Open Access. Powered by Scholars. Published by Universities.®

Bioethics and Medical Ethics Commons

Open Access. Powered by Scholars. Published by Universities.®

2,122 Full-Text Articles 2,060 Authors 562,615 Downloads 160 Institutions

All Articles in Bioethics and Medical Ethics

Faceted Search

2,122 full-text articles. Page 1 of 53.

Multiracial Patient Experiences With Racial Microaggressions In Health Care Settings, Cyndy R. Snyder, Prince Z. Wang, Anjali R. Truitt 2018 University of Washington

Multiracial Patient Experiences With Racial Microaggressions In Health Care Settings, Cyndy R. Snyder, Prince Z. Wang, Anjali R. Truitt

Journal of Patient-Centered Research and Reviews

Purpose: Illuminating patients’ experiences of microaggressions in health care settings can help practitioners develop care that is more culturally responsive. While much of the literature on health care disparities focuses on minority groups generally, we sought to identify and to describe the ways in which racial microaggressions manifest for multiracial individuals and families specifically.

Methods: Using a combination of interviews and focus groups, we conducted 15 interviews and 3 focus groups. Eligible participants self-identified as more than one race and/or they self-identified as part of an interracial family, and they and/or someone they considered to be part of ...


Letter From The Editor, Jessica Walter 2018 Oregon Health & Science University

Letter From The Editor, Jessica Walter

Reflections on Healthcare Management

Introduction for the second collection of work from the School of Medicine's Division of Management. Jessica Walter comments that nearly all of the papers touch on the theory and practice of process improvement.


Creating A Project Initiation Storyboard Template, Tim Burdick 2018 Oregon Health & Science University

Creating A Project Initiation Storyboard Template, Tim Burdick

Reflections on Healthcare Management

How do we best decide which projects to move forward? While a wide range of project and quality management tools and templates exist, little is available in the current literature and practice to assist leaders in selecting projects. This paper offers a simple, flexible template to improve decision making and communication. The template aligns with vocabulary and techniques from project and quality management, making the project “kick-off” more successful. Moreover, this low- tech solution is easily understood and used by most from novices to experts in project management.


Daily Huddles: An Agile Technique To Improve Project Communication, Leah Vasquez 2018 Oregon Health & Science University

Daily Huddles: An Agile Technique To Improve Project Communication, Leah Vasquez

Reflections on Healthcare Management

Incorporation of the stand-up huddle into traditional waterfall project management methodology can improve communication in complex, multi-site projects. Huddles are intended to provide an inclusive space for project team members to collaborate in real time and to aid in fostering a culture of psychological safety. Specifically, this paper explores the hypothesis that stand-up huddles can help achieve the following project goals: 1) increase flexibility to accommodate change, 2) improve coordination of work across multiple project teams, and 3) improve communication of high impact decisions between project leadership and project teams.


Stakeholders In The U.S. Healthcare System: A Possible Future, Nancy Boutin 2018 Oregon Health & Science University

Stakeholders In The U.S. Healthcare System: A Possible Future, Nancy Boutin

Reflections on Healthcare Management

In 2014, Don Berwick, MD, MPP, compared his months on the Massachusetts Gubernatorial campaign trail with Marco Polo’s travels to the legendary city of Xanadu. Instead of finding silk and spaghetti, Berwick found pockets of poverty, despair, and a health system that was penny wise and pound foolish. He also found hope in community programs geared toward breaking the inexorable downward spiral faced by many Americans. Halfway through his presentation, Berwick said, “You can see what it (healthcare savings) might look like. I saw it last week on a trip to Oregon.” Berwick’s casual comment opens a path ...


The Military Health System: Adapting The Quadruple Aim, David Zonies 2018 Oregon Health & Science University

The Military Health System: Adapting The Quadruple Aim, David Zonies

Reflections on Healthcare Management

The Military Health System (MHS) is a vast, global, integrated healthcare delivery system. One of the largest healthcare organizations in the United States, the MHS manages a $52 billion budget and has the solemn responsibility for the health of the Armed Forces. As the MHS is transforming its own business practice, they are adopting many principles outlined in the Quadruple Aim. MHS is experimenting on innovative approaches to improve the individual care experience. Notably, MHS is working to improve access to both inpatient and outpatient services across all its platforms. MHS is working to provide improved health opportunities outside the ...


What Is Critical Chain Project Management And How Can It Be Useful In Healthcare?, Paul Wilkens 2018 Oregon Health & Science University

What Is Critical Chain Project Management And How Can It Be Useful In Healthcare?, Paul Wilkens

Reflections on Healthcare Management

This paper reviews the basics of Goldratt's Theory of Constraints (TOC), followed by a discussion of how they have been adapted for project management (PM). Some of the benefits and flaws of this management method are described, followed by a literature review of known applications to healthcare organizations, which concludes with a summary of healthcare-specific observations. Note: Project management based on the Theory of Constraints is described variously as Critical Chain Project Management (CCPM), Critical Chain / Buffer Management (CC/BM), Critical Chain Scheduling/ Buffer Management (CCS/BM), TOC-PM, and many others. This review uses “CCPM” throughout.


