scholarly journals Using COVID-19 Narratives to Think Deeply About Physicians’ Conflicting Roles and Responsibilities

2020 ◽  
Vol 3 ◽  
Author(s):  
Jesus Olivera ◽  
Richard Gunderman
Keyword(s):  
At Risk ◽  
Multiple Roles ◽  
Literary Analysis ◽  
Healthcare Ethics ◽  
Practice Model ◽  
Potential Conflict ◽  
Roles And Responsibilities ◽  
Ethical Implications ◽  
Analysis Question ◽  
Communication Lines

Background: In recent decades, many physicians have abandoned the private practice model of medicine, electing instead to work as hospital employees. For the most part, hospitals and physician employees enjoy a synergistic relationship. In other cases, conflicts can arise between the two parties. This paper explores a subset of such conflicts, those which transpired within the context of the COVID-19 pandemic.     Methods: We utilized the study of Narrative, a Medical Humanities discipline, as an analytical tool. First, we compiled narratives detailing disagreements between various clinicians and their respective employers’ COVID-19 response. Second, we employed literary analysis question prompts to explore the ethical implications of, and potential solutions to, such conflicts.      Results: Physicians, like all individuals, have multiple roles within society. In today’s healthcare landscape, many physicians concurrently assume the roles of caregiver and employee. The moral priorities, values, and obligations inherent to these two roles can sometimes be misaligned, creating ethical dilemmas for physicians and their employers.    Conclusion: Physicians must recognize that their primary professional responsibility is to patients. When the welfare or safety of patients appears to be at risk, physicians have a duty to advocate on their behalf. However, physicians and hospital administration alike must seek out synergies and minimize potential conflict. Good hospitals should have forums, communication lines, and organizational cultures that allow clinicians to openly voice concerns and feedback. Good physicians should voice dissenting opinions in a diplomatic, stepwise, and cooperative manner. If patient welfare remains at risk, other recourses are available, but teamwork and collaboration should be the initial focus.    Impact and Implications:   This discussion can help physicians think deeply about their different roles and responsibilities in society and how to ethically balance those roles. It can also inform various topics within healthcare ethics, including care transformation, resource allocation, organizational ethics, and patient advocacy.  

Step 1: Preparing

2013 ◽  
pp. 42-56
Author(s):  
Mary Alice Fisher
Keyword(s):  
Ethical Standards ◽  
Practice Model ◽  
Ethical Implications

Chapter 4 walks therapists through Step 1 - some of the preparation that is required for protecting patients’ confidentiality rights. This is presented as the first Step in the Confidentiality Practice Model (Box 3.1 in Chapter 3) because some of the most important decisions a therapist makes about confidentiality must be made before the patient arrives. It includes learning ethical standards that define confidentiality, learning laws that can affect therapists’ ability to protect confidentiality, organizing laws based on their ethical implications, obtaining consultation and developing resources, making difficult decisions, and practice pointers.

Young Middle-Class Women, Consumption and Fitness in Contemporary India: ‘To Tackle All That is Thrown Her Way’

2020 ◽  
Vol 40 (1) ◽  
pp. 111-126
Author(s):  
Callie Batts Maddox
Keyword(s):  
Middle Class ◽  
Female Body ◽  
Cultural Practices ◽  
Multiple Roles ◽  
Global Markets ◽  
Indian Woman ◽  
Indian Women ◽  
Roles And Responsibilities ◽  
The Right ◽  
Working Out

This article examines the intersections of fitness, consumption, the middle class and the female body in contemporary India. Having grown up exposed to and interacting with global markets, brands and commodities, young middle-class Indian women seek to engage in cultural practices that distinguish them as members of an upwardly mobile class of urban professionals. For many young women, working out at a gym or fitness centre has become an important performative act that signifies ability to successfully navigate the globalised and cosmopolitan worlds. Drawing mainly from ethnographic fieldwork, the article suggests that the fit, young, middle-class body has become the ‘right’ female body in contemporary India and functions to reinforce a privileged social location. It underpins moralities of self-care and marks the rise of the global Indian woman prepared to tackle multiple roles and responsibilities.

scholarly journals GRANDPARENTS CARING FOR GRANDCHILDREN: HOW AGE AND AGING IMPACT PROVISION OF CHILDCARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S723-S723
Author(s):  
MaryBeth A Apriceno ◽  
Stacey B Scott ◽  
Sheri Levy
Keyword(s):  
Study Data ◽  
Multiple Roles ◽  
Future Research ◽  
Cross Sectional ◽  
Older Adulthood ◽  
Roles And Responsibilities ◽  
Spare Time ◽  
Wave Range ◽  
Dual Income ◽  
Economic Need

