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1
Norvoll, Reidun, and Reidar Pedersen. "Patients’ moral views on coercion in mental healthcare." Nursing Ethics 25, no. 6 (October 27, 2016): 796–807. http://dx.doi.org/10.1177/0969733016674768.
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Background: Coercion in mental healthcare has led to ethical debate on its nature and use. However, few studies have explicitly explored patients’ moral evaluations of coercion. Aim: The purpose of this study is to increase understanding of patients’ moral views and considerations regarding coercion. Research design: Semi-structured focus-group and individual interviews were conducted and data were analysed through a thematic content analysis. Participants and research context: A total of 24 adult participants with various mental health problems and experiences with coercion were interviewed in 2012–2013 in three regions of Norway. Ethical considerations: Ethical approval and permissions were obtained according to required procedures. Informed consent and confidentiality were also secured. Findings: Ethical considerations regarding coercion included seven main themes: the need for alternative perspectives and solutions, the existence of a danger or harm to oneself or others, the problem of paternalism, the problem of discrimination and stigma, the need for proportionality, the importance of the content and consequences of coercion and concerns about way that coercion is carried out in practice. Discussion: The participants’ views and considerations are in line with previous research and reflect the range of normative arguments commonly encountered in ethical and legal debates. The study accentuates the significance of institutional factors and alternative voluntary treatment opportunities, as well as the legal and ethical principles of proportionality and purposefulness, in moral evaluations of coercion. Conclusion: Broader perspectives on coercion are required to comprehend its ethical challenges and derive possible solutions to these from a patient perspective.
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Michael Domansky. "SOME ETHICAL ASPECTS OF FEMINISM AND EMANSIPATION." WORLD WOMEN STUDIES JOURNAL 4, no. 1 (July 1, 2019): 1–11. http://dx.doi.org/10.46291/wwsj.v4i1.10.
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Since its birth, feminism has been closely associated with emancipation. And now it is understood primarily as the liberation of women from discrimination, other trends remain, rather, the exception. Moreover, liberation as a goal is rarely called into question. At the same time, freedom is an ethical category, and the desire for liberation inevitably raises moral questions. Therefore, the connection between feminism and ethics is not accidental. The topics that I want to touch on are, in my opinion, key to understanding this connection. I will begin the discussion with what exactly feminism seeks to free itself from, and for this I will remind you of some facts of female discrimination.
Most women in modern society are overburdened with double work: housework and work to earn financial security. As a result, they give up their careers for the careers of a husband. Well, if he understands this, and if he considers his personal success as a result of joint efforts, and not just his talent. The burden of homework interferes with both professional growth and political activity. If a woman, not neglecting her two works, begins to engage in politics, then this activity - participation in rallies, congresses, the search for sponsors and maintaining relations with them, participation in elections - becomes her third job. It is not surprising that in such a situation, women rarely achieve leadership positions, both in government and in business. Needless to say, double loading leaves few opportunities for continuing education.
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Huang, Fei Fei, Qing Yang, Jie Zhang, Qing Hua Zhang, Kaveh Khoshnood, and Jing Ping Zhang. "Cross-cultural validation of the moral sensitivity questionnaire-revised Chinese version." Nursing Ethics 23, no. 7 (August 3, 2016): 784–93. http://dx.doi.org/10.1177/0969733015583183.
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Background: Ethical issues pose challenges for nurses who are increasingly caring for patients in complicated situations. Ethical sensitivity is a prerequisite for nurses to make decisions in the best interest of their patients in daily practice. Currently, there is no tool for assessing ethical sensitivity in Chinese language, and no empirical studies of ethical sensitivity among Chinese nurses. Research objectives: The study was conducted to translate the Moral Sensitivity Questionnaire–Revised Version (MSQ-R) into Chinese and establish the psychometric properties of the Moral Sensitivity Questionnaire–Revised Version into Chinese (MSQ-R-CV). Research design: This research was a methodological and descriptive study. Participants and research context: MSQ-R was translated into Chinese using Brislin’s model, and the Translation Validity Index was evaluated. MSQ-R-CV was then distributed along with a demographic questionnaire to 360 nurses working at tertiary and municipal hospitals in Changsha, China. Ethical considerations: This study was approved by the Institutional Review Boards of Yale University and Central South University. Findings: MSQ-R-CV achieved Cronbach’s alpha 0.82, Spearman-Brown coefficient 0.75, significant item discrimination (p < 0.001), and item-total correlation values ranging from 0.524 to 0.717. A two-factor structure was illustrated by exploratory factor analysis, and further confirmed by confirmatory factor analysis. Chinese nurses had a mean total score of 40.22 ± 7.08 on the MSQ-R-CV, and sub-scores of 23.85 ± 4.4 for moral responsibility and strength and 16.37 ± 3.75 for sense of moral burden. Discussion: The findings of this study were compared with studies from other countries to examine the structure and meaningful implications of ethical sensitivity in Chinese nurses. Conclusion: The two-factor MSQ-R-CV (moral responsibility and strength, and sense of moral burden) is a linguistically and culturally appropriate instrument for assessing ethical sensitivity among Chinese nurses.
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Maulana, Asep Suraya. "Analisis Kritis Permasalahan Humanisasi Ilmu Agama." HIKMATUNA : Journal for Integrative Islamic Studies 4, no. 1 (June 15, 2018): 77. http://dx.doi.org/10.28918/hikmatuna.v4i1.1272.
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Islam was born as a religion in the middle of the socio-cultural of Arab society full of dynamics and social problematics. Discrimination and crime continue to blanket the lives of people at that time. Islam as a living system containing several sub-systems of aspects, and among them is a sub-system in the education sector. Through aspects of doctrine and education, Islam asserts that the urgency of science has never looked at economic, social and even racial differences.
Speaking of the world of education, especially education in Indonesia today has faced various problems and challenges very heavy. Among the challenges are, cultural, ethical and moral globalization, as a result of technological advances (transport and information), and low levels of social-capital, low quality of education in Indonesia, and national macro issues, involving multidimensional crises in both fields economic, political, moral, cultural and so forth. In addition, there is an indication that the world of Islamic education is failing, which failed to humanize human (humanization), failed to form human in accordance with the vision and mission of creation. This failure has implications for the process of maternalistic education, away from Islamic values and weak character.
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Fry-Bowers, Eileen K. "A Matter of Conscience: Examining the Law and Policy of Conscientious Objection in Health Care." Policy, Politics, & Nursing Practice 21, no. 2 (May 2020): 120–26. http://dx.doi.org/10.1177/1527154420926156.
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Conscientious objection refers to refusal by a health care provider (HCP) to provide certain treatments, including the standard of care, to a patient based upon the provider’s personal, ethical, or religious beliefs. Federal and state rules regarding conscientious objection have expanded the scope of legal protections that HCPs and institutions can invoke in support of refusal. Opponents of these rules argue that allowing refusal of care deprives patients of care that conforms to professionally established guidelines, contradicts long-standing principles related to informed consent, interferes with the ability of health care facilities to provide safe and efficient care, and leaves the patient without means of redress for injury. Proponents respond that such rules are necessary to preserve the moral integrity of providers, including institutions. Although refusal rules are most often associated with abortion, some HCPs have cited moral concerns regarding contraception, sterilization, prevention/treatment of sexually transmitted infections, transition-related care for transgender individuals, medication-assisted treatment of substance use disorders, the use of artificial reproductive technologies, and patient preferences for end-of-life care. Evidence suggests that the burden of conscientious refusal falls disproportionately on vulnerable populations, and legitimate concern exists that moral disagreement is merely pretext for discrimination. A careful balance must be struck between the defending the conscience rights of HCPs and the civil rights of patients.
