Medicine and Health Sciences Commons^™

Psychological Screening Of Children For Participation In Nontherapeutic Invasive Research, Ann Mccarthy, L. Richman, R. Hoffman, L. Rubenstein

Ann Marie McCarthy

BACKGROUND: The need for children to participate in research has raised concerns about ethical issues surrounding their participation. OBJECTIVES: To describe a protocol of preresearch psychological screening and postresearch outcomes and to present the results of the screening process for a nontherapeutic, invasive research study. DESIGN AND SETTING: Descriptive study carried out at The University of Iowa Hospitals and Clinics, Iowa City. PARTICIPANTS: Twenty-eight children (mean age, 10.6 years) were screened, with 4 not completing the research study and another 4 unavailable for psychological follow-up. MAIN OUTCOME MEASURES: Prescreening interviews with parent and child and screening measures of appropriate child …

Unitary Pattern-Based Praxis: A Nexus Of Rogerian Cosmology, Philosophy, And Science [Corrected] [Published Erratum Appears In Visions 2008;15(1):28], Howard Butcher

Howard K. Butcher

Unitary pattern-based praxis is a nexus of Rogerian cosmology, philosophy, and science designed to inform practice/research using the praxis processes of pattern manifestation knowing-appreciation and voluntary mutual patterning. The unitary pattern-based praxis model is: an explication of Rogerian cosmology, ontology, epistemology, aesthetics, ethics, postulates, principles, and selected theories; a fusion of cosmology, philosophy, and science with the pattern manifestation knowing-appreciation and voluntary mutual patterning praxis processes for use in both research and patient care contexts; a syntheses Barrett's and Cowling's Rogerian practice methodologies into one comprehensive model; and, a model that places the unitary field pattern portrait research method within …

Rogerian Ethics: An Ethical Inquiry Into Rogers's Life And Science, Howard Butcher

Howard K. Butcher

No abstract provided.

Implications Of Utility And Deontology For The Clinical Nurse Specialist, Lioness Ayres

Lioness Ayres

Faced with prospective payment plans and personnel shortages nurses in advanced clinical practice are under pressure to find practical solutions. These solutions may reflect the institutional philosophy of utility rather than the traditional nursing ethic of deontology, illustrating the need to examine the differences between utilitarian and deontological principles as they affect nursing practice. This paper discusses deontology and utility as they apply to nursing practice, considers how these different philosophical positions may affect advanced practitioners, and describes the current status of ethics in nursing.

Basing The Evaluation Of Professionalism On Observable Behaviors: A Cautionary Tale, Shiphra Ginsburg, Glenn Regehr, Lorelei Lingard

Lorelei Lingard

PROBLEM STATEMENT AND BACKGROUND: The evaluation of professionalism often relies on the observation and interpretation of students' behaviors; however, little research is available regarding faculty's interpretations of these behaviors.

METHOD: Interviews were conducted with 30 faculty, who were asked to respond to five videotaped scenarios in which students are placed in professionally challenging situations. Behaviors were catalogued by person and by scenario.

RESULTS: There was little agreement between faculty about what students should and should not do in each scenario. Abstracted principles (e.g., honesty, altruism) were defined and applied inconsistently, both between and within individual faculty. There was no apparent …

Resolving Medical Futility Disputes, Thaddeus M. Pope, Donna Casey

Thaddeus Mason Pope

No abstract provided.

The Ethics Of Sin Taxes, Rebecca D. Green

Rebecca D. Green

The current global economic crisis is forcing governments to consider a variety of methods to generate funds for infrastructure. In the United States, smoking-related illness and an obesity epidemic are forcing public health institutions to consider a variety of methods to influence health behaviors of entire target groups. In this paper, the author uses a public health nursing model, the Public Health Code of Ethics (Public Health Leadership Society, 2002), the American Nurses' Association (ANA) Code of Ethics (2001), and other relevant ethical theory to weigh and balance the arguments for and against the use of sin taxes. A position …

Global Comparison Of Warring Groups In 2002-2007: Fatalities From Targeting Civilians Vs. Fighting Battles., M Hicks, U Lee, R Sundberg, M Spagat

Madelyn Hsiao-Rei Hicks

BACKGROUND:

Warring groups that compete to dominate a civilian population confront contending behavioral options: target civilians or battle the enemy. We aimed to describe degrees to which combatant groups concentrated lethal behavior into intentionally targeting civilians as opposed to engaging in battle with opponents in contemporary armed conflict.

METHODOLOGY/PRINCIPAL FINDINGS:

We identified all 226 formally organized state and non-state groups (i.e. actors) that engaged in lethal armed conflict during 2002-2007: 43 state and 183 non-state. We summed civilians killed by an actor's intentional targeting with civilians and combatants killed in battles in which the actor was involved for total fatalities …