Abstract The economic need for dual-income households has contributed to more grandparents providing childcare for their grandchildren. Research on these grandparents has examined their life satisfaction, health, and spare time. Little work to date has examined how cross-sectional differences in grandparents’ age may contribute to when they begin providing childcare or how their increasing age while caregiving influences when they reduce or stop providing childcare. Using Health and Retirement Study data, we identified 5.38% of participants (N=516) who reported providing at least one hour of childcare for their grandchildren per wave (range=1-9,996) between 2004 and 2014. The resulting sample ranged from 44-88 years of age (M=59.78, SD=7.75) when they first reported providing childcare; 48.8% were retired during the study period. Using multilevel modeling, we tested age and retirement as predictors of individual differences in initial amount of childcare (intercept) and change in childcare (slope). Cross-sectionally, no significant differences in childcare hours were observed based on the age at which grandparents began caregiving or retirement status. Longitudinally, however, as grandparents got older during the study, hours of childcare decreased by 48 hours per year (B=-48.368, t(1584)=-6.55, p<.0001) relative to when they starting providing childcare. These results suggest grandparent childcare providers represent an age diverse group managing multiple roles and responsibilities who continue caregiving well into older adulthood. Future research on grandparents who provide childcare for their grandchildren should observe these individuals over time to better understand how aging impacts provision of care and to examine how aging may moderate previous cross-sectional findings.

scholarly journals Ethical Implications for Clinical Practice and Future Research in “At Risk” Individuals

2012 ◽  
Vol 18 (4) ◽  
pp. 606-612 ◽  
Author(s):  
Fiza Singh ◽  
Heline Mirzakhanian ◽  
Paolo Fusar-Poli ◽  
Camilo de la Fuente-Sandoval ◽  
Kristin S. Cadenhead
Keyword(s):  
At Risk ◽  
Clinical Practice ◽  
Future Research ◽  
Ethical Implications

scholarly journals An Examination Of The Roles Of State School Psychology Consultants

2018 ◽  
Vol 11 (3) ◽  
pp. 99-112
Author(s):  
Chung-Hau Fan ◽  
Jennifer L. Gallup ◽  
I-Chen Wu ◽  
Jeremy W. Ford
Keyword(s):  
School Psychology ◽  
School Psychologists ◽  
State School ◽  
Job Responsibilities ◽  
Practice Model ◽  
Roles And Responsibilities ◽  
Psychological Service ◽  
Policy Guidance ◽  
Professional Resources

With the increasing visibility of state school psychology consultants (SSPCs) across the nation, there is a pressing need to understand their roles and functions relative to serving their stakeholders. In addition, it is unclear whether current SSPC job responsibilities are aligned with the National Association of School Psychologists’ (NASP) practice model, which can help ensure the quality of school psychological service delivery. A qualitative case study design was conducted with interviews to examine the job responsibilities of SSPCs (e.g., provision of consultation, policy guidance, professional development, coordination of professional resources and services). The qualitative analysis revealed three main themes: (a) service provision, (b) collaborative roles and efforts, and (c) systems improvement across the state, which were aligned with different levels of domains in the NASP practice model. The findings can help inform the roles and responsibilities of SSPCs and the development of new SSPC functions. Implications for conceptualization of the SSPC initiative in relation to the NASP practice model for future practice are discussed. 

Five Critical Domains of Effective Leadership in Higher Education Administration

2022 ◽  
pp. 90-113
Author(s):  
Deirdre M. Conway
Keyword(s):  
Higher Education ◽  
Core Competencies ◽  
Education Institution ◽  
Multiple Roles ◽  
Leadership Role ◽  
Education Administration ◽  
Leadership Roles ◽  
Roles And Responsibilities ◽  
Leadership In Higher Education ◽  
Education Today

Higher education today consists of a complex myriad of varying levels with individuals tasked to perform multiple roles and responsibilities. Faculty and staff find themselves tasked with multiple responsibilities and fewer resources. Many who embark on the journey of becoming academic administrators and leaders in higher education often do so based on their technical expertise and successes as a faculty member within the institution. Few organizations prepare faculty to step into leadership roles with the appropriate training. One area which often lacks training is in the area of individual leadership capabilities and connecting with others within the organization to accomplish a common goal. This chapter will provide insight into five critical domains necessary for individuals to focus on developing before entering into a leadership role within a higher education institution. Within each domain are central and core competencies which help to determine effectiveness in higher education leadership.