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Wynne, Keona Jeane, Mila Petrova, and Rachel Coghlan. "Dying individuals and suffering populations: applying a population-level bioethics lens to palliative care in humanitarian contexts: before, during and after the COVID-19 pandemic." Journal of Medical Ethics 46, no. 8 (June 19, 2020): 514–25. http://dx.doi.org/10.1136/medethics-2019-105943.
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BackgroundHumanitarian crises and emergencies, events often marked by high mortality, have until recently excluded palliative care—a specialty focusing on supporting people with serious or terminal illness or those nearing death. In the COVID-19 pandemic, palliative care has received unprecedented levels of societal attention. Unfortunately, this has not been enough to prevent patients dying alone, relatives not being able to say goodbye and palliative care being used instead of intensive care due to resource limitations. Yet global guidance was available. In 2018, the WHO released a guide on ‘Integrating palliative care and symptom relief into the response to humanitarian emergencies and crises’—the first guidance on the topic by an international body.AimsThis paper argues that while a landmark document, the WHO guide took a narrowly clinical bioethics perspective and missed crucial moral dilemmas. We argue for adding a population-level bioethics lens, which draws forth complex moral dilemmas arising from the fact that groups having differential innate and acquired resources in the context of social and historical determinants of health. We discuss dilemmas concerning: limitations of material and human resources; patient prioritisation; euthanasia; and legacy inequalities, discrimination and power imbalances.ImplicationsIn parts of the world where opportunity for preparation still exists, and as countries emerge from COVID-19, planners must consider care for the dying. Immediate steps to support better resolutions to ethical dilemmas of the provision of palliative care in humanitarian and emergency contexts will require honest debate; concerted research effort; and international, national and local ethical guidance.
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Hudson, Harry. "Coercion in psychiatry: is it right to involuntarily treat inpatients with capacity?" Journal of Medical Ethics 45, no. 11 (August 14, 2019): 742–45. http://dx.doi.org/10.1136/medethics-2019-105357.
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Psychiatric inpatients with capacity may be treated paternalistically under the Mental Health Act 1983. This violates bodily autonomy and causes potentially significant harm to health and moral status, both of which may be long-lasting. I suggest that such harms may extend to killing moral persons through the impact of psychotropic drugs on psychological connectedness. Unsurprisingly, existing legislation is overwhelmingly disliked by psychiatric inpatients, the majority of whom have capacity. I present four arguments for involuntary treatment: individual safety, public safety, authentic wishes and protection of autonomy. I explore these through a case study: a patient with schizophrenia admitted to a psychiatric hospital under the Mental Health Act 1983 after an episode of self-poisoning. Through its discussion of preventative detention, the public safety argument articulates the (un)ethical underpinnings of the current position in English law. Ultimately, none of the four arguments are cogent—all fail to justify the current legal discrimination faced by psychiatric inpatients. I conclude against any use of involuntary treatment in psychiatric inpatients with capacity, endorsing the fusion approach where only psychiatric patients lacking capacity may be treated involuntarily.
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Räsänen, Joona. "Moral case for legal age change." Journal of Medical Ethics 45, no. 7 (March 14, 2019): 461–64. http://dx.doi.org/10.1136/medethics-2018-105294.
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Should a person who feels his legal age does not correspond with his experienced age be allowed to change his legal age? In this paper, I argue that in some cases people should be allowed to change their legal age. Such cases would be when: (1) the person genuinely feels his age differs significantly from his chronological age and (2) the person’s biological age is recognised to be significantly different from his chronological age and (3) age change would likely prevent, stop or reduce ageism, discrimination due to age, he would otherwise face. I also consider some objections against the view that people should be allowed to change their legal age and find them lacking.
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Lobachova, Iryna, Svitlana Pomyrcha, and Olha Khvashchevska. "MORAL AND ETHICAL EDUCATION IN THE GENDER ASPECT AS A CHARACTERISTIC FEATURE OF V. NESTAIKO’S IDIOSTYLE." Naukovì zapiski Nacìonalʹnogo unìversitetu «Ostrozʹka akademìâ». Serìâ «Fìlologìâ» 1, no. 15(83) (November 24, 2022): 47–51. http://dx.doi.org/10.25264/2519-2558-2022-15(83)-47-51.
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The article identifies the characteristics of the psychological traits of Ukrainians, which are existed both in stereotypes of behavior and in the language, and artistic creativity of artists. It is found out that the rapid development of gender studies in the humanities in general and in Ukrainian linguistics in particular, contributes to the need for gender expertise of artistic texts used in the educational process of a comprehensive school. Linguistic means that are functioning in the tetralogy “Forest School” by Vsevolod Nestaiko and demonstrating moral and ethical guidelines are important for the educational process of primary school students in the gender aspect are analyzed. In the article, it is emphasized on the fact that all moral and ethical guidelines that are learned by a person are formed precisely by the means of language, influencing his/her thinking and behavior. It is found out that a stereotype is a formed mental evaluation of any action, thought, etc., which can be reproduced in stereotypical behavior during life circumstances and under certain conditions. On the basis of this statement, gender roles that are a subject to the stereotypical behavior of characters are identified in a tetralogy “Forest School” by V. Nestaiko. The study of gender balance is considered primarily through the provision of proper education of boys and girls, their orientation to partnership and interchangeability in the performance of family and social roles. It is noted that the main principle of such education is to avoid any manifestations of bias and discrimination in the requirements for their education and behavior, mastering future professional, family and public roles based on belonging to a certain gender, and debunking harmful gender stereotypes.
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Jołkiewicz, Dorota. "Etyczny wymiar globalnego rozprzestrzeniania się epidemii AIDS/HIV na świecie – zarys problemu." Annales. Etyka w Życiu Gospodarczym 12, no. 2 (May 15, 2009): 55–64. http://dx.doi.org/10.18778/1899-2226.12.2.05.
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AIDS is an example of the global threat. In my article I would like to present the most important ethical dilemmas related to global outspreading of AIDS/HIV epidemic in the world and also make an attempt of finding a possible solution. I assume that the dilemmas could be described in three basic dimensions: The first discussed ethical problem is related to treating sick people by the healthy people. We observe the discrimination of people suffering from AIDS/HIV and it stands in opposition to Christianity and Church which commands to accept sick people, to respect and help them. The second discussed aspect concerns ethical challenges that modern medicine must face regarding the outspread of AIDS and HIV. On one hand, medical stuff who have contact with blood must incessantly confront their fear of infection with duty of helping people and providing medical care. On the other hand, medical professionals may encounter the moral dilemma how to keep medical records in secret and protect interests of people who are exposed to infection. The last important ethical dimension of global AIDS epidemic and other civilisation illnesses, which has been recently observed, is the polarization of the world in the field of health.
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McGregor, Joan L. "Population Genomics and Research Ethics with Socially Identifiable Groups." Journal of Law, Medicine & Ethics 35, no. 3 (2007): 356–70. http://dx.doi.org/10.1111/j.1748-720x.2007.00160.x.
