within the brazilian political context

2005 ◽  
Vol 13 (46) ◽  
pp. 105-114 ◽  
Author(s):  
Carlos Alberto Serpa ◽  
Thereza Penna Firme ◽  
Ana Carolina Letichevsky

This paper analyzes a conflict frequently encountered by an evaluation professional working in the Brazilian context and its implications to the evaluation process. The challenge is to follow ethical principles that guide a true evaluation, and yet untangle the interaction of all the actors within a complex political context, where: (a) the recognition and regulation of the evaluation profession leaves much to be desired; (b) a strong professional association of evaluators is yet to be formed, and (c) we have little empirical guidance that can enlighten the actors in the evaluation process. The conflict for the evaluator is in implementing the principles and standards that guide the formal preparation of an evaluation professional, in the face of limited autonomy of decisions regarding the use of results and recommendations. We illustrate this conflict by describing three case examples of evaluations by the Cesgranrio Foundation that focused social, educational and corporate programs.

1998 ◽  
Vol 5 (1) ◽  
pp. 19-44 ◽  
Author(s):  
◽  

AbstractHard choices confront societies generally as well as clinicians individually in the face of escalating organ supply requirements for transplantation within Europe. Living organ donation is an important supplement to cadaveric sources of supply, at least in the short to medium term. However, all acceptable therapeutic transplantation strategies require a proper legal regulatory framework to facilitate their use and to encompass central ethical principles and standards. Living donor organ transplantation has typically lacked such a framework, creating vagueness and both doubt and scepticism as to its status and practice.


Author(s):  
Jeni L. McCutcheon

This chapter presents commonly experienced ethical dilemmas among police and public safety psychologists. Real-world, relevant examples are offered with an emphasis on emerging ethical issues. Related American Psychological Association (APA) ethical principles and standards for psychologists and codes of conduct are highlighted. The possibility that ethical dilemmas go unrecognized due to a focus on mandatory rather than aspirational ethics is considered. Solutions for resolving ethical dilemmas are presented.


Author(s):  
Alan R. Fleischman

This book examines the many ethical issues related to health and healthcare in children. It describes the field of pediatric ethics, a unique and important aspect of the discipline of bioethics, the study of moral conduct in healthcare and the rational process for determining the best course of action in the face of conflicting choices. The book begins with an exploration of what it means to be a child in America and the unique kinship relationships and obligations engendered by the decision of parents to have a child, and it examines ethical principles and professional obligations related to the care of children. Each of the chapters in the book focuses on important ethical concerns. It begins with ethical issues in creating babies using reproductive technologies, and then continues with an analysis of the ethical issues in labor and delivery of a child. The book continues with an in-depth analysis of the many hard choices faced by families and clinicians in the care of critically ill neonates, and then it goes on to describe current controversies in caring for older children who are dying and their families, as well as ethical issues concerning adolescents; research ethics as it relates to children; issues concerning genetic testing, screening and biobanking; and surgical and medical enhancement of children. Each chapter has case examples to illustrate the real-life concerns of patients, families, and clinicians. The book is intended for students in pediatrics and ethics, as well as for practicing clinicians, and interested families.


Author(s):  
Jeni L. McCutcheon

This chapter presents commonly experienced ethical dilemmas among police and public safety psychologists. Real-world, relevant examples are offered with an emphasis on emerging ethical issues. Related American Psychological Association (APA) ethical principles and standards for psychologists and codes of conduct are highlighted. The possibility that ethical dilemmas go unrecognized due to a focus on mandatory rather than aspirational ethics is considered. Solutions for resolving ethical dilemmas are presented.


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.


Author(s):  
Maxwell Smith ◽  
Ross Upshur

Infectious disease pandemics raise significant and novel ethical challenges to the organization and practice of public health. This chapter provides an overview of the salient ethical issues involved in preparing for and responding to pandemic disease, including those arising from deploying restrictive public health measures to contain and curb the spread of disease (e.g., isolation and quarantine), setting priorities for the allocation of scarce resources, health care workers’ duty to care in the face of heightened risk of infection, conducting research during pandemics, and the global governance of preventing and responding to pandemic disease. It also outlines ethical guidance from prominent ethical frameworks that have been developed to address these ethical issues and concludes by discussing some pressing challenges that must be addressed if ethical reflection is to make a meaningful difference in pandemic preparedness and response.


