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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 3

  1. Patients with unmet medical needs sometimes resort to non-standard treatment options, including the use of unapproved, investigational drugs in the context of clinical trials, compassionate use or named-patien...

    Authors: Eline M. Bunnik and Nikkie Aarts

    Citation: BMC Medical Ethics 2019 20:80

    Content type: Research article

    Published on:

  2. Various forms of Clinical Ethics Support (CES) have been developed in health care organizations. Over the past years, increasing attention has been paid to the question of how to foster the quality of ethics s...

    Authors: Eva M. Van Baarle, Marieke C. Potma, Maria E. C. van Hoek, Laura A. Hartman, Bert A. C. Molewijk and Jelle L. P. van Gurp

    Citation: BMC Medical Ethics 2019 20:78

    Content type: Research article

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  3. Respect for autonomy is a key concept in contemporary bioethics and end-of-life ethics in particular. Despite this status, an individualistic interpretation of autonomy is being challenged from the perspective...

    Authors: Carlos Gómez-Vírseda, Yves de Maeseneer and Chris Gastmans

    Citation: BMC Medical Ethics 2019 20:76

    Content type: Research article

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  4. An ethics reflection group (ERG) is one of a number of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the significance of ERGs in ps...

    Authors: H. Bruun, L. Huniche, E. Stenager, C. B. Mogensen and R. Pedersen

    Citation: BMC Medical Ethics 2019 20:75

    Content type: Research article

    Published on:

  5. Differences in perception and potential disagreements between parents and professionals regarding the attitude for resuscitation at the limit of viability are common. This study evaluated in healthcare profess...

    Authors: V. Papadimitriou, B. Tosello and R. Pfister

    Citation: BMC Medical Ethics 2019 20:74

    Content type: Research article

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  6. Before the advent of fibrinolytic therapy as a gold standard method of care for cases of acute ischemic stroke in Romania, issues regarding legal medicine aspects involved in this area of medical expertise wer...

    Authors: Monica Sabau, Simona Bungau, Camelia Liana Buhas, Gheorghe Carp, Lucia-Georgeta Daina, Claudia Teodora Judea-Pusta, Bogdan Adrian Buhas, Claudia Maria Jurca, Cristian Marius Daina and Delia Mirela Tit

    Citation: BMC Medical Ethics 2019 20:70

    Content type: Debate

    Published on:

  7. In the Netherlands, in 2002, euthanasia became a legitimate medical act, only allowed when the due care criteria and procedural requirements are met. Legally, an Advanced Euthanasia Directive (AED) can replace...

    Authors: Jaap Schuurmans, Romy Bouwmeester, Lamar Crombach, Tessa van Rijssel, Lizzy Wingens, Kristina Georgieva, Nadine O’Shea, Stephanie Vos, Bram Tilburgs and Yvonne Engels

    Citation: BMC Medical Ethics 2019 20:66

    Content type: Research article

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  8. Ethical dilemmas are part of medicine, but the type of challenges, the frequency of their occurrence and the nuances in the difficulties have not been systematically studied in low-income settings. The objecti...

    Authors: Ingrid Miljeteig, Frehiwot Defaye, Dawit Desalegn and Marion Danis

    Citation: BMC Medical Ethics 2019 20:63

    Content type: Research article

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  9. Patient-reported outcomes (PROs) are frequently used for medical decision making, at the levels of both individual patient care and healthcare policy. Evidence increasingly shows that PROs may be influenced by...

    Authors: Iris D. Hartog, Dick L. Willems, Wilbert B. van den Hout, Michael Scherer-Rath, Tom H. Oreel, José P. S. Henriques, Pythia T. Nieuwkerk, Hanneke W. M. van Laarhoven and Mirjam A. G. Sprangers

    Citation: BMC Medical Ethics 2019 20:61

    Content type: Debate

    Published on:

  10. In 2005, Ethiopia changed its abortion law to curb its high maternal mortality. This has led to a considerable reduction in deaths from unsafe abortions. Abortion is now legal if the woman’s pregnancy is a res...

    Authors: Emily McLean, Dawit Nima Desalegn, Astrid Blystad and Ingrid Miljeteig

    Citation: BMC Medical Ethics 2019 20:60

    Content type: Research article

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  11. Information on the factors influencing parents’ decision-making process following a lethal, life-limiting or severely debilitating prenatal diagnosis remains deficient. A comprehensive systematic review and me...