Achieving The Quadruple Aim Through Provider Wellness, Krista S. Wood 2018 Oregon Health & Science University

Achieving The Quadruple Aim Through Provider Wellness, Krista S. Wood

Reflections on Healthcare Management

Spending 44% of their work days on administrative and clerical tasks rather than direct patient care, it is no surprise that medical providers are currently experiencing work-life imbalance, dissatisfaction, high rates of attrition and burnout rates exceeding 50%. Some suggest the “Triple Aim” of healthcare—improving the experience of care, improving the health of populations and reducing per capita costs of healthcare—should be changed to the “Quadruple Aim,” with equal attention on well-being of the care team. Others believe provider wellness should be the foundation of the Triple Aim. After all, it is the limiting reagent; without healthy and ...


Translational Research: Ethical Considerations, Yiqing Dong 2018 University of Puget Sound

Translational Research: Ethical Considerations, Yiqing Dong

Honors Program Theses

Translational research (TR) is a new categorization for the efforts of biomedical research and emphasizes efficiency in achieving population health improvements through the application of basic science knowledge in clinical practice. It will be argued that the current emphasis on speed and collaboration with industry established by national policies provides challenges to maintaining the integrity of scientific research. There is no agreed upon definition of TR and the current standard of judging the success of TR focuses on product production. I propose that the principles of beneficence and responsive justice should be used to inform the values of TR and ...


Cold Genocide: Falun Gong In China, Maria Cheung, Torsten Trey, David Matas, Richard An 2018 University of Manitoba

Cold Genocide: Falun Gong In China, Maria Cheung, Torsten Trey, David Matas, Richard An

Genocide Studies and Prevention: An International Journal

The article explores patterns of a cold genocide in the eradication campaign against Falun Gong. Falun Gong is a spiritual practice that has been targeted for eradication by the Chinese regime since 1999. In comparison to the documented cases of genocide, the genocide of Falun Gong stands out as anomalous because it is virtually ignored. The article seeks to elucidate the multi-faceted nature of this concealed genocide from an interdisciplinary perspective encompassing social work, medicine and law, In particular, the article demonstrates that the eradication campaign against Falun Gong is distinguishable as a cold genocide as it is: (1) multi-dimensional ...


Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender 2018 Fordham University

Radical Social Ecology As Deep Pragmatism: A Call To The Abolition Of Systemic Dissonance And The Minimization Of Entropic Chaos, Arielle Brender

Student Theses 2015-Present

This paper aims to shed light on the dissonance caused by the superimposition of Dominant Human Systems on Natural Systems. I highlight the synthetic nature of Dominant Human Systems as egoic and linguistic phenomenon manufactured by a mere portion of the human population, which renders them inherently oppressive unto peoples and landscapes whose wisdom were barred from the design process. In pursuing a radical pragmatic approach to mending the simultaneous oppression and destruction of the human being and the earth, I highlight the necessity of minimizing entropic chaos caused by excess energy expenditure, an essential feature of systems that aim ...


Four Sights Of The Patient (Ophelia), Cecily Ann Fergeson 2018 Washington University in St. Louis

Four Sights Of The Patient (Ophelia), Cecily Ann Fergeson

Graduate School of Art Theses

I make work in a variety of media, largely dealing with the imagery and material of the human body. My current work attempts to reckon with the following subjects: a reclamation of the notion of the so-called medical gaze and its historical record in photography; the idea that receiving the medical gaze transforms patients’ bodies; the idea of illness as an uncanny and intimate experience; and, finally, the act of metaphorically retracing the body’s material journey through the medical institution as it exists today. In this text, I discuss my practice in the context of critical theory, a recent ...


Racial Inequality Of United States Health Care, Brooke Marcus 2018 University of Wyoming

Racial Inequality Of United States Health Care, Brooke Marcus

Honors Theses AY 17/18

Race is a deeply ingrained part of society, impacting all aspects of a person’s life including health care. In the United States, a person of minority status is more likely to live a sicker and shorter life compared to a Caucasian American. There has never been a time, in the history of the country, that the health status of minorities has been equal to that of Caucasians (Geiger, 2003; Byrd and Clayton, 2000; National Center of Health Statistics, 2003). Minorities live six years shorter than a person of the social majority born at the same time in the same ...


The Justice (Or Lack Thereof) Of Brain Augmentation Through Nanotechnology, McKinley M. Nevins 2018 University of Puget Sound

The Justice (Or Lack Thereof) Of Brain Augmentation Through Nanotechnology, Mckinley M. Nevins

Sound Decisions: An Undergraduate Bioethics Journal

Currently, the majority of the ethical discussion around the expansive field of brain augmentation centers on the concept of cognitive enhancement, defined by Bostrom and Sandberg (2009) as, “the amplification or extension of core capacities of the mind through improvements or augmentation of internal or external information processing systems.” But if this definition sounds broad and vague, that’s because it is. Part of the difficulty in discussing this field of neuroscience, and the controversy surrounding it, is making quite clear what specifically we are talking about to begin with. As Austin Caras and James DeJesus introduced in Ethical Analysis ...