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The genetic revolution is well underway, with genetic research and knowledge expanding at an exponential rate. Much of the new genetics research is focused on population groups, and proponents of “population genomics” argue that such studies are necessary since genetic “variation” among human populations holds the most promise for technological innovations that can improve human health and lead to increased understanding of the origin of human populations. Population genomic research thus targets specific groups to discover variation that could lead to knowledge about genetic disorders, possible cures, and the origin and migration patterns of distinctive peoples. Research on genetic differences among groups or populations, however, raises many pressing ethical and legal questions. For example, focus on biological differences of racial and ethnic groups has in the past lead to assumptions about superiority and inferiority between groups, and in practice resulted in stigmatization and discrimination. Consequently, attention on groups should raise legal and moral red flags and compel us to move cautiously in this area. Pragmatically, targeting population groups as the object of study requires the determination of the nature and scope of “population groups” for purposes of genetics research.
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Kovalenko, E. Y., N. V. Tydykova, and A. K. Kusainova. "REFLECTION OF INTERNATIONAL NORMS IN THE RUSSIAN FEDERAL AND REGIONAL LEGISLATION ON PHYSICAL CULTURE AND SPORTS." Russian-Asian Legal Journal, no. 4 (December 28, 2020): 56–60. http://dx.doi.org/10.14258/ralj(2020)4.9.
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The article lists some international acts that are devoted to the regulation of issues of physical cultureand sports. It is noted that Russian legislation at both federal and regional levels reflects the main provisionsformulated in the named international acts. On specific examples, it was demonstrated that in the Russiannational legislation on physical culture and sports, such aspects as: the place of sports in the educationsystem, the safety of participants and spectators during sports events, the prevention of doping, and thepopularization of sports are being successfully developed. It is noted that the Russian legislation in the fieldof physical culture and sports is at the stage of formation, therefore, the achievement of priority tasks makesit possible to formulate new ones, which requires the inclusion of other ideas in the regulatory framework.The authors believe that it would be advisable to strengthen the idea of combating discrimination onvarious grounds in sports, to consolidate the norms on the moral and ethical foundations of sports, to createguarantees for athletes from political and commercial exploitation, to consolidate the principles of globalismand preservation of the environment.
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Shaw, Joshua. "Regulating assisted reproduction: Discrimination and the right to privacy." Clinical Ethics 14, no. 2 (April 23, 2019): 87–93. http://dx.doi.org/10.1177/1477750919845086.
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Advances in fertility medicine have led some ethicists to call for stricter regulations on assisted reproduction. One counterargument is that such restrictions are unfair, for they impose far more stringent limits on the procreative liberties of individuals who rely on assisted reproductive technology than on those who reproduce through unassisted coital reproduction. This paper argues that a morally relevant distinction can be drawn between these two cases—one that supports stricter regulations on assisted reproduction. The argument, roughly, is this: it is not possible to regulate unassisted reproduction more stringently without violating the right to privacy. However, it is possible to regulate assisted reproduction without violating it, and the moral benefits of doing so warrant stricter regulations. Two arguments are made for this claim. First, it is not possible to regulate procreative rights in cases of unassisted reproduction in isolation from other freedoms—freedoms protected by the right to privacy. However, it is possible to regulate procreative liberties in isolation from other rights in cases of assisted reproduction. Second, procreative rights do not appear in general to be positive rights that entitle their possessors to assistance from others, and hence they are not violated by sterner regulations on assisted reproduction. However, parallel regulations on unassisted reproduction would violate a right to noninterference that is almost certainly protected by the right to privacy.
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Saad, Toni C. "Against the nihilism of ‘legal age change’: response to Räsänen." Journal of Medical Ethics 45, no. 7 (May 15, 2019): 465–66. http://dx.doi.org/10.1136/medethics-2019-105475.
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Räsänen has attempted to make a moral case for permitting some people to change their legal age: if someone considers that their chronological age does not correspond to their emotional age or biological age, and they face age-based discrimination as a result, they may change the legal record of their age. This response considers some of the problems with Räsänen’s paper, including its reliance on equivocation. It concludes that what is billed as a moral argument turns out to be a conflicted case for deception which relies on a nihilistic outlook on reality.
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Gadzhikurbanov, Aslan. "CULTURAL STEREOTYPES IN THE ETHICS OF THE STOICS AND SPINOZA." Herald of Culturology, no. 1 (2022): 32–47. http://dx.doi.org/10.31249/hoc/2022.01.02.
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Starting from antiquity, European ethics formed some stable stereotypes in describing the collisions of the rational and sensory components of moral life, where value priorities were given to the rational principles of a person's moral life, which were opposed by the sensory-emotional, affective sphere of mental life. In this regard, aspecial signifi-canceacquiresa cultural stereotype associated with the interpretation of the concept of nature. His assessment is based on the opposition of the concepts natural / artificial, spontaneous / rational, involuntary / intentional. One of the most important resources of the European cultural tradition is the history of philosophical ideas, many of which have acquired a paradigmatic status and have become common European cultural values. It will be about the interpretation of the nature of passions in ancient Stoicism and the philosophical system of Spinoza. The phenomenon of passion is considered in the following aspects: passion as a disease of the soul, passion as excessive striving, passions as special physical states of mental substance, passion as a false judgment, passion as a phenomenon of metaphysical discrimination.
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Shahvisi, Arianne, and Fionnuala Finnerty. "Why it is unethical to charge migrant women for pregnancy care in the National Health Service." Journal of Medical Ethics 45, no. 8 (April 25, 2019): 489–96. http://dx.doi.org/10.1136/medethics-2018-105224.
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Pregnancy care is chargeable for migrants who do not have indefinite leave to remain in the UK. Women who are not ‘ordinarily resident’, including prospective asylum applicants, some refused asylum-seekers, unidentified victims of trafficking and undocumented people are required to pay substantial charges in order to access antenatal, intrapartum and postnatal services as well as abortion care within the National Health Service. In this paper, we consider the ethical issues generated by the exclusion of pregnancy care from the raft of services which are free to all. We argue that charging for pregnancy care amounts to sex discrimination, since without pregnancy care, sex may pose a barrier to good health. We also argue that charging for pregnancy care violates bodily autonomy, entrenches the sex asymmetry of sexual responsibility, centres the male body and produces health risks for women and neonates. We explore some of the ideological motivations for making maternity care chargeable, and suggest that its exclusion responds to xenophobic populism. We recommend that pregnancy care always be free regardless of citizenship or residence status, and briefly explore how these arguments bear on the broader moral case against chargeable healthcare for migrants.
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Agius, Emmanuel. "Heritable human genome editing: our moral responsibilities towards future generations." Medicina e Morale 70, no. 2 (July 26, 2021): 205–25. http://dx.doi.org/10.4081/mem.2021.938.
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The uncharted territory of genome editing technology, which can be described as the Copernican revolution of our age, presents the challenge of the trade-offs between the benefits to people now and the known unknowns concerning future dangers and risks. It is for this reason that critics of human germline modification argue that it is unethical to harvest benefits in the immediate future while causing a whirlwind in the far-distant future! The current generation has, therefore, to make sensible decisions about the research and clinical application of human gene editing technologies to prevent far-reaching deleterious impact on an indefinite number of generations yet to come. Certainly, techniques of heritable human genome editing could increase vulnerability, discrimination and division among and between generations without the guidance of social justice which is inseparable from solidarity. Since the descendants of edited human embryos may be exposed to unknown, possibly negative long-term effects, without consenting to having these risks imposed on them, the thorny issues of harm, safety and precaution are crucial to address the knowledge-gaps and uncertainties implied the clinical application of human genome editing. Thus, the intergenerational moral consciousness and conscientiousness on the benefits and risks of human genome editing have to remain vigilant and alert!