scholarly journals “You Can’t Ignore a Number This Big”: Gender, Risk, and Responsibility in Online Advocacy for Women’s Brain Health

2020 ◽  
pp. 104973232098189
Author(s):  
Victoria Mohr ◽  
Annelies Kleinherenbrink ◽  
Piia Varis
Keyword(s):  
Alzheimer’S Disease ◽  
Gender Differences ◽  
At Risk ◽  
Risk Management ◽  
Risk Prevention ◽  
Multimodal Approach ◽  
Health Campaigns ◽  
Brain Health ◽  
Risk Quantification ◽  
Ethical Implications

Alzheimer’s disease affects more women than men and has therefore been highlighted as a women’s issue. However, there is much debate regarding the nature of this gap, with some studies pointing to sex/gender differences in longevity to explain the disparity. Against this background of empirical uncertainty, we ask how online women’s brain health campaigns position women as specifically at risk of developing the disease. Using a multimodal approach, we examine how these platforms relate womanhood to risk, prevention, and responsibility. Four main themes emerged: risk quantification, risk management, risk dispersion, and the gendering of risk. We confirm previous studies that identified a dual discourse in which Alzheimer’s is represented as both a catastrophic threat and as a fate that individuals can and must prevent. We find that both constructions are intensified on women-oriented platforms compared with nonspecific websites. Ethical implications of the individualization and gendering of risk and responsibility are discussed.

scholarly journals 醫乃仁術: 儒家視野下的醫患關係

2009 ◽  
Vol 7 (1) ◽  
pp. 13-41
Author(s):  
Jue WANG
Keyword(s):  
Medical Ethics ◽  
Moral Authority ◽  
The Other ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Potential Conflict ◽  
Moral Principles ◽  
Ethical Implications ◽  
Western Model ◽  
Physician Patient

LANGUAGE NOTE | Document text in Chinese; abstract also in English.本文首先廓清了“醫乃仁術”在傳統儒家思想脈絡裏的含義，並指出從來源上說，它迥異於西方生命倫理學主流，而採取了一種獨特的“不離人倫，親親為本”的視角。然而這種視角使得“醫乃仁術”總是被一種歧義所困擾：它既是一種行善原則，也是一種未顧及自主性原則的行善原則，家長主義的陰影無處不在。“醫乃仁術”的歧義成為中國生命倫理學建設的最大瓶頸。面對這種困境，本文試圖在現代西方生命倫理學話語實踐之外，另闢蹊徑，借助關懷倫理學和美德倫理學的最近研究成果，闡發“醫乃仁術”的合理內涵。This essay addresses the ethical implications of the physician-patient relationship from the Confucian perspective, which holds that the physician must regard the patient as a family member to treat the patient properly. It is well known that there are two primary approaches to moral authority in contemporary Western medical ethics. One is internal, and assumes that the good inherent to medicine is the source of moral authority in medical activities. The other is external, and denies that the ends and ethics of medicine can be determined by typical medical activities. It holds that medical ethics should be based on general moral principles, such as autonomy and justice. However, the Confucian model seems to be at odds with both of these approaches. On the one hand, Confucians do not think that medicine constitutes a self-contained domain of activity with its own ethics; rather, medicine is seen as a continuum of familial relationships and ethics. On the other hand, Confucians also hold that the physician-patient relationship should follow the example of the flexible relationships among family members rather than the rigid general principles of autonomy and justice.The Western model is aimed at action, whereas the Confucian view focuses on personal affective relations. The greatest problem with the Confucian model is its notorious paternalism; that is, it appears to fail to pay sufficient attention to the potential conflict between patient and physician about the good, ignoring the issue of patient autonomy. In the modern Western tradition, the model of the physician-patient relationship is based on two self-sufficient agents (patient and physician) who are united in pursuing a certain good, where each is the final source of what is good for him- or herself. However, the real physician-patient encounter demands a deeper commitment between the two than this model suggests. When entering a physician-patient relationship, what the patient seeks is care from the physician, not autonomy. That is to say, the patient first of all trusts the physician. To earn that trust, it is not enough that the physician treat the patient based only on the principle of autonomy or what the patient requires. Rather, a deep attachment – analogous to a familial relationship – must be developed that can serve as the basis of the encounter between the patient and physician. The Confucian physician-patient model, which is rooted in such a relationship, does not contrast but rather complements its Western counterpart.DOWNLOAD HISTORY | This article has been downloaded 564 times in Digital Commons before migrating into this platform.

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