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Ethics in Clinical Practice

Section edited by Yvonne Denier and Richard Huxtable

This section will include manuscripts that investigate ethical issues affecting patients in clinical practice.

Page 1 of 4

  1. In the coming years, surrogate decision-making is expected to become highly prevalent in Japanese clinical practice. Further, there has been a recent increase in activities promoting advance care planning, whi...

    Authors: Masashi Tanaka, Kayoko Ohnishi, Aya Enzo, Taketoshi Okita and Atsushi Asai

    Citation: BMC Medical Ethics 2021 22:5

    Content type: Research article

    Published on:

  2. There is a need for clearer guidance for pharmacists regarding their responsibilities when selling complementary medicines. A recently published ethical framework provides guidance regarding the specific respo...

    Authors: Amber Salman Popattia, Laetitia Hattingh and Adam La Caze

    Citation: BMC Medical Ethics 2021 22:3

    Content type: Research article

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  3. In Pakistan, drug promotion practices, ethical or unethical, have rarely been in the spotlight. We aimed to assess the perception and barriers of medical representatives (MRs) and doctors (MDs) regarding ethic...

    Authors: Rehan Gul, Hamid Saeed, Zikria Saleem, Fawad Rasool, Furqan Kurshid Hashmi, Muhammad Islam, Imran Imran, Syed Atif Raza and Zeeshan Danish

    Citation: BMC Medical Ethics 2021 22:2

    Content type: Research article

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  4. End-of-life decisions for neonates with adverse prognosis are controversial and raise ethical and legal issues. In Greece, data on physicians’ profiles, motivation, values and attitudes underlying such decisio...

    Authors: Ilias Chatziioannidis, Zoi Iliodromiti, Theodora Boutsikou, Abraham Pouliakis, Evangelia Giougi, Rozeta Sokou, Takis Vidalis, Theodoros Xanthos, Cuttini Marina and Nicoletta Iacovidou

    Citation: BMC Medical Ethics 2020 21:121

    Content type: Research article

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  5. We aimed to examine the ethical concerns Singaporeans have about sharing health-data for precision medicine (PM) and identify suggestions for governance strategies. Just as Asian genomes are under-represented ...

    Authors: Tamra Lysaght, Angela Ballantyne, Vicki Xafis, Serene Ong, Gerald Owen Schaefer, Jeffrey Min Than Ling, Ainsley J. Newson, Ing Wei Khor and E. Shyong Tai

    Citation: BMC Medical Ethics 2020 21:118

    Content type: Research article

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  6. Expanded access is the use of investigational drugs (IDs) outside of clinical trials. Generally it is performed in patients with serious and life-threatening diseases who cannot be treated satisfactorily with ...

    Authors: Jan Borysowski and Andrzej Górski

    Citation: BMC Medical Ethics 2020 21:116

    Content type: Debate

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  7. Clinical Ethics Committees (CECs) are well established at healthcare institutions in resource-rich countries. However, there is limited information on established CECs in resource poor countries, especially in...

    Authors: Keymanthri Moodley, Siti Mukaumbya Kabanda, Leza Soldaat, Anita Kleinsmidt, Adetayo Emmanuel Obasa and Sharon Kling

    Citation: BMC Medical Ethics 2020 21:115

    Content type: Research article

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  8. Good quality of care is dependent on nurses’ strong clinical skills and moral competencies, as well. While most nurses work with high moral standards, the moral performance of some nurses in some organizations...

    Authors: Hamideh Hakimi, Soodabeh Joolaee, Mansoureh Ashghali Farahani, Patricia Rodney and Hadi Ranjbar

    Citation: BMC Medical Ethics 2020 21:114

    Content type: Research article

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  9. Decision making when patients ask a dentist for fee reduction is a real ethical dilemma at dental settings. The aim of this study was to evaluate how dental students and tutors think about their position for, ...