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Simkulet, William. "On legal age change." Journal of Medical Ethics 45, no. 7 (July 2019): 469–70. http://dx.doi.org/10.1136/medethics-2019-105445.
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Joona Räsänen argues some people have a right to change their legal age to prevent age discrimination. He proposes two prerequisites—the person feels his age differs from his legal age, and that person’s biological age differs from his chronological age. I argue we can achieve the same protections from ageism through restricting access to one’s birth date. I review several moral reasons in favour of changing one’s legal age, concluding the enterprise is folly.
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Gupta, Mona, Divya Srivastava, and Arvind Singh Kushwah. "Bioethics and Patent Law: USA, UK and India. A Bibliometric Analysis." Bangladesh Journal of Bioethics 4, no. 2 (September 9, 2013): 1–8. http://dx.doi.org/10.3329/bioethics.v4i2.16371.
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This article discusses the view of bioethics in terms of need of research and gives more weight to various cultural traditions and their respective moral beliefs. It is argued that this view is implausible for the following three reasons: it renders the disciplinary boundaries of bioethics too flexible and inconsistent with metaphysical commitments of biomedical sciences, it is normatively useless because it approaches cultural phenomena in a predominantly descriptive and selective way, and it tends to justify certain types of discrimination. Compromise on moral matters attracts ambivalent reactions, since it seems at once laudable and deplorable. When a hotly-contested phenomenon like assisted dying is debated, all-or-nothing positions tend to be advanced, with little thought given to the desirability of, or prospects for, compromise. In order to qualify as appropriately principled, the ensuing negotiations require disputants to observe three constraints: they should be suitably reflective, reliable and respectful in their dealings with one another. The product that will result from such a process will also need to split the difference between the warring parties. In assisted dying, I argue that a reduced offence of 'compassionate killing' can achieve this. Clinical research is revolutionizing the practice of medicine in an unprecedented way. Some current legal and ethical concerns evolving from this revolution are addressed, pointing to the emerging concepts in jurisprudence, which regards medical research as an important contribution to patient empowerment, to medical risk management and in managing the resources of a national health system. While bioethics as a field has concerned itself with methodological issues since the early years, there has been no systematic examination of how ethics is incorporated into research on the ethical, legal and social implications. We aim of better understanding the methods, aims, and approaches to ethics that its researchers employ. We found that the aims of ethics are largely prescriptive and address multiple groups. This is a life concern issue. It is an important issue for researchers, teachers as well as for student. This articles main aim is to provide systematic outline of the complex relationship between bioethics and patent between India, USA and UK. This study suggests that trusting relationships may be more conducive than any particular discussion strategy to facilitating doctor-patient discussions of health care costs. Better public understanding of how medical decisions affect insurer costs and how such costs ultimately affect patients personally will be necessary if discussions about insurer costs are to occur in the clinical encounter. It will give an overview of the bioethics and Patent. The literature survey has indicated that there is no comprehensive work has been done by any researcher on this topic. Therefore the present study would concentrate on the work being carried out by Indian, USA and UK R & D scientists vis-a-vis Global researchers. Studies aims to map basic human needs such as human health, food and a safe environment, touches on fundamental values, such as human dignity and the genetic integrity of humanity, can raise human rights issues such as access to health and benefits from scientific progress, raises concerns over equitable access to the fruits of new technologies, the consent of those involved in research, and protection of the environment and compare these among India, USA and UK. The research map out many issues and policy communities, but main aspect is the ethical implications of protecting biotechnological inventions through the intellectual property (IP) system. A Bioethicist assists the health care and research community in examining moral issues involved in our understanding of life and death, and resolving ethical dilemmas in medicine and science. This research provides a systematic outline of the complex relationship between bioethics and IP. It will give an overview of bioethics. It sketches core principles in the interaction of IP and bioethics among these three countries. The basic data for the bibliometric analysis has been collected from SCI and for mapping different parameters suitable analytical software eg. SPSS, BibTech Mon is used. The analysis arises questions such as: Does India do enough work in this field. Which country is fastest growth among these? DOI: http://dx.doi.org/10.3329/bioethics.v4i2.16371Bangladesh Journal of Bioethics 2013; 4(2) 1-8
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Vasconcelos, Anselmo Ferreira. "Older workers: some critical societal and organizational challenges." Journal of Management Development 34, no. 3 (April 13, 2015): 352–72. http://dx.doi.org/10.1108/jmd-02-2013-0034.
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Purpose – The purpose of this paper is to examine some societal contemporary challenges that encompass both older workers and organizations likewise. Rather, it focusses especially on those ones related to ageist mindset, myths and misinformation about that cohort of workers. Design/methodology/approach – It draws on a literature review by first approaching the problem of ageism, given that it is a social phenomenon that, to a large extent, impairs mature workers by putting them aside, as well as disdains the value of their experience and knowledge. Second, it offers some counterarguments against such mindset by discussing positive aspects related to older workers in order to clarify the widespread myths and misinformation about them. Third, it depicts a conceptual framework composed of some challenging issues toward improving the workplaces for older workers. Findings – It reassures that the broader challenges of dignifying older workers may be better addressed through initiatives such as acknowledgment and sensitivity; diversity; learning and development; legislation; wise leadership and HR policies; change; motivation; accommodation of different generations; and ethical and moral principles. Practical implications – The majority of organizations have nowadays to handle with an aging workforce and, at the same time, keep their competitiveness. This scenario requires pertinent interventions and approaches in order to meet mature workers’ needs. Social implications – It argues that age discrimination can be regarded as a bizarre human creation that requires the involvement of all sectors of society so as to get rid of it. As a result, the first decades of twenty-first century likely will place the additional challenge (perhaps it may be regarded as an opportunity) for building more humanized and spiritual workplaces. Further, it is very clear that an ageist behavior does not fit in such a view. Originality/value – This paper examined some of the greatest problems related to aging workforce worldwide. In this sense, by reviewing the pertinent literature was possible to identify some challenges, integrate them into a conceptual frame and address their implications for organizations.
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Lukyanchenko, E. A. "Human Capital: Moral and Ethical Aspects." MGIMO Review of International Relations, no. 3(30) (June 28, 2013): 142–43. http://dx.doi.org/10.24833/2071-8160-2013-3-30-142-143.
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Sychev, A. A., E. V. Zaytseva, and P. S. Tolkachev. "MORAL-ETHICAL ASPECTS OF THE DIGITAL ECONOMY." Vestnik Universiteta, no. 1 (March 23, 2020): 36–42. http://dx.doi.org/10.26425/1816-4277-2020-1-36-42.
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At the present stage, the digital (information) economy is playing an increasingly important role in the world economy and national economies. Using rapid exchange of information benefits allows economic agents at all levels (from ordinary consumers to large corporations and state bodies, regulating economic relations) to make more accurate decisions in various economic issues. It is obvious, that the creation of the Russian information system will be able to increase the efficiency of our national economy (including the objectives of its state regulation) and at the same time raise the level of the country’s security. However, the effective use of the digital economy does not only depend on the level of development of the technical base of the information system. Only the moral state of society can send the information received for the benefit of all its members.
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Parent, Bea. "Moral, ethical, and legal aspects of infection control." American Journal of Infection Control 13, no. 6 (December 1985): 278–80. http://dx.doi.org/10.1016/0196-6553(85)90030-6.