Author(s):  
Jacob Busch ◽  
Emilie Kirstine Madsen ◽  
Antoinette Mary Fage-Butler ◽  
Marianne Kjær ◽  
Loni Ledderer

Summary Nudging has been discussed in the context of public health, and ethical issues raised by nudging in public health contexts have been highlighted. In this article, we first identify types of nudging approaches and techniques that have been used in screening programmes, and ethical issues that have been associated with nudging: paternalism, limited autonomy and manipulation. We then identify nudging techniques used in a pamphlet developed for the Danish National Screening Program for Colorectal Cancer. These include framing, default nudge, use of hassle bias, authority nudge and priming. The pamphlet and the very offering of a screening programme can in themselves be considered nudges. Whether nudging strategies are ethically problematic depend on whether they are categorized as educative- or non-educative nudges. Educative nudges seek to affect people’s choice making by engaging their reflective capabilities. Non-educative nudges work by circumventing people’s reflective capabilities. Information materials are, on the face of it, meant to engage citizens’ reflective capacities. Recipients are likely to receive information materials with this expectation, and thus not expect to be affected in other ways. Non-educative nudges may therefore be particularly problematic in the context of information on screening, also as participating in screening does not always benefit the individual.


2005 ◽  
Vol 61 (1) ◽  
Author(s):  
J. Jelsma ◽  
S. Clow

Qualitative research or naturalistic research has moved from the sidelines into the mainstream of health research and an increasing number of qualitative research proposals are being presented for ethical review Qualitative research presents ethical problems that which are unique to the intensive hands-on paradigm which characterises naturalistic research. This paper briefly outlines the most common methodologies used in this research. The four ethical principles of benevolence, non-maleficence, autonomy and justice will be used as a framework to explore specific ethical issues related to this form of inquiry. The need for scientific rigour will also be explored as research that is scientifically unsound can never be ethical.


2014 ◽  
Vol 26 (01) ◽  
pp. 1450016 ◽  
Author(s):  
Ming-Dar Tsai ◽  
Feng-Chou Tsai ◽  
Chih-Lung Lin ◽  
Ming-Shium Hsieh

In facial contouring surgery, surgeons operate the facial bone to correct bone morphology and thus achieve esthetic feminine face. To evaluate the face appearance after surgery and rehearse every surgical procedure in facial contouring surgery, simulations for tissue peeling, incising and suturing on the face together with bone burring and grafting on the facial bone are required. This paper presents a method that transforms respective tissue vertices to simulate tissue peeling. The transformation is based on specified incisions and clamps as in real facial contouring surgery. This paper also uses an auxiliary structure to represent and record tissue boundary changes inside the face. The elastic, partially plastic and plastic tissue deformation and wound formation during an incision can be simulated by manipulating these boundary changes. The incised wound recorded in the auxiliary structure is also manipulated to simulate tissue generation in wound healing during a suture. This volume manipulation method is combined with the reported method for bone burring and grafting simulations so that high-quality 3D images for illustrating surgical procedures both on the face and facial bone can be achieved. Simulations of two case examples including tissue peeling, incising and suturing procedures, and three modalities of facial contouring surgery demonstrate the effectiveness of the proposed method and system.


2002 ◽  
Vol 9 (6) ◽  
pp. 599-611 ◽  
Author(s):  
Stephen Wilmot ◽  
Lesley Legg ◽  
Janice Barratt

Feeding difficulties in older patients who are suffering from dementia present problems with balancing conflicting ethical principles. They have been considered by several writers in recent years, and the views of nursing and care staff have been studied in different contexts. The present study used focus groups to explore the way in which nursing and care staff in a National Health Service trust deal with conflict between ethical principles in this area. Three focus groups were convened, one each from the staff of three wards caring for patients with dementia. Case histories were discussed and transcripts analysed. It emerged that staff were aware of making fine judgements of utility concerning the spectrum of feeding methods available. Informants gave some weight to the principle of autonomy, but sought to balance that against their commitment to care. In explaining their perspectives, informants gave more weight to personal attitudes and trust culture than to professional ethics


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