Monday, October 20, 2014

Ethics in medical research and publication

Ethics in medical research and publication.
OBJECTIVE: To present the basic principles and standards of Ethics in medical research and publishing

METHODS: An analysis of relevant materials and documents, sources from the published literature.

CONCLUSIONS: Invest in education of researches and potential researches, already in the level of medical schools. Educating them on research bioethics, what constitutes research misconduct and the seriousness of it repercussion is essential for finding a solution to this problem and ensuring careers are constructed on honesty and integrity.

Int J Prev Med. 2014 Sep;5(9):1073-82

Thursday, October 16, 2014

Hope as a Moral Competency in Nursing

Sustaining hope as a moral competency in the context of aggressive care.
OBJECTIVE: How can nurses preserve the hope of seriously ill patients without providing false hope?
FINDINGS: One overarching theme was identified: 'Mediating the tension between providing false hope and destroying hope within biomedicine.'

DISCUSSION: This competency represents a complex set of skills. Nurses must be able to imagine possible future hopes, be able to acknowledge death, and challenge those around them when the provision of aggressive care is a form of providing false hope.

Nurs Ethics. 2014 Oct 14;

Saturday, March 29, 2014

The ethics of the missing straw.

This case report details the emergency department course of a 34 year-old female who presented with abdominal pain and vaginal bleeding after reportedly falling one week earlier. She was subsequently found to have a drinking straw within her uterus next to an eight week-old live intrauterine pregnancy on ultrasound. This case report and discussion reviews the literature on retained foreign bodies in pregnancy while addressing the added complications of an evasive patient and a difficult consultant with significant intra-specialty disagreement.

West J Emerg Med. 2014 Mar;15(2):131-3

Moral development of first-year pharmacy students in the United kingdom.

Objective. To investigate the moral development of pharmacy students over their first academic year of study at a university in the United Kingdom. Methods. Pharmacy students completed Defining Issues Test (DIT) at the start of their first year (phase 1) and again at the end of their first year (phase 2) of the program. Results. Pharmacy students (N=116) had significantly higher moral reasoning at the beginning of their first year than by the end of it. Scores differed by students' gender and age; however, these findings differed between phase 1 and phase 2. Conclusion. First-year pharmacy students in the United Kingdom scored lower on moral reasoning than did pharmacy students in the United States and Canada.

Am J Pharm Educ. 2014 Mar 12;78(2):36

Friday, March 21, 2014

Seeing Responsibility: Can Neuroimaging Teach Us About Morality?

As imaging technologies help us understand the structure and function of the brain, providing insight into human capabilities as basic as vision and as complex as memory, and human conditions as impairing as depression and as fraught as psychopathy, some have asked whether they can also help us understand human agency. Specifically, could neuroimaging lead us to reassess the socially significant practice of assigning and taking responsibility? While responsibility itself is not a psychological process open to investigation through neuroimaging, decision-making is. Over the past decade, different researchers and scholars have sought to use neuroimaging (or the results of neuroimaging studies) to investigate what is going on in the brain when we make decisions. The results of this research raise the question whether neuroscience-especially now that it includes neuroimaging-can and should alter our understandings of responsibility and our related practice of holding people responsible. It is this question that we investigate here.

Hastings Cent Rep. 2014 Mar;44 Suppl 2:S37-49

Wednesday, March 19, 2014

What does public health ethics tell (or not tell) us

Obesity has been described as pandemic and a public health crisis. It has been argued that concerted research efforts are needed to enhance our understanding and develop effective interventions for the complex and multiple dimensions of the health challenges posed by obesity. This would provide a secure evidence base in order to justify clinical interventions and public policy. This paper critically examines these claims through the examination of models of public health and public health ethics. I argue that the concept of an effective public health intervention is unclear and underdeveloped and, as a consequence, normative frameworks reliant on meeting the effectiveness criterion may miss morally salient dimensions of the problems. I conclude by arguing for the need to consider both an ecological model of public health and inclusion of a critical public health ethics perspective for an adequate account of the public health challenges posed by obesity.  J Bioeth Inq. 2013 Mar;10(1):19-28

Moral judgment modulation

Modern theories of moral judgment predict that both conscious reasoning and unconscious emotional influences affect the way people decide about right and wrong.

This research found that on average, subliminal priming of disgust facial expressions resulted in higher rates of utilitarian judgments compared to neutral facial expressions.

Front Psychol. 2014;5:194