    Authors: Claire Blakeley, Debbie M. Smith, Edward D. Johnstone and Anja Wittkowski

    Citation: BMC Medical Ethics 2019 20:56

    Content type: Research article

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  12. An ethics reflection group (ERG) is one of a range of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the implementation process of i...

    Authors: Henriette Bruun, Reidar Pedersen, Elsebeth Stenager, Christian Backer Mogensen and Lotte Huniche

    Citation: BMC Medical Ethics 2019 20:49

    Content type: Research article

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  13. Evaluating clinical ethics support services (CESS) has been hailed as important research task. At the same time, there is considerable debate about how to evaluate CESS appropriately. The criticism, which has ...

    Authors: Jan Schildmann, Stephan Nadolny, Joschka Haltaufderheide, Marjolein Gysels, Jochen Vollmann and Claudia Bausewein

    Citation: BMC Medical Ethics 2019 20:48

    Content type: Debate

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  14. This paper explores ethical concerns arising in healthcare integration. We argue that integration is necessary imperative for meeting contemporary and future healthcare challenges, a far stronger evidence base...

    Authors: Alex McKeown, Charlotte Cliffe, Arun Arora and Ann Griffin

    Citation: BMC Medical Ethics 2019 20:42

    Content type: Research article

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  15. Ethical approval (EA) must be obtained before medical research can start. We describe the differences in EA for an pseudonymous, non-interventional, observational European study.

    Authors: Dylan W. de Lange, Bertrand Guidet, Finn H. Andersen, Antonio Artigas, Guidio Bertolini, Rui Moreno, Steffen Christensen, Maurizio Cecconi, Christina Agvald-Ohman, Primoz Gradisek, Christian Jung, Brian J. Marsh, Sandra Oeyen, Bernardo Bollen Pinto, Wojciech Szczeklik, Ximena Watson…

    Citation: BMC Medical Ethics 2019 20:39

    Content type: Research article

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  16. The work of general practitioners (GPs) is infused by norms from several movements, of which evidence based medicine, patient-centredness, and virtue ethics are some of the most influential. Their precepts are...

    Authors: Linus Johnsson and Lena Nordgren

    Citation: BMC Medical Ethics 2019 20:33

    Content type: Research article

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  17. Substituted judgment assumes adequate knowledge of patient’s mind-set. However, surrogates’ prediction of individual healthcare decisions is often inadequate and may be based on shared background rather than p...

    Authors: Muhammad M. Hammami, Kafa Abuhdeeb, Muhammad B. Hammami, Sophia J. S. De Padua and Areej Al-Balkhi

    Citation: BMC Medical Ethics 2019 20:28

    Content type: Research article

    Published on:

  18. Professional ethics is one of the important topics, which includes various rights such as respecting the patient’s right to choose (autonomy), being useful (beneficence), being harmless (non- maleficence), and...

    Authors: Haleh Jafari, Alireza Khatony, Alireza Abdi and Faranak Jafari

    Citation: BMC Medical Ethics 2019 20:26

    Content type: Research article

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  19. Family members do not have an official position in the practice of euthanasia and physician assisted suicide (EAS) in the Netherlands according to statutory regulations and related guidelines. However, recent ...

    Authors: Bernadette Roest, Margo Trappenburg and Carlo Leget

    Citation: BMC Medical Ethics 2019 20:23

    Content type: Research article

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  20. End-of-life disputes in Ontario are currently overwhelmingly assessed through the singular lens of patient autonomy. The current dispute resolution mechanism(s) does not adequately consider evidence-based medi...

    Authors: Joshua T. Landry, Rakesh Patel, David Neilipovitz, Kwadwo Kyeremanteng and Gianni D’Egidio

    Citation: BMC Medical Ethics 2019 20:20

    Content type: Debate

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  21. The doctor-patient relationship has evolved to respect “the autonomy and patients’ rights”. One of the cornerstones in such autonomy is the opportunity for patients to draw living wills, also known as advance ...