We Can, But Should We? A Response To Ethical Analysis Of Brain Augmentation And Nanotechnology, Simone M. Moore 2018 University of Puget Sound

We Can, But Should We? A Response To Ethical Analysis Of Brain Augmentation And Nanotechnology, Simone M. Moore

Sound Decisions: An Undergraduate Bioethics Journal

Science often progresses at rates faster than it can be regulated. Much research has been done in recent years surrounding nanotechnology, mechanisms comprised of various particles between 1 and 100 nm in size that are capable of altering organic and non-organic molecules and atoms. The ethical implications of using such technology have been strongly debated among researchers and ethicists alike, particularly concerning the issue of human brain augmentation. While the definition of what constitutes brain augmentation can vary greatly, for the purposes of this essay, brain augmentation will be defined as the process by which an individual’s higher and ...


Ethical Analysis Of Brain Augmentation Through Nanotechnology, Austin Caras, James DeJesus 2018 University of Puget Sound

Ethical Analysis Of Brain Augmentation Through Nanotechnology, Austin Caras, James Dejesus

Sound Decisions: An Undergraduate Bioethics Journal

The use of nanoparticles for drug delivery and neural cell manipulation may soon allow for organic and electronic brain augmentations. Medical technology being used for cognitive enhancement brings a host of ethical questions related to safety, justice, privacy, and individuality. Issues concerning medical consent and intellectual property will be skewed as neuroscience expands our understanding of the brain, growing our capacity to read and modify it. Socioeconomic strata may realign based on augmentations and employment opportunities may become dependent on specific cognitive enhancements. Long-term effects of unregulated nanoparticle usage could elicit an environmental or human health disaster. The potential ...


Friends Of The Poppy: An Ethical Exploration Of Opioid Addiction, Emma Goldblatt 2018 University of Puget Sound

Friends Of The Poppy: An Ethical Exploration Of Opioid Addiction, Emma Goldblatt

Sound Decisions: An Undergraduate Bioethics Journal

Scientists and philosophers have been puzzling over the root of addiction for centuries. In the past, addiction was seen as a moral failing, a choice and an inevitability for certain people. Since then, science has shown us that social circumstance and physiological dependency are much better explanations for why addiction develops and persists. This has come into the conversation surrounding the current American opioid epidemic. It is spoken about in medical terms and is being addressed by the Centers for Disease Control and Prevention, both of which would not be possible without defining addiction as a disease. Addiction is more ...


Does One Need To Understand Why Health Is Valuable In Order To Find Enhancement Permissible?, Emily Nygard 2018 University of Puget Sound

Does One Need To Understand Why Health Is Valuable In Order To Find Enhancement Permissible?, Emily Nygard

Sound Decisions: An Undergraduate Bioethics Journal

This article uses Lindemann’s feminist ethics to counter Julian Savulescu’s claim that enhancement is acceptable. It makes the claim that Savulescu misunderstands the need for health. Savulescu’s conceptualization of health and mode of enhancement would uphold existing distributive justice problems and support existing oppressive power structures. As such, enhancement in the way that Savulescu conceptualizes it is unethical.


Regulation Of Food Consumption As An Effort To Control Obesity Rates, Shelby Kantner 2018 University of Puget Sound

Regulation Of Food Consumption As An Effort To Control Obesity Rates, Shelby Kantner

Sound Decisions: An Undergraduate Bioethics Journal

This paper utilizes a rule-utilitarian framework to examine the ethical issue of food consumption regulation in the United States as an effort to control obesity rates. Rule-utilitarianism presents the idea that “a right action is one that conforms to a rule that if followed consistently, would create for everyone involved the most beneficial balance of good over bad” (Vaughn 35). Specifically, this paper argues that if the government were to enact a policy or law that required food companies and restaurants to reduce their portion sizes, this law/policy would be considered morally permissible under rule-utilitarianism theory. Doing so would ...


Understanding Physician Assisted Suicide: A Literature Review, Gabrielle Sollecito 2018 The College at Brockport

Understanding Physician Assisted Suicide: A Literature Review, Gabrielle Sollecito

Senior Honors Theses

Death and dying are difficult subjects for people to talk about, both for themselves and for their loved ones. It is unfortunate that so many terminal illnesses come with a lot of pain. When it has been determined that someone’s life is coming to an end, one would hope that it can be as peaceful as possible. Two options for end of life care include continuous palliative sedation and physician assisted suicide. This article will discuss physician assisted suicide in depth in order to expand understanding of the treatment.


Digital Commons powered by bepress