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Vélez, Juan R. "Freedom of Conscience in Ethical Decision Making." Linacre Quarterly 76, no. 2 (May 2009): 120–32. http://dx.doi.org/10.1179/002436309803889232.
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The freedom of conscience of health providers (physicians, pharmacists, and institutions) has been consistently defended by United States law. In the last few years the freedom of these health providers to act in line with their conscience has been challenged by abortion advocates. The current United States administration wishes to weaken this freedom by reversing a recent ruling of the Department of Health and Human Services, which stipulated that institutions receiving federal funds must express their compliance with non-discrimination laws. A person's moral conscience makes practical judgments founded on binding objective moral norms. For this reason each person is bound to obey his conscience and should have the freedom to do so without discrimination. Physicians and other health-care providers should not be deprived of these legitimate rights.
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Rostotskaya, Marianna Albertovna. "Moral Aspects of Russian PreRevolutionary Cinema." Journal of Flm Arts and Film Studies 3, no. 4 (December 15, 2011): 8–17. http://dx.doi.org/10.17816/vgik348-17.
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Yevgeniy Bauer was an outstanding exponent of the refined mass culture that began to penetrate into spiritual life at the beginning of the 20th century. The article investigates the moral conflicts and patterns that lay behind Bauer’s films and reflected the ethical guidelines of the mass audience in Pre-Revolutionary Russia
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Abou Hashish, Ebtsam Aly, and Nadia Hassan Ali Awad. "Relationship between ethical ideology and moral judgment: Academic nurse educators’ perception." Nursing Ethics 26, no. 3 (September 11, 2017): 845–58. http://dx.doi.org/10.1177/0969733017722825.
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Background: Ascertaining the relationship between ethical ideology, moral judgment, and ethical decision among academic nurse educators at work appears to be a challenge particularly in situations when they are faced with a need to solve an ethical problem and make a moral decision. Purpose: This study aims to investigate the relationship between ethical ideology, moral judgment, and ethical decision as perceived by academic nurse educators. Methods: A descriptive correlational research design was conducted at Faculty of Nursing, Alexandria University. All academic nurse educators were included in the study (N = 220). Ethical Position Questionnaire and Questionnaire of Moral Judgment and Ethical Decisions were proved reliable to measure study variables. Ethical considerations: Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria University. Privacy and confidentiality of data were maintained and assured by obtaining subjects’ informed consent. Findings: This study reveals a significant positive moderate correlation between idealism construct of ethical ideology and moral judgment in terms of recognition of the behavior as an ethical issue and the magnitude of emotional consequences of the ethical situation (p < 0.001; p = 0.031) respectively. Also, there is a positive significant moderate correlation between relativism construct of ethical ideology and overall moral judgment (p = 0.010). Approximately 3.5% of the explained variance of overall moral judgment is predicted by idealism together with relativism. Discussion: The findings suggest that variations in ethical position and ideology are associated with moral judgment and ethical decision. Conclusion: Organizations of academic nursing education should provide a supportive work environment to help their academic staff to develop their self-awareness and knowledge of their ethical position and promoting their ethical ideologies and, in turn, enhance their moral judgment as well as develop ethical reasoning and decision-making capability of nursing students. More emphasis in nursing curricula is needed on ethical concepts for developing nursing competencies.
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Corley, Mary C., Ptlene Minick, R. K. Elswick, and Mary Jacobs. "Nurse Moral Distress and Ethical Work Environment." Nursing Ethics 12, no. 4 (July 2005): 381–90. http://dx.doi.org/10.1191/0969733005ne809oa.
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This study examined the relationship between moral distress intensity, moral distress frequency and the ethical work environment, and explored the relationship of demographic characteristics to moral distress intensity and frequency. A group of 106 nurses from two large medical centers reported moderate levels of moral distress intensity, low levels of moral distress frequency, and a moderately positive ethical work environment. Moral distress intensity and ethical work environment were correlated with moral distress frequency. Age was negatively correlated with moral distress intensity, whereas being African American was related to higher levels of moral distress intensity. The ethical work environment predicted moral distress intensity. These results reveal a difference between moral distress intensity and frequency and the importance of the environment to moral distress intensity.
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Fida, Roberta, Carlo Tramontano, Marinella Paciello, Mari Kangasniemi, Alessandro Sili, Andrea Bobbio, and Claudio Barbaranelli. "Nurse moral disengagement." Nursing Ethics 23, no. 5 (August 2016): 547–64. http://dx.doi.org/10.1177/0969733015574924.
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Background: Ethics is a founding component of the nursing profession; however, nurses sometimes find it difficult to constantly adhere to the required ethical standards. There is limited knowledge about the factors that cause a committed nurse to violate standards; moral disengagement, originally developed by Bandura, is an essential variable to consider. Research objectives: This study aimed at developing and validating a nursing moral disengagement scale and investigated how moral disengagement is associated with counterproductive and citizenship behaviour at work. Research design: The research comprised a qualitative study and a quantitative study, combining a cross-validation approach and a structural equation model. Participants and research context: A total of 60 Italian nurses (63% female) involved in clinical work and enrolled as students in a postgraduate master’s programme took part in the qualitative study. In 2012, the researchers recruited 434 nurses (76% female) from different Italian hospitals using a convenience sampling method to take part in the quantitative study. Ethical considerations: All the organisations involved and the university gave ethical approval; all respondents participated on a voluntary basis and did not receive any form of compensation. Findings: The nursing moral disengagement scale comprised a total of 22 items. Results attested the mono-dimensionality of the scale and its good psychometric properties. In addition, results highlighted a significant association between moral disengagement and both counterproductive and citizenship behaviours. Discussion: Results showed that nurses sometimes resort to moral disengagement in their daily practice, bypassing moral and ethical codes that would normally prevent them from enacting behaviours that violate their norms and protocols. Conclusion: The nursing moral disengagement scale can complement personnel monitoring and assessment procedures already in place and provide additional information to nursing management for designing interventions aimed at increasing compliance with ethical codes by improving the quality of the nurses’ work environment.
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Atabay, Gülem, Burcu Güneri Çangarli, and Şebnem Penbek. "Impact of ethical climate on moral distress revisited." Nursing Ethics 22, no. 1 (August 7, 2014): 103–16. http://dx.doi.org/10.1177/0969733014542674.
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Background: Moral distress is a major problem in nursing profession. Researchers identified that the stronger the ethical basis of the organization, the less moral distress is reported. However, different ethical climates may have different impacts on moral distress. Moreover, conceptualization of moral distress and ethical climate as well as their relationship may change according to the cultural context. Objectives: The main aim of the study is to investigate the relationship between different types of ethical climate as described in Victor and Cullen’s framework, and moral distress intensity among nurses in Turkish healthcare settings. Research design: An online survey was administrated to collect data. Questionnaires included moral distress and ethical climate scales in addition to demographic questions. Participants and research context: Data were collected from registered nurses in Turkey. In all, 201 of 279 nurses completed questionnaires, resulting in a response rate of 72%. Ethical considerations: Ethical approval was obtained from the university to which the authors were affiliated, after a detailed investigation of the content and data collection method. Findings: Factor analyses showed that moral distress had three dimensions, namely, organizational constraints, misinformed and over-treated patients, and lack of time and resources, while ethical climate had four types, namely, rules, well-being of stakeholders, individualism, and organizational interests. Positive correlations were identified between certain types of ethical climate (rules, individualism, or organizational interests) and moral distress intensity. Discussion: Factor distribution of the scales shows some commonalities with the findings of previous research. However, context-specific dimensions and types were also detected. No particular ethical climate type was found to have a negative correlation with moral distress. Conclusion: Recommendations were made for reducing the negative impact of ethical climate on moral distress. These include solving the nursing-shortage problem, increasing autonomy, and improving physical conditions.
