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Mindfulness And The Need To Minimize The Risk Of Harm: A Proposal To Implement And Enforce Standards For Secular Mindfulness Practice, Michael Falick 2020 Lesley University

Mindfulness And The Need To Minimize The Risk Of Harm: A Proposal To Implement And Enforce Standards For Secular Mindfulness Practice, Michael Falick

Mindfulness Studies Theses

While Western mindfulness practice is indeed beneficial for many participants, the research now clearly demonstrates that for some meditators, there are attendant potential risks. These potential risks to practitioners require a level of care from those individuals (and corporations) that disseminate mindfulness practice. Historically, in traditional Buddhist practice, mindfulness was but one of the eight factors on the Noble Eightfold Path. An important component of traditional practice strongly relies on ethics in the delivery of the practice. A formalized standard of care for modern, secular mindfulness practices, and a method to implement and enforce that standard, will greatly enhance safety ...


Unaddressed Challenges For The “Most Honest And Ethical Profession:” A Pilot Study Of Web-Based Learning Strategies To Prevent Moral Distress, Kelly Straight 2020 The University of San Francisco

Unaddressed Challenges For The “Most Honest And Ethical Profession:” A Pilot Study Of Web-Based Learning Strategies To Prevent Moral Distress, Kelly Straight

Doctor of Nursing Practice (DNP) Projects

Background: Nurses and nurse practitioners (NPs) face greater responsibility to address the ethical challenges that present during the course of patient care, due to advances in medical technology and pharmaceutical innovation, and because of widening disparities within the U.S. healthcare system. These ethical questions, which arise during the course of routine patient care, are increasing in both number and complexity in nearly every patient care setting. Even with codified ethical standards, unresolved and/or ongoing ethical questions and dilemmas pose further issues such as the development of moral distress. This pilot project was designed to help NPs and other ...


Pediatric Intensivists' Perspectives On Nudging, aliza olive 2020 Children's Mercy Hospital

Pediatric Intensivists' Perspectives On Nudging, Aliza Olive

Research Days

No abstract provided.


Quality In All Levels: A Model Defining And Measuring Quality In Bioethics Education, Ercan Avci 2020 Duquesne University

Quality In All Levels: A Model Defining And Measuring Quality In Bioethics Education, Ercan Avci

Electronic Theses and Dissertations

Due to the lack of academic studies in the quality assessment of bioethics education, this dissertation aimed to propose a normative model, Quality in All Levels (QAL), to define and measure quality in bioethics education. The QAL model described quality in bioethics education as conformance to the goals and determined these goals as (1) increasing ethical knowledge, (2) improving ethical skills to strengthen ethical sensitivity, awareness, and judgment, (3) developing ethicalbehavior, and (4) promoting cultural competence. The dissertation utilized Avedis Donabedian’s three approaches: structure, process, and outcome to formulate quality standards and indicators in bioethics education. In respect ...


Ethical Implications Of The Legal Definition Of Brain Death In Light Of Modern Technological Advancements, Jordyn Elise Fullaway 2020 Saint Michael's College

Ethical Implications Of The Legal Definition Of Brain Death In Light Of Modern Technological Advancements, Jordyn Elise Fullaway

2020 JHU Richard Macksey National Undergraduate Humanities Research Symposium

Modern medical advancements in resuscitation and life support shifted the idea of death from a cardio-respiratory view to that of a neurocentric view. As a result, the definition of brain death (BD) emerged, which is the irreversible loss of brain function in both the brainstem and cerebral cortex. One is considered brain dead if they have no brainstem reflexes, a lack of cerebral blood flow, and an absence of cerebral electrical activity. Consequentially, guidelines for determining BD were defined under law, and it is now legal to remove a patient from life support if they are diagnosed as brain dead ...


Ethical Considerations Regarding Paternalism In Medicine, Lola Holcomb 2020 Ursinus College

Ethical Considerations Regarding Paternalism In Medicine, Lola Holcomb

Richard T. Schellhase Essay Prize in Ethics

Paternalism and autonomy are typically conceptualized as opposing theoretical frameworks. With respect to medical ethics, autonomy is practiced by the patient when he/she has liberty and control over his/her own medical matters, and his/her opinions supersede those of the physician. Paternalism is practiced by the physician when he/she restricts the patient’s autonomy (sometimes against the patient’s will) to promote health and well-being while discouraging undesirable behaviors. This paper details and analyzes a number of cases of medical paternalism in practice, both from the past and in the present day, with the purpose of examining ...


Inconceivable: An Analysis Of Assisted Reproductive Technology For The Church, Mary Elizabeth Gresham 2020 Liberty University

Inconceivable: An Analysis Of Assisted Reproductive Technology For The Church, Mary Elizabeth Gresham

Senior Honors Theses

Infertility pushes the boundaries of emotional and physical health, which is why many couples inside and outside the church turn to Assisted Reproductive Technology (ART) for a solution. Despite what has seemed like silence from the Church, some individuals have braved the biological confusion and ethical dilemmas to evaluate the technology. Three major ethical viewpoints have emerged that each prioritize something over medical technology, namely community, order, or human dignity. This paper serves to educate pastors and church leaders on the ever-changing biology of ART as well as give voice to Christians that have spoken out on this issue. At ...


