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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. Media have increasingly reported on the difficulties associated with end-of-life decision-making in patients with Disorders of Consciousness (DOC), contextualizing such dilemma in detailed accounts of the pati...

    Authors: Mario Picozzi, Lino Panzeri, Davide Torri and Davide Sattin

    Citation: BMC Medical Ethics 2021 22:88

    Content type: Research article

    Published on:

  2. Competent end-of-life care is an essential component of total health care provision, but evidence suggests that it is often deficient. This study aimed to evaluate the knowledge and attitudes about key end-of-...

    Authors: Thashi Chang, Saumya Darshani, Pavithra Manikavasagam and Carukshi Arambepola

    Citation: BMC Medical Ethics 2021 22:66

    Content type: Research article

    Published on:

  3. A different ethos with respect to the perception of medical ethics prevails in societies in transition such as those in the Arabian Peninsula, which makes it difficult to apply international principles of bioe...

    Authors: Ahmed S. Al-Busaidi, Anuradha Ganesh, Samir Al-Adawi, Yahya M. Al-Farsi, Maryam K. Al-Rawahi, Nusaiba A. Al-Mawali, Nadiya S. Al-Kharousi, Mohammed Al-Alawi and Abdullah S. Al-Mujaini

    Citation: BMC Medical Ethics 2021 22:65

    Content type: Research article

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  4. Ethics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs...

    Authors: Lynette Cederquist, Jamie Nicole LaBuzetta, Edward Cachay, Lawrence Friedman, Cassia Yi, Laura Dibsie and Yiran Zhang

    Citation: BMC Medical Ethics 2021 22:44

    Content type: Research article

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  5. Prognostic uncertainty is a challenge for physicians in the neuro intensive care field. Questions about whether continued life-sustaining treatment is in a patient’s best interests arise in different phases af...

    Authors: Annette Robertsen, Eirik Helseth and Reidun Førde

    Citation: BMC Medical Ethics 2021 22:43

    Content type: Research article

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  6. Informed consent is a prerequisite for caesarean section, the commonest surgical procedure in low- and middle-income settings, but not always acquired to an appropriate extent. Exploring perceptions of health ...

    Authors: Wouter Bakker, Siem Zethof, Felix Nansongole, Kelvin Kilowe, Jos van Roosmalen and Thomas van den Akker

    Citation: BMC Medical Ethics 2021 22:33

    Content type: Research article

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  7. The worsening COVID-19 pandemic in South Africa poses multiple challenges for clinical decision making in the context of already-scarce ICU resources. Data from national government and the last published natio...

    Authors: Reshania Naidoo and Kantharuben Naidoo

    Citation: BMC Medical Ethics 2021 22:28

    Content type: Debate

    Published on:

  8. In childhood cancer care, healthcare professionals must deal with several difficult moral situations in clinical practice. Previous studies show that morally difficult challenges are related to decisions on tr...

    Authors: Charlotte Weiner, Pernilla Pergert, Bert Molewijk, Anders Castor and Cecilia Bartholdson

    Citation: BMC Medical Ethics 2021 22:27

    Content type: Research article

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  9. Critical Incident Reporting Systems (CIRS) provide a well-proven method to identify clinical risks in hospitals. All professions can report critical incidents anonymously, low-threshold, and without sanctions....

    Authors: Kai Wehkamp, Eva Kuhn, Rainer Petzina, Alena Buyx and Annette Rogge

    Citation: BMC Medical Ethics 2021 22:26

    Content type: Research article

    Published on:

  10. The theory and practice of ethics consultations (ECs) in health care are still characterized by many controversies, including, for example, the practice of giving recommendations. These controversies are compl...

    Authors: Dagmar Schmitz, Dominik Groß and Roman Pauli

    Citation: BMC Medical Ethics 2021 22:20

    Content type: Research article

    Published on:

  11. Fecal microbiota transplant (FMT) is a treatment modality that involves the introduction of