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Hunt, Geoffrey. "Moral Crisis, Professionals and Ethical Education." Nursing Ethics 4, no. 1 (January 1997): 29–38. http://dx.doi.org/10.1177/096973309700400104.
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Western civilization has probably reached an impasse, expressed as a crisis on all fronts: economic, technological, environmental and political. This is experienced on the cultural level as a moral crisis or an ethical deficit. Somehow, the means we have always assumed as being adequate to the task of achieving human welfare, health and peace, are failing us. Have we lost sight of the primacy of human ends? Governments still push for economic growth and technological advances, but many are now asking: economic growth for what, technology for what? Health care and nursing are caught up in the same inversion of human priorities. Professionals, such as nurses and midwives, need to take on social responsibilities and a collective civic voice, and play their part in a moral regeneration of society. This involves carrying civic rights and duties into the workplace.
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Oelhafen, Stephan, Settimio Monteverde, and Eva Cignacco. "Exploring moral problems and moral competences in midwifery: A qualitative study." Nursing Ethics 26, no. 5 (March 27, 2018): 1373–86. http://dx.doi.org/10.1177/0969733018761174.
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Background: Most undergraduate midwifery curricula comprise ethics courses to strengthen the moral competences of future midwives. By contrast, surprisingly little is known about the specific moral competences considered to be relevant for midwifery practice. Describing these competences not only depends on generic assumptions about the moral nature of midwifery practice but also reflects which issues practitioners themselves classify as moral. Objective: The goal of this study was to gain insight into the ethical issues midwives encounter in their daily work, the key competences and resources they consider indispensable to understand and deal with them, and to assess phenomena linked to moral distress. Methods: We conducted individual semi-structured interviews with eight midwives and two other health professionals, varying in terms of years of experience and work setting. Interview transcripts were analyzed in an interdisciplinary research group, following thematic analysis. Ethical considerations: This study was not subject to approval according to the Swiss Law on Research with Humans. Participants were informed about the study goals and gave written informed consent prior to participation. Results: External constraints limiting the midwife’s and the patient’s autonomy and resulting interpersonal conflicts were found to be the most relevant ethical issues encountered in clinical practice and were most often associated with moral distress. These conflicts often arise in the context of medical interventions midwives consider as not appropriate and situations in which less experienced midwives in particular observe a lack of both interprofessional communication and trust in their professional competence. Ethical issues related to late abortions or prenatal diagnostics and selective abortions were also frequently addressed, but many midwives involved had learned to cope with them. Discussion: In the light of the ethical issues and factors contributing to phenomena of moral distress, an empirically grounded profile of moral competences is drafted. Curricular implications in the light of possible adaptations within undergraduate midwifery education are critically discussed.
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Amantova-Salmane, Liene. "ETHICAL ASPECTS OF REGIONAL ECONOMY." Latgale National Economy Research 1, no. 3 (June 23, 2011): 18. http://dx.doi.org/10.17770/lner2011vol1.3.1803.
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In the beginning of economic history, economics as a social science was closely related to ethics and had a moral dimension. The works of Aristotle and Adam Smith show that the science of economics has evolved taking into consideration the ethical stand. However, during the twentieth century, ethics was not considered in the economic analysis, but this situation transformed and ethics became a part of economics. Removing ethics from economics also removes social responsibility and critical awareness. This research analyzes the ethical aspects of regional economy. Regional economy has an ethical dimension because its main goal is to reduce the disparities between regions. There is carried out a brief reference to the relationship between ethics and economy. In the following article there are analysed ethical aspects of regional policy.
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Mazovka, Ekaterina N., Vitaliy I. Smirnov, and Tat'yana K. Kirillova. "Moral and ethical aspects of debt relationship between spouses." Leningrad legal journal, no. 3 (2021): 117–27. http://dx.doi.org/10.35231/18136230_2021_3_117.
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Sharma, Amit. "Ethical and Moral Aspects of Informed Consent: General Considerations." Journal of Research in Medical Education & Ethics 1, no. 1 (2011): 11. http://dx.doi.org/10.5958/j.2231-671x.1.1.005.
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Victoria, Dmitrieva, and Lyutikova Elena. "Moral and Ethical Conceptions of Entrepreneurs: Cross-cultural Aspects." Procedia - Social and Behavioral Sciences 86 (October 2013): 318–22. http://dx.doi.org/10.1016/j.sbspro.2013.08.571.
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Gazzard, B. G. "AIDS a Moral Issue -- Ethical, Legal and Social Aspects." Journal of Medical Ethics 18, no. 1 (March 1, 1992): 51–52. http://dx.doi.org/10.1136/jme.18.1.51-a.
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Miller, Brandi Simpson. "The Moral and Ethical Aspects of Gold Coast Foodways." Gastronomica 19, no. 1 (2019): 111–12. http://dx.doi.org/10.1525/gfc.2019.19.1.111.
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Lang, P. P. "Human rights activities: legal and moral aspects." Juridical Journal of Samara University 7, no. 2 (October 19, 2021): 14–20. http://dx.doi.org/10.18287/2542-047x-2021-7-2-14-20.
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The article considers human rights activities as a phenomenon that constitutes an integral part of the legal society. It identifies problems of a theoretical and practical nature associated with difficulties in this area, caused by both the COVID-19 pandemic and other reasons. An attempt has been made to assess the legal and moral and ethical aspects of such a necessary activity at the present stage of the development of public relations, attention is paid to the position of international bodies regarding human rights activities, its goals and objectives. The importance and relevance of the topic is explained by the fact that, in the opinion of human rights defenders themselves, the entire system of human rights protection, created after one of the most terrible periods in modern world history, is going through a crisis at this historical stage, which is increasingly aggravated under the influence of numerous problems of political and economic nature. Military conflicts, migration, a pandemic clearly demonstrate the obvious need to address the issue of the essence of human rights activities, including its moral and ethical component.
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Kulju, Kati, Minna Stolt, Riitta Suhonen, and Helena Leino-Kilpi. "Ethical competence." Nursing Ethics 23, no. 4 (February 9, 2015): 401–12. http://dx.doi.org/10.1177/0969733014567025.
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Background: Exploring the concept of ethical competence in the context of healthcare is essential as it pertains to better quality of care. The concept still lacks a comprehensive definition covering the aspects of ethical expertise, ethical knowledge and action of a health professional. Objective: This article aims to report an analysis of the concept of ethical competence. Method: A modified strategy suggested by Walker and Avant was used to analyse the concept. Results: As a result, the concept of ethical competence can be defined in terms of character strength, ethical awareness, moral judgement skills and willingness to do good. Virtuous professional, experience of a professional, human communication, ethical knowledge and supporting surroundings in the organisation can be seen as prerequisites for ethical competence. Ethical competence results in the best possible solutions for the patient, reduced moral distress at work and development and democratisation of society. Conclusion: The results of the analysis establish a basis for an instrument to evaluate health professionals’ ethical competence. It will guide educators, as well as managers in healthcare, to support the development of ethical conduct in healthcare.
