scholarly journals Commentary by Onder Ozkalipci:

2020 ◽  
Vol 30 (2) ◽  
pp. 122-125
Author(s):  
Onder Ozkalipci

I congratulate the author for bringing this topic regarding the ethical dilemmas faced by NGOs when a perpetrator of torture requests a clinical evaluation to prove claims of persecution or being victim of torture. Such dilemmas may arise in the case of NGOs whose primary mission is to provide supportive documentation for asylum claims by victims of torture, in accordance with the Istanbul Protocol. Questions related to these dilemmas may emerge in the daily practice of any rehabilitation centre for survivors of torture (RCTs). I will proceed to discuss the paper from the perspective of RCTs....

2017 ◽  
Vol 18 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Daniel Y B Tan ◽  
Bastiaan C ter Meulen ◽  
Albert Molewijk ◽  
Guy Widdershoven

Ethical dilemmas in general are characterised by a choice between two mutually excluding options neither of which is satisfactory, because there always will be a form of moral damage. Within the context of medicine several ethics support services have been developed to support healthcare professionals in dealing with ethical dilemmas, including moral case deliberation. In this article, we describe how moral case deliberation works in daily practice, illustrated with a case example from the neurology ward. The article is meant as an introduction to moral case deliberation according to the dilemma method. We show its relevance to the clinic and the context needed to put it into practice.


2014 ◽  
Vol 22 (5) ◽  
pp. 533-547 ◽  
Author(s):  
Chisato Suzuki ◽  
Katsumasa Ota ◽  
Masami Matsuda

Background: Information sharing is one of the most important means of public health nurses collaborating with other healthcare professionals and community members. There are complicated ethical issues in the process. Research objectives: To describe the ethical dilemmas associated with client information sharing that Japanese public health nurses experience in daily practice and to clarify their decision-making process to resolve these dilemmas. Research design: Data were collected using a three-phase consensus method consisting of semi-structured interviews, self-administered questionnaires and a group interview. Participants and research context: We surveyed administrative public health nurses in Shizuoka Prefecture, Japan. The semi-structured interviews were carried out with 12 administrative public health nurses, and the self-administered questionnaires were sent to all 899 administrative public health nurses. The group interview was carried out with eight administrative public health nurses. Ethical considerations: Ethical approval was granted by the ethics committee of the School of Health Sciences, Nagoya University, Japan (8-158, 9-130). Findings: Information-sharing ethical dilemmas occurred most often when clients’ decisions did not coincide with the nurses’ own professional assessments, particularly when they faced clinical issues that were inherently ambiguous. In their decision-making processes, nurses prioritised ‘protection of health and life’. Discussion: These findings suggest that, above all, they sought to address urgent risks to clients’ lives while upholding the principle of client autonomy as much as possible. In such cases, the nurses made decisions regarding whether to share information about the client depending on the individual situation. Conclusion: Public health nurses should protect the client’s health while taking into consideration their relationship with the client.


2016 ◽  
Vol 34 (1) ◽  
pp. 227-246 ◽  
Author(s):  
Janice Agazio ◽  
Petra Goodman ◽  
Oluwakemi Opanubi ◽  
Patricia McMullen

Military nurses encounter similar issues as civilian nurses in daily practice situations; however, wartime and humanitarian missions may bring unique and difficult ethical dilemmas. While nursing has the American Nurses Association code of ethics to provide a framework to guide ethical practice decisions, conflicts may arise from the unique aspects of nursing within a wartime environment. Understanding those conflicts occuring within the military wartime scenario can provide nurses with experiential examples from which to derive strategies for personal coping and professional behavior and decision making. This chapter describes the research that has focused upon the identification of these issues, the effects from uresolved issues, and those directions for future research to better prepare miltiary nurses before and during deployment.


Author(s):  
Bianchi Ilenia ◽  
Focardi Martina ◽  
Bugelli Valentina ◽  
Francesco Pradella ◽  
Giolli Carlo ◽  
...  

Abstract Background Illegal immigration to Europe is a well-known phenomenon whose numbers are being steadily increasing in recent years. Most of the immigrants in Italy come from war zones, and many of them submit an asylum application supported by the complaint to have been victims of persecutory acts in their home countries. Material and methods One hundred ninety-six medicolegal reports are analyzed considering the different country of origin, the type of the lesions claimed, tools used, evidenced effects, location of the perpetration of the physical abuses, and the possible motivation of the alleged torture. Results Greater than 80% of the assessed asylum seekers are over 18-year males coming from African countries. Fifty-eight percent of migrants were tortured or abused in countries of transit, 95% in Libya. Economic, familial, politic, and ethnic reasons prevail in some countries of origin, while tortures or abuses perpetrated in transit countries are mainly linked to forced labor and detention. In the 42.2% of cases, no physical evidence of tortures was detected. The Istanbul Protocol resulted to have been only partly applicable and about 40% of the medicolegal reports are “inconclusive” about the compatibility of physical evidence with the alleged tortures. Conclusions The medicolegal and forensic experts involved in torture and ill-treatment cases should seek specific education and training to lower the risks of underestimation and the rate of inconclusive reports. More extensive implementation of the Istanbul Protocol in daily practice should be pursued by the authorities in charge of asylum or protection releasement.


2014 ◽  
Vol 18 ◽  
pp. 335 ◽  
Author(s):  
Sandra Del Pilar Gómez C.

La ponencia corresponde a una síntesis de los hallazgos de la investigación acerca de los dilemas éticos que se les presentan a los trabajadores sociales en su práctica cotidiana y su vinculación con el proyecto ético político. El análisis fenomenológico no se centra en la acción, sino en lo que lo motivó; de allí reside el interés en esta categoría.Schütz expresa que “la dificultad para definir la acción como conducta motivada, no reside en la acción sino en el equívoco implícito del término motivo” (2008, p. 26). Para ello, Schütz distingue los motivos para y los motivos porque.Palabras-clave: Fenomenología, motivos para, motivos porque, dilemas éticos, trabajador social.CONTEXT OF SIGNIFICANCE OF THE REASONS AND ITS RELATIONSHIP WITH THE ETHICAL-POLITICAL PROJECT OF SOCIAL WORKERS IN COLOMBIAAbstract: The paper is a synthesis of findings from research on the ethical dilemmas presented to social workers in their daily practice and its relationship with the ethical-political project. The phenomenological analysis is not focused on action, but on what motivated it; there is interest in this category. Schutz says that "difficult to define the action as motivated behavior, lies not in action, but in the implicit mistake of the term reason"(2008, p. 26). So Schütz differentiates the motivesand the reasons why.Keywords: Phenomenology, reasons for, reasons because, ethical dilemmas, social assistant.


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