    Authors: Sidonie Hubert, Sarah Wainschtein, Albane Hugues, Caroline Schimpf, Thècle Degroote, Kelly Tiercelet, Marc Tran, Cédric Bruel and Francois Philippart

    Citation: BMC Medical Ethics 2019 20:19

    Content type: Research article

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  22. Physicians play a substantial role in facilitating communication regarding life-supporting treatment decision-making including do-not-resuscitate (DNR) in the intensive care units (ICU). Physician-related fact...

    Authors: Kuan-Han Lin, Shu-Chien Huang, Chih-Hsien Wang, Chau-Chung, Tzong-Shinn Chu and Yen-Yuan Chen

    Citation: BMC Medical Ethics 2019 20:15

    Content type: Research article

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  23. Medicine has undergone substantial changes in the way medical dilemmas are being dealt with. Here we explore the attitude of Israeli physicians to two debatable dilemmas: disclosing the full truth to patients ...

    Authors: Baruch Velan, Arnona Ziv, Giora Kaplan, Carmit Rubin, Yaron Connelly, Tami Karni and Orna Tal

    Citation: BMC Medical Ethics 2019 20:13

    Content type: Research article

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  24. Obtaining adequate informed consent from trauma patients is challenging and time-consuming. Healthcare providers must communicate complicated medical information to enable patients to make informed decisions. ...

    Authors: Yen-Ko Lin, Kuan-Ting Liu, Chao-Wen Chen, Wei-Che Lee, Chia-Ju Lin, Leiyu Shi and Yin-Chun Tien

    Citation: BMC Medical Ethics 2019 20:8

    Content type: Research article

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  25. Questions concerning the parent/ patient’s autonomy are seen as one of the most important reasons for requesting Ethics Consultations (ECs). Respecting parent/ patient’s autonomy also means respecting the pati...

    Authors: Mirella Muggli, Christian De Geyter and Stella Reiter-Theil

    Citation: BMC Medical Ethics 2019 20:4

    Content type: Research article

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  26. Informed consent (IC) is an essential step in helping patients be aware of consequences of their treatment decisions. With surgery, it is vitally important for patients to understand the risks and benefits of ...

    Authors: Erminia Agozzino, Sharon Borrelli, Mariagrazia Cancellieri, Fabiola Michela Carfora, Teresa Di Lorenzo and Francesco Attena

    Citation: BMC Medical Ethics 2019 20:1

    Content type: Research article

    Published on:

  27. Moral Case Deliberations (MCDs) are reflective dialogues with a group of participants on their own moral dilemmas. Although MCD is successful as clinical ethics support (CES), it also has limitations. 1. Lesso...

    Authors: L. A. Hartman, S. Metselaar, A. C. Molewijk, H. M. Edelbroek and G. A. M. Widdershoven

    Citation: BMC Medical Ethics 2018 19:97

    Content type: Research article

    Published on:

  28. Genuine uncertainty on superiority of one intervention over the other is called equipoise. Physician-investigators in randomized controlled trials (RCT) need equipoise at least in studies with more than minima...

    Authors: Petra C. E. Hissink Muller, Bahar Yildiz, Cornelia F. Allaart, Danielle M. C. Brinkman, Marion van Rossum, Lisette W. A. van Suijlekom-Smit, J. Merlijn van den Berg, Rebecca ten Cate and Martine C. de Vries

    Citation: BMC Medical Ethics 2018 19:96

    Content type: Research article

    Published on:

  29. Emergency care providers regularly deal with ethical dilemmas that must be addressed. In comparison with in-hospital nurses, emergency medical service (EMS) personnel are faced with more problems such as dista...

    Authors: Mohammad Torabi, Fariba Borhani, Abbas Abbaszadeh and Foroozan Atashzadeh-Shoorideh

    Citation: BMC Medical Ethics 2018 19:95

    Content type: Research article

    Published on:

  30. Mother-to-child transmission (MTCT) of the Human Immunodeficiency –Virus (HIV) is a serious public health problem, contributing up to 90% of childhood HIV infections. In Tanzania, the prevention-of-mother-to-c...

    Authors: Tausi S. Haruna, Evelyne Assenga and Judith Shayo

    Citation: BMC Medical Ethics 2018 19:92

    Content type: Research article

    Published on:

  31. To support healthcare professionals in dealing with ethically difficult situations, Clinical Ethics Support (CES) services like Moral Case Deliberation (MCD) are increasingly implemented. To assess the impact ...