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ASLAMOVA, M. "ACCIOLOGICAL ASPECTS OF IMPROVING MORAL-ETHICAL QUALITIES OF THE FUTURE DOCTOR." ТHE SOURCES OF PEDAGOGICAL SKILLS, no. 20 (November 22, 2017): 11–15. http://dx.doi.org/10.33989/2075-146x.2017.20.209479.
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The author analyzes the problem of upbringing the moral and ethical qualities of the future doctor through the prism of the value perception of professional requirements, reveals the tasks of educational influence on the student in the educational process, ensures the formation of a humanistic, professionally verified system of values as a basis for perfect moral choice in professional activity. With the purpose of research, the criteria (motivational-value, cognitive, procedural-analytical) and levels (elementary, low, medium, high) education of the moral and ethical qualities of the future doctor, which can be achieved in the educational process of medical education, are described and described. requirements for professional activities in the field of medicine. The means of the confirmatory experiment noted how stable the pattern of positive dynamics of education of moral and ethical qualities of future physicians from the first to the graduation course, which was achieved by the traditional means of organizing the educational process in higher education, which allows us to conclude that the orientation of professional training for the education of each student as highly moral, conscious regarding his professional duty of the individual. As a direction of further research, a hypothesis was formulated in relation to the growth of the established dynamics, provided that the future system of exercises that include the axiological aspect of the education of moral and ethical qualities is included in the humanitarian training of future physicians.
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Sekerka, Leslie Elizabeth, and Marianne Marar Yacobian. "Fostering workplace respect in an era of anti-Muslimism and Islamophobia." Equality, Diversity and Inclusion: An International Journal 37, no. 8 (November 20, 2018): 813–31. http://dx.doi.org/10.1108/edi-11-2017-0265.
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PurposeThe marginalization of Muslims can foster anxiety, anger, or fear in the workplace. Such negative reactions may prompt incivility among coworkers, denigrating a thoughtful regard for others. While legal protections are intended to promote fairness, mandates do not always prevent discrimination. As a result, management needs to frame anti-Muslimism as an ethical issue and proactively cultivate environments that support respect. The paper aims to discuss these issues.Design/methodology/approachTo understand how anti-Muslimism may emerge in organizational settings, this work defines Islamophobia and examines how it manifests as workplace discrimination. The extant literature on the subject and a sample of anti-Muslim discrimination cases are studied to better understand this phenomenon.FindingsAn analysis of representative Equal Employment Opportunity Commission cases shows that a lack of accommodation for religious practices is a major ethical issue. Management can proactively address value tensions by creating safe spaces for organizational learning. Balanced experiential inquiry is offered as a process to help employees reveal their embedded biases through personal reflection and collective inquiry.Practical implicationsIf managers intend to encourage equity and inclusion, they need to foster organizational learning that tackles emerging forms of discrimination like Islamophobia. A sustained focus on moral development becomes an imperative toward establishing an ethical climate and a workplace that fosters respect for all organizational members.Social implicationsBecause organizations are at the intersection of business and society, it is incumbent upon managers to create environments that reject hostilities toward those who may be perceived as different.Originality/valueIn today’s sociopolitical climate, the concern of discrimination toward Muslims is a mainstream ethical issue. A compliance-based approach to advance organizational ethics is not enough. The authors present a way forward, building moral strength through moral competency.
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Kuru Çetin, Saadet, Funda Nayır, and Bilgen Kıral. "Ethics of Teaching Profession from the Perspective of Students According to the Gender Variable." Shanlax International Journal of Education 9, no. 4 (September 1, 2021): 210–16. http://dx.doi.org/10.34293/education.v9i4.4139.
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This study aims to reveal the professional, ethical and unethical behaviors that undergraduate students encounter during their education life from a gender perspective. Phenomenology design, which is one of the qualitative research designs, was used in the study. The research was conducted with 64 students studying at the education faculty of a state university during the 2019-2020 academic year. The most expressed unethical behaviors by female and male students are discrimination, roughness and misconduct. While female students stated that the ethical behaviors they faced were, in turn, professional commitment/development, moral aid and equality/ impartiality; Male students, on the other hand, expressed financial aid, moral aid and research on the cause of the problem. The most important result of the study is that male students stated that they did not encounter ethical behavior in teachers. According to the answers given by the female students to the research questions in the study, the unethical behaviors of the teachers were revealed as discrimination, roughness and misconduct, respectively. In contrast, male students stated roughness, discrimination and misconduct.
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Kulju, Kati, Riitta Suhonen, and Helena Leino-Kilpi. "Ethical problems and moral sensitivity in physiotherapy." Nursing Ethics 20, no. 5 (January 17, 2013): 568–77. http://dx.doi.org/10.1177/0969733012468462.
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This study identified and described ethical problems encountered by physiotherapists in their practice and physiotherapists’ moral sensitivity in ethical situations. A questionnaire-based survey was constructed to identify ethical problems, and the Moral Sensitivity Questionnaire Revised version was used to measure moral sensitivity. Physiotherapists (n = 116) working in public health services responded to the questionnaire. Based on the results, most of the physiotherapists encounter ethical problems weekly. They concern mainly financial considerations, equality and justice, professionalism, unethical conduct of physiotherapists or other professions and patients’ self-determination. The dimension of moral strength was emphasised in physiotherapists’ self-evaluations of their moral sensitivity. As a conclusion, ethical problems do occur not only at individual level but also at organisational and society level. Physiotherapists seem to have moral strength for speaking on behalf of the patient. Scarce resources make them feel insufficient but much could still be done to provide quality care in co-operation with other health-care professionals.
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Lucia, Irccs S. "Ethical Aspects of Brain Research." European Journal of Health Law 1, no. 4 (1994): 427–29. http://dx.doi.org/10.1163/157180994x00105.
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AbstractTheme I: Health and Human Rights. Health and human rights in relation to children and other vulnerable groups - for example, ethnic minorities and migrants; the role of health professionals in promoting respect for human rights; discrimination on the basis of health status. Theme II: The Death Debates. Cross-cultural and comparative religion perspectives on dying; euthanasia; nurse-assisted and physician-assisted suicide; the futility debate; advance directives; transplantation ; procuring organs from heart-beating donors or anencephalic infants. Theme III: Genetics and Reproductive Technology. The nature of human identity; genome mapping; genetic manipulation and counselling ; embryo research; preimplantation and prenatal diagnosis; the legal status of embryos, fetuses, infants, and families created by assisted reproduction; fetal tissue transplants; eugenics; population ethics. Theme IV: Health, Ecology, Persons and Planet. The connections between human health and ecological health, including how concepts developed in medicine, ethics, and law might be applicable in the promotion of ecological health, and vice versa. These include resource allocation; justice (including intergenerational justice) in health care; open and closed legal systems; and concepts of trust, covenant, and quality of life.
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Asgari, Sharareh, Vida Shafipour, Zohreh Taraghi, and Jamshid Yazdani-Charati. "Relationship between moral distress and ethical climate with job satisfaction in nurses." Nursing Ethics 26, no. 2 (July 18, 2017): 346–56. http://dx.doi.org/10.1177/0969733017712083.