    Authors: Ali Kazemian, Mahsa Fayyazi and Shahrzad Shafiee

    Citation: BMC Medical Ethics 2020 21:109

    Content type: Research article

    Published on:

  10. There has been growing interest in the use of incentives to increase the uptake of health-related behaviours and achieve desired health outcomes at the individual and population level. However, the use of ince...

    Authors: Marilou Gagnon, Adrian Guta, Ross Upshur, Stuart J. Murray and Vicky Bungay

    Citation: BMC Medical Ethics 2020 21:105

    Content type: Research article

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  11. Scientific advances have resulted in more complex medical systems, which in turn have led to an increase in the number of patient safety incidents (PSIs). In this environment, the importance of honest disclosu...

    Authors: Yujeong Kim and Eunmi Lee

    Citation: BMC Medical Ethics 2020 21:104

    Content type: Research article

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  12. Thorough information of the patient is an integral part of the process of shared decision making. We aimed to investigate if detailed information about medication may induce nocebo (or placebo) effects.

    Authors: Fabian Holzhüter and Johannes Hamann

    Citation: BMC Medical Ethics 2020 21:97

    Content type: Research article

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  13. How should clinical ethics support services such as clinical ethics committees (CECs) be implemented and evaluated? We argue that both the CEC itself and the implementation of the CEC should be considered as ‘com...

    Authors: Morten Magelssen, Heidi Karlsen, Reidar Pedersen and Lisbeth Thoresen

    Citation: BMC Medical Ethics 2020 21:82

    Content type: Debate

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  14. Little is known about the attitudes and practices of intensivists working in Lebanon regarding withholding and withdrawing life-sustaining treatments (LSTs). The objectives of the study were to assess the poin...

    Authors: Rita El Jawiche, Souheil Hallit, Lubna Tarabey and Fadi Abou-Mrad

    Citation: BMC Medical Ethics 2020 21:80

    Content type: Research article

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  15. Clinical ethics support (CES) aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing q...

    Authors: Laura Hartman, Giulia Inguaggiato, Guy Widdershoven, Annelijn Wensing-Kruger and Bert Molewijk

    Citation: BMC Medical Ethics 2020 21:79

    Content type: Research article

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  16. Electronic patient record (EPR) technology is a key enabler for improvements to healthcare service and management. To ensure these improvements and the means to achieve them are socially and ethically desirabl...

    Authors: Tim Jacquemard, Colin P. Doherty and Mary B. Fitzsimons

    Citation: BMC Medical Ethics 2020 21:76

    Content type: Research article

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  17. Between the need for transparency in healthcare, widely promoted by patient’s safety campaigns, and the fear of negative consequences and malpractice threats, physicians face challenging decisions on whether o...

    Authors: Razan Mansour, Khawlah Ammar, Amal Al-Tabba, Thalia Arawi, Asem Mansour and Maysa Al-Hussaini

    Citation: BMC Medical Ethics 2020 21:74

    Content type: Research article

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  18. Published data and practice recommendations on end-of-life care generally reflect Western practice frameworks; there are limited data on withdrawal of treatment for children in China.

    Authors: Huaqing Liu, Dongni Su, Xubei Guo, Yunhong Dai, Xingqiang Dong, Qiujiao Zhu, Zhenjiang Bai, Ying Li and Shuiyan Wu

    Citation: BMC Medical Ethics 2020 21:71

    Content type: Research article

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  19. Medical ethics deals with the ethical obligations of doctors to their patients, colleagues and society. The annual reports of Sri Lanka Medical Council indicate that the number of complaints against doctors ha...

    Authors: A. W. I. P. Ranasinghe, Buddhika Fernando, Athula Sumathipala and Wasantha Gunathunga

    Citation: BMC Medical Ethics 2020 21:69

    Content type: Research article

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  20. To characterize patients dying in a community hospital with or without attempting cardiopulmonary resuscitation (CPR) and to describe patient involvement in, documentation of, and compliance with decisions on ...

    Authors: Emilie Bertilsson, Birgitta Semark, Kristina Schildmeijer, Anders Bremer and Jörg Carlsson

    Citation: BMC Medical Ethics 2020 21:67

    Content type: Research article

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  21. France has long been a country of immigration and in some respects may be seen to have a generous policy with respect to asylum seekers and access to health care for migrants. The French state notably provides...