    Authors: Janine C. de Snoo-Trimp, Bert Molewijk and Henrica C. W. de Vet

    Citation: BMC Medical Ethics 2018 19:88

    Content type: Research article

    Published on:

  32. An important and supposedly impactful form of clinical ethics support is moral case deliberation (MCD). Empirical evidence, however, is limited with regard to its actual impact. With this literature review, we...

    Authors: Maaike M. Haan, Jelle L. P. van Gurp, Simone M. Naber and A. Stef Groenewoud

    Citation: BMC Medical Ethics 2018 19:85

    Content type: Research article

    Published on:

  33. The use of Next Generation Sequencing such as Whole Genome Sequencing (WGS) is a promising step towards a better understanding and treatment of neurological diseases. WGS can result into unexpected information...

    Authors: Thierry Hurlimann, Iris Jaitovich Groisman and Béatrice Godard

    Citation: BMC Medical Ethics 2018 19:81

    Content type: Research article

    Published on:

  34. This paper examines the ethical aspects of organ transplant surgery in which a donor heart is transplanted from a first recipient, following determination of death by neurologic criteria, to a second recipient...

    Authors: Eisuke Nakazawa, Shoichi Maeda, Keiichiro Yamamoto, Aru Akabayashi, Yuzaburo Uetake, Margie H. Shaw, Richard A. Demme and Akira Akabayashi

    Citation: BMC Medical Ethics 2018 19:77

    Content type: Research article

    Published on:

  35. On elective students may not always be clear about safeguarding themselves and others. It is important that placements are safe, and ethically grounded. A concern for medical schools is equipping their student...

    Authors: Connie Wiskin, Jonathan Dowell and Catherine Hale

    Citation: BMC Medical Ethics 2018 19:74

    Content type: Research article

    Published on:

  36. Healthcare policy and academic literature have promoted improving the transitional care of young people leaving child and adolescent mental health services (CAMHS). Despite the availability of guidance on good...

    Authors: Moli Paul, Lesley O’Hara, Priya Tah, Cathy Street, Athanasios Maras, Diane Purper Ouakil, Paramala Santosh, Giulia Signorini, Swaran Preet Singh, Helena Tuomainen and Fiona McNicholas

    Citation: BMC Medical Ethics 2018 19:73

    Content type: Research article

    Published on:

  37. In todays’ super-diverse societies, communication and interaction in clinical encounters are increasingly shaped by linguistic, cultural, social and ethnic complexities. It is crucial to better understand the ...

    Authors: Kristina Würth, Wolf Langewitz, Stella Reiter-Theil and Sylvie Schuster

    Citation: BMC Medical Ethics 2018 19:70

    Content type: Research article

    Published on:

  38. DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a ...

    Authors: Mona Pettersson, Mariann Hedström and Anna T. Höglund

    Citation: BMC Medical Ethics 2018 19:63

    Content type: Research article

    Published on:

  39. The aim of this article is to give more insight into what ethical challenges clinicians in mental healthcare experience and discuss with a Clinical Ethics Committee in psychiatry in the Region of Southern Denm...

    Authors: H. Bruun, S. G. Lystbaek, E. Stenager, L. Huniche and R. Pedersen

    Citation: BMC Medical Ethics 2018 19:62

    Content type: Research article

    Published on:

  40. Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating ...

    Authors: Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen and Reidar Pedersen

    Citation: BMC Medical Ethics 2018 19:54

    Content type: Research article

    Published on:

  41. The ethics of hastened death are complex. Studies on physicians’ opinions about assisted dying (euthanasia or assisted suicide) exist, but changes in physicians’ attitudes towards hastened death in clinical de...

    Authors: Reetta P. Piili, Riina Metsänoja, Heikki Hinkka, Pirkko-Liisa I. Kellokumpu-Lehtinen and Juho T. Lehto

    Citation: BMC Medical Ethics 2018 19:40

    Content type: Research article

    Published on:

2018 Journal Metrics

  • Citation Impact
    2.507 - 2-year Impact Factor
    2.571 - 5-year Impact Factor
    2.77 - Source Normalized Impact per Paper (SNIP)
    1.085 - SCImago Journal Rank (SJR)

    Usage 
    573,144 downloads

    Social Media Impact
    1119 mentions

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