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Background: Moral distress and ethical climate are important issues in the workplace that appear to affect people’s quality of work life. Objectives: This study was conducted to determine the relationship of moral distress and ethical climate to job satisfaction in critical care nurses. Materials and methods: This descriptive-correlation study was conducted on 142 critical care nurses, selected from five social security hospitals in north Iran through census sampling. Data were collected using a demographic questionnaire, the Moral Distress Scale–Revised, the Olson’s Hospital Ethical Climate Survey, and the Brayfield and Rothe Job Satisfaction index. Ethical considerations: The research project was approved by the Ethics Committee of Mazandaran University of Medical Sciences and the Medical Deputy of the Social Security Organization. Findings: The mean scores obtained by the critical care nurses for moral distress, ethical climate, and job satisfaction were 87.02 ± 44.56, 3.51 ± 0.53, and 62.64 ± 9.39, respectively. Although no significant relationships were observed between moral distress and job satisfaction, the relationship between ethical climate and job satisfaction was statistically significant (p < 0.05). Conclusion: Identifying ethical stressors in the workplace and giving proper feedback to the authorities to eliminate these factors and improve the ethical climate in these workplaces can help enhance job satisfaction in nurses and lead to higher quality care.
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Ganz, Freda D., Nurit Wagner, and Orly Toren. "Nurse middle manager ethical dilemmas and moral distress." Nursing Ethics 22, no. 1 (January 29, 2014): 43–51. http://dx.doi.org/10.1177/0969733013515490.
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Background: Nurse managers are placed in a unique position within the healthcare system where they greatly impact upon the nursing work environment. Ethical dilemmas and moral distress have been reported for staff nurses but not for nurse middle managers. Objective: To describe ethical dilemmas and moral distress among nurse middle managers arising from situations of ethical conflict. Methods: The Ethical Dilemmas in Nursing–Middle Manager Questionnaire and a personal characteristics questionnaire were administered to a convenience sample of middle managers from four hospitals in Israel. Results: Middle managers report low to moderate levels of frequency and intensity of ethical dilemmas and moral distress. Highest scores were for administrative dilemmas. Conclusion: Middle managers experience lower levels of ethical dilemmas and moral distress than staff nurses, which are irrespective of their personal characteristics. Interventions should be developed, studied, and then incorporated into institutional frameworks in order to improve this situation.
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Pauly, Bernadette, Colleen Varcoe, Janet Storch, and Lorelei Newton. "Registered Nurses’ Perceptions of Moral Distress and Ethical Climate." Nursing Ethics 16, no. 5 (August 11, 2009): 561–73. http://dx.doi.org/10.1177/0969733009106649.
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Moral distress is a phenomenon of increasing concern in nursing practice, education and research. Previous research has suggested that moral distress is associated with perceptions of ethical climate, which has implications for nursing practice and patient outcomes. In this study, a randomly selected sample of registered nurses was surveyed using Corley’s Moral Distress Scale and Olson’s Hospital Ethical Climate Survey (HECS). The registered nurses reported moderate levels of moral distress intensity. Moral distress intensity and frequency were found to be inversely correlated with perceptions of ethical climate. Each of the HECS factors (peers, patients, managers, hospitals and physicians) was found to be significantly correlated with moral distress. Based on these findings, we highlight insights for practice and future research that are needed to enhance the development of strategies aimed at improving the ethical climate of nurses’ workplaces for the benefit of both nurses and patients.
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Schluter, Jessica, Sarah Winch, Kerri Holzhauser, and Amanda Henderson. "Nurses' Moral Sensitivity and Hospital Ethical Climate: a Literature Review." Nursing Ethics 15, no. 3 (May 2008): 304–21. http://dx.doi.org/10.1177/0969733007088357.
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Increased technological and pharmacological interventions in patient care when patient outcomes are uncertain have been linked to the escalation in moral and ethical dilemmas experienced by health care providers in acute care settings. Health care research has shown that facilities that are able to attract and retain nursing staff in a competitive environment and provide high quality care have the capacity for nurses to process and resolve moral and ethical dilemmas. This article reports on the findings of a systematic review of the empirical literature (1980 — February 2007) on the effects of unresolved moral distress and poor ethical climate on nurse turnover. Articles were sought to answer the review question: Does unresolved moral distress and a poor organizational ethical climate increase nurse turnover? Nine articles met the criteria of the review process. Although the prevailing sentiment was that poor ethical climate and moral distress caused staff turnover, definitive answers to the review question remain elusive because there are limited data that confidently support this statement.
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Sekerka, Leslie E., and Marianne Marar Yacobian. "Understanding and addressing Islamophobia in organizational settings." International Journal of Public Leadership 13, no. 3 (August 14, 2017): 134–50. http://dx.doi.org/10.1108/ijpl-10-2016-0040.
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Purpose The purpose of this paper is to call to public leaders to exercise moral courage in choosing to understand and address phobic biases and prejudicial attitudes toward Muslims in the workplace. With reference to developments in the USA, workplace discrimination is framed as an ethical issue, with Islamophobia viewed as a rapidly growing concern. Design/methodology/approach This work is a practical application of existing theory and research in positive organizational scholarship to address the concern of workplace discrimination; specifically Islamophobia. Propositions are developed to depict how public leaders can address Islamophobia and other forms of discrimination by role modeling moral courage. Findings The findings show that Islamophobia is an ethical challenge for public leaders, one that can begin to be addressed by exercising character strength that promotes tolerance, civility, and respect. This proactive approach will enable public leaders to serve as pillars of openness, inclusion, and thoughtful regard for others, regardless of organizational members’ faith or culture. Social implications The social implications are to encourage discourse among global public leaders, prompting awareness and concern for Islamophobia and promoting more informed paths for productive scholarship. Originality/value Studies of workplace discrimination typically focus on race and gender, with few considering how Muslims face increasing Islamophobia. This work adds value to the existing literature by explicitly encouraging public leaders to respond, rather than react, to discrimination with moral competency.
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Zhang, Na, Mingfang Li, Zhenxing Gong, and Dingxin Xu. "Effects of ethical leadership on nurses’ service behaviors." Nursing Ethics 26, no. 6 (August 5, 2018): 1861–72. http://dx.doi.org/10.1177/0969733018787220.
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Background: Nurses’ service behaviors have critical implications for hospitals. However, few studies had adequate ethical considerations of service behaviors and accounted for how organizational or individual antecedents can induce nurses to engage in service behaviors. In addition, they mainly focused on the one side of role-prescribed or extra-role service behavior. Objective: This study aims to explore the chained mediation effect of ethical climate and moral sensitivity on the relationship between organizational ethical leadership and nurses’ service behaviors and to examine the relationship, from a comparative view, of the role-prescribed service behavior and extra-role service behavior. Methods: In all, 476 nurses from three tertiary hospitals were investigated with the Ethical Leadership Scale, Ethical Climate Scale, Moral Sensitivity Questionnaire and Service Behavior Questionnaire. Structural equation modeling was adopted to analyze the data. SPSS and Mplus statistical software was used in the data analysis. Ethical considerations: Approval was obtained from the Ethics Committee at School of Nursing, Hebei Medical University. Data privacy and confidentiality were maintained and assured by obtaining subjects’ informed consent to participate in the research before data collection. Results: The effects of ethical leadership on nurses’ service behaviors are mediated by two variables in turn: ethical climate and nurses’ moral sensitivity. Ethical climate and moral sensitivity partially mediated the relationship between ethical leadership and nurses’ role-prescribed service behavior and fully mediated the relationship between ethical leadership and nurses’ extra-role service behavior. Conclusion: Organizational ethical leadership positively affected ethical climate, which positively affected nurses’ moral sensitivity and affected both their role-prescribed service behavior and extra-role service behavior.