    Authors: Johann Cailhol, Marie-Christine Lebon and William Sherlaw

    Citation: BMC Medical Ethics 2020 21:59

    Content type: Debate

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  22. Informed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and wh...

    Authors: L. J. Convie, E. Carson, D. McCusker, R. S. McCain, N. McKinley, W. J. Campbell, S. J. Kirk and M. Clarke

    Citation: BMC Medical Ethics 2020 21:58

    Content type: Research article

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  23. Evaluation of decision-making capacity to consent to medical treatment has proved to be difficult in patients with dementia. Studies showed that physicians are often insufficiently trained in the evaluation of...

    Authors: Christopher Poppe, Bernice S. Elger, Tenzin Wangmo and Manuel Trachsel

    Citation: BMC Medical Ethics 2020 21:55

    Content type: Research article

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  24. Enhancement involves the use of biomedical technologies to improve human capacities beyond therapeutic purposes. It has been well documented that enhancement is sometimes difficult to distinguish from treatmen...

    Authors: Eisuke Sakakibara

    Citation: BMC Medical Ethics 2020 21:54

    Content type: Debate

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  25. Clinical Ethics Support (CES) services are offered to support healthcare professionals in dealing with ethically difficult situations. Evaluation of CES is important to understand if it is indeed a supportive ...

    Authors: J. C. de Snoo-Trimp, H. C. W. de Vet, G. A. M. Widdershoven, A. C. Molewijk and M. Svantesson

    Citation: BMC Medical Ethics 2020 21:53

    Content type: Research article

    Published on:

  26. Amidst expanding roles in education and policy making, questions have been raised about the ability of Clinical Ethics Committees (CEC) s to carry out effective ethics consultations (CECons). However recent re...

    Authors: Nicholas Yue Shuen Yoon, Yun Ting Ong, Hong Wei Yap, Kuang Teck Tay, Elijah Gin Lim, Clarissa Wei Shuen Cheong, Wei Qiang Lim, Annelissa Mien Chew Chin, Ying Pin Toh, Min Chiam, Stephen Mason and Lalit Kumar Radha Krishna

    Citation: BMC Medical Ethics 2020 21:51

    Content type: Research article

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  27. Organ donation has become one of the most effective ways to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies have investigated the preferences for the d...

    Authors: Ammal M. Metwally, Ghada A. Abdel-Latif, Lobna Eletreby, Ahmed Aboulghate, Amira Mohsen, Hala A. Amer, Rehan M. Saleh, Dalia M. Elmosalami, Hend I. Salama, Safaa I. Abd El Hady, Raefa R. Alam, Hanan A. Mohamed, Hanan M. Badran, Hanan E. Eltokhy, Hazem Elhariri, Thanaa Rabah…

    Citation: BMC Medical Ethics 2020 21:49

    Content type: Research article

    Published on:

  28. Patients have the right to equal, respectful treatment. Nowadays, one third of patient complaints concern health care staff’s behavior towards patients. Ethically safe care requires ethical competence, which h...

    Authors: Kati KULJU, Riitta SUHONEN, Pauli PUUKKA, Anna TOLVANEN and Helena LEINO-KILPI

    Citation: BMC Medical Ethics 2020 21:43

    Content type: Research article

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  29. In August 2017, Chile lifted its complete ban on abortion by permitting abortion in three limited circumstances: 1) to save a woman’s life, 2) lethal fetal anomaly, and 3) rape. The new law allows regulated us...

    Authors: M. Antonia Biggs, Lidia Casas, Alejandra Ramm, C. Finley Baba and Sara P. Correa

    Citation: BMC Medical Ethics 2020 21:42

    Content type: Research article

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  30. Preconception Expanded Carrier Screening (ECS) is a genetic test offered to a general population or to couples who have no known risk of recessive and X-linked genetic diseases and are interested in becoming p...