Vaccines In Current Culture: The Hpv Vaccine Controversy, Alyssa Johnston 2020 Liberty University

Vaccines In Current Culture: The Hpv Vaccine Controversy, Alyssa Johnston

Senior Honors Theses

The use of vaccinations has drastically decreased mortality and morbidity rates related to infectious disease and has become an intrinsic part of modern health care. However, the fear of risks related to vaccines has been partially responsible for the decisions of many parents to delay or avoid vaccinating their children. The human papilloma virus (HPV) vaccine specifically is one of the most controversial vaccines in current culture due to reports of new onset or exacerbation of autoimmune diseases, infertility, and even death following its administration. This review synthesizes information regarding the relevance and safety of the HPV vaccine, as well ...


Spiritual And Religious Interventions For Medically High-Risk Adults: A Systematic Review, Nathanael J. Strissel 2020 Liberty University

Spiritual And Religious Interventions For Medically High-Risk Adults: A Systematic Review, Nathanael J. Strissel

Senior Honors Theses

This systematic review is an update and expansion to the population and methods of a previous systematic review concerning spiritual and religious interventions for the well-being of terminally ill adults. After expanding the criteria to incorporate a more diverse population and including non-randomized experimental studies that contained relatively few concerns of bias, the results of the review are inconclusive due to insufficient data. The lack of usable data in the field highlights the ethical and theoretical issues with the use of experimental trials in analyzing the efficacy of spiritual and religious interventions. The development of spirituality in healthcare will remain ...


Controlled Donation After Circulatory Death: Benchmark Study, Marilyn R. Strait 2020 Unversity of Texas at Tyler

Controlled Donation After Circulatory Death: Benchmark Study, Marilyn R. Strait

MSN Capstone Projects

Abstract

In potential organ donors after circulatory death (P), does the utilization of an evidence-based critical pathway from identification of potential donor to organ donation (I) versus no utilization of an evidence-based critical pathway (C) increase the rate of organ procurement and the satisfaction of donor families with the donation process (O)? A benchmark study was conducted to answer this question, and in short, yes, it does. The utilization of a critical pathway, when individualized to a local population and hospital’s organization increases the organ procurement rate, the donor family satisfaction with the process, and increases staff satisfaction with ...


Ethical Guidelines For The Treatment Of Patients With Suspected Or Confirmed Novel Coronavirus Disease (Covid-19), Peter A. DePergola 2020 University of Massachusetts Medical School

Ethical Guidelines For The Treatment Of Patients With Suspected Or Confirmed Novel Coronavirus Disease (Covid-19), Peter A. Depergola

Coronavirus COVID-19 Publications by UMMS Authors

This white paper provides basic ethical guidelines for treating patients with suspected or confirmed coronavirus disease (COVID-19). It responds to the need from healthcare organizations to address the moral considerations inherent to caring for this patient population, particularly in the context of scarce resource allocation, the imposition of limits to individual freedoms, and de facto social distancing. These guidelines are not narrowly prescriptive, but recognize the need of decision makers to transform this guidance into specific decisions. Ethical decision making assumes that such judgments will be based on current scientific knowledge, that effectiveness of interventions is carefully assessed, and that ...


The Ethics Of Management Of Scarce Medical Resources In A Time Of Covid-19, Troy Moon 2020 Vanderbilt University Medical Center

The Ethics Of Management Of Scarce Medical Resources In A Time Of Covid-19, Troy Moon

PEER Liberia Project

This presentation discusses the ethical framework and provides recommendations for the fair allocation of scarce medical resources in a time of COVID-19.


Euthanasia Of The Coronavirus - Covid-19, Sheila P. Davis 2020 The University of Southern Mississippi

Euthanasia Of The Coronavirus - Covid-19, Sheila P. Davis

Online Journal of Health Ethics

At the time of this editorial, COVID-19, aka the Novel Coronavirus, has wrecked havoc and left in its path of destruction, death, unemployment, the instability of nation’s economies, misery, uncertainty, despair, and a fear regarding what the new tomorrow will look like. And, perhaps more importantly, the question of who will be here tomorrow lingers. Now classified as a pandemic, this virus has resulted in over 1,381,014 cases worldwide with 78,269 deaths to date. Presently, Louisiana and Detroit are emerging as the next hot spots behind New York as the fastest rate of increase for COVID-19 ...


Knowledge And Attitude Of Nurses About Palliative Care, Asia Parveen, Khawer Sultana, Ali Waqas, Sidra Tasneem, Robina Jabeen, Ayesha Faiz Dr., abu ul hassan faiz dr 2020 Department of Nursing, Mayo Hospital, Lahore, Pakistan

Knowledge And Attitude Of Nurses About Palliative Care, Asia Parveen, Khawer Sultana, Ali Waqas, Sidra Tasneem, Robina Jabeen, Ayesha Faiz Dr., Abu Ul Hassan Faiz Dr

Journal of Bioresource Management

Palliative care enhances the quality of life. To improve the quality of life, it is necessary for nurses to have good knowledge and attitude towards palliative care. It is imperative that nurses provide quality care to terminally ill and chronically sick patients. The present study was designed to assess the knowledge and attitude of medical staff nurses about palliative care in cancer. This cross-sectional, descriptive study was conducted in Mayo Hospital, Lahore and Jinnah Hospital, Lahore with sample size of 300 registered nurses by using the simple random sampling technique. Inclusion and exclusion criteria was used. Data was collected from ...


Disease Mongering: How Sickness Sells, Vanessa C. Iroegbulem 2020 Augustana College, Rock Island Illinois

Disease Mongering: How Sickness Sells, Vanessa C. Iroegbulem

Augustana Center for the Study of Ethics Essay Contest

“Disease mongering” is the practice of widening diagnostic boundaries of an illness and promoting their public awareness to expand the markets for treatment and to increase profits. This tactic typically used by pharmaceutical companies, medical equipment manufacturers, insurance companies, and even some doctors and patient groups, has become a great concern. Disease mongering has since increased in parallel with “medicalization,” which attempts to label normal human conditions as medical problems, thus becoming the subject of medical study, diagnosis, prevention, or treatment. This paper first seeks to examine how an increasing amount of life’s natural conditions and ailments are being ...


Bearing Prophetic Witness: A Strategy To Integrate Patients' Spirituality Into Medical Care For Holistic Healing, Annette Gildemann 2020 Fuller Theological Seminary

Bearing Prophetic Witness: A Strategy To Integrate Patients' Spirituality Into Medical Care For Holistic Healing, Annette Gildemann

Doctor of Ministry Projects

The goal of this project is to equip hospital chaplains to carry out a cogent spiritual assessment, pastoral intervention and documentation model. The purpose of equipping chaplains for this essential ministry function is to integrate spiritual narratives into medical charts which focus narrowly on physical cure in order to promote holistic healing for patients. The project was carried out in MultiCare Health System’s six Puget Sound Region acute care hospitals located in the cities of Tacoma, Puyallup, Auburn and Covington, Washington.

The theological reflection section provides biblical insight into how medical practice diverged from the compassionate healing ministry of ...


Turning Passion Into Purpose: A Journey To Medicine Through Global Health, Laurenie Louissaint MD 2020 HCA Healthcare

Turning Passion Into Purpose: A Journey To Medicine Through Global Health, Laurenie Louissaint Md

Family Medicine

No abstract provided.


The Captive Lab Rat: Human Medical Experimentation In The Carceral State, Laura I. Appleman 2020 Willamette University

The Captive Lab Rat: Human Medical Experimentation In The Carceral State, Laura I. Appleman

Boston College Law Review

Human medical experimentation upon captive, vulnerable subjects is not a relic of our American past. It is part of our present. The extensive history of medical experimentation on the disabled, the poor, the mentally ill, and the incarcerated has been little explored. Its continuance has been even less discussed, especially in the legal literature. The standard narrative of human medical experimentation ends abruptly in the 1970s, with the uncovering of the Tuskegee syphilis study. My research shows, however, that this narrative is incorrect and incomplete. The practice of experimenting on the captive and vulnerable persists. Our current approach to human ...


Surgeons’ Views On Shared Decision-Making, Suraj Kannan, Jayhyun Seo, Kevin R. Riggs, Gail Geller, Emily F. Boss, Zackary D. Berger 2020 Johns Hopkins University

Surgeons’ Views On Shared Decision-Making, Suraj Kannan, Jayhyun Seo, Kevin R. Riggs, Gail Geller, Emily F. Boss, Zackary D. Berger

Journal of Patient-Centered Research and Reviews

Purpose: Shared decision-making (SDM) has a significant role in surgical encounters, where decisions are influenced by both clinician and patient preferences. Herein, we sought to explore surgeons’ practices and beliefs about SDM.

Methods: We performed a qualitative study consisting of semi-structured individual interviews with 18 surgeons from private practice and academic surgery practices in Baltimore, Maryland. We purposively sampled participants to maximize diversity of practice type (academic vs private), surgical specialty, gender, and experience level. Interview topics included benefits and challenges to patient involvement in decision-making, communicating uncertainty to patients, and use of decision aids. Interviews were audio-recorded and transcribed ...


Building Bodies, Building Minds, Lis Regula 2020 University of Dayton

Building Bodies, Building Minds, Lis Regula

Learning and Teaching Forum

Kennedy Union 211

Majors level Human Anatomy has long been taught as a gatekeeping class for medical schools of graduate schools, and has been highly professionalized due to this. It has also been constructed historically in a very hierarchical paradigm that has multiple oppressions supporting both the study of anatomy and the anatomy classroom. Besides these social issues around anatomy, there are the pedagogical issues of treating this material as something to just memorize and not understand that can cause problems for a student of anatomy. Disrupting these processes can be a very powerful force for anti-racism, anti-sexism, and hopefully ...


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