    Authors: Amal Matar, Anna T. Höglund, Pär Segerdahl and Ulrik Kihlbom

    Citation: BMC Medical Ethics 2020 21:30

    Content type: Debate

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  31. Traditionally, palliative care has focused on patients suffering from life-threatening somatic diseases such as cancer or progressive neurological disorders. In contrast, despite the often chronic, severely di...

    Authors: Mattias Strand, Manne Sjöstrand and Anna Lindblad

    Citation: BMC Medical Ethics 2020 21:29

    Content type: Debate

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  32. Knowing the opinions of patients with Progressive Neurological Diseases (PNDs) and their family members on end-of-life care can help initiate communication and the drawing up of a care plan. The aim of this pa...

    Authors: Radka Bužgová and Radka Kozáková

    Citation: BMC Medical Ethics 2020 21:28

    Content type: Research article

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  33. There is continued need for enhanced medical ethics education across the United States. In an effort to guide medical ethics education reform, we report the first interprofessional survey of a cohort of gradua...

    Authors: Mikalyn T. DeFoor, Yunmi Chung, Julie K. Zadinsky, Jeffrey Dowling and Richard W. Sams II

    Citation: BMC Medical Ethics 2020 21:26

    Content type: Research article

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  34. Internationally, patient access to notes is increasing. This has been driven by respect for patient autonomy, often recognised as a primary tenet of medical ethics: patients should be able to access their reco...

    Authors: Stephanie N. D’Costa, Isla L. Kuhn and Zoë Fritz

    Citation: BMC Medical Ethics 2020 21:18

    Content type: Research article

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  35. When a genetic mutation is identified in a family member (proband), internationally, it is usually the proband’s or another responsible family member’s role to disclose the information to at-risk relatives. Ho...

    Authors: Natalia Meggiolaro, Kristine Barlow-Stewart, Kate Dunlop, Ainsley J. Newson and Jane Fleming

    Citation: BMC Medical Ethics 2020 21:13

    Content type: Research article

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  36. Incidental findings (IFs) and secondary findings (SFs), being results that are unrelated to the diagnostic question, are the subject of an important debate in the practice of clinical genomic medicine. Argumen...

    Authors: Marlies Saelaert, Heidi Mertes, Tania Moerenhout, Elfride De Baere and Ignaas Devisch

    Citation: BMC Medical Ethics 2020 21:9

    Content type: Research article

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  37. Ritual circumcision of infant boys is controversial in Norway, as in many other countries. The procedure became a part of Norwegian public health services in 2015. A new law opened for conscientious objection ...

    Authors: Liv Astrid Litleskare, Mette Tolås Strander, Reidun Førde and Morten Magelssen

    Citation: BMC Medical Ethics 2020 21:5

    Content type: Research article

    Published on:

  38. In clinical research, obtaining informed consent from participants is an ethical and legal requirement. Conveying the information concerning the study can be done using multiple methods yet this step commonly ...

    Authors: Marta S. Palmeirim, Amanda Ross, Brigit Obrist, Ulfat A. Mohammed, Shaali M. Ame, Said M. Ali and Jennifer Keiser

    Citation: BMC Medical Ethics 2020 21:1

    Content type: Research article

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  39. Medical Assistance in Dying (MAID) in Canada came into effect in 2016 with the passing of Bill C-14. As patient interest and requests for MAID continue to evolve in Canada, it is important to understand the at...

    Authors: Aaron Wong, Amy T. Hsu and Peter Tanuseputro

    Citation: BMC Medical Ethics 2019 20:103

    Content type: Research article

    Published on:

  40. The ethical principle of justice demands that resources be distributed equally and based on evidence. Guidelines regarding forgoing of CPR are unavailable and there is large variance in the reported rates of a...

    Authors: Janet Ozer, Gadi Alon, Dmitry Leykin, Joseph Varon, Limor Aharonson-Daniel and Sharon Einav

    Citation: BMC Medical Ethics 2019 20:102

    Content type: Research article

    Published on:

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    2.451 - 2-year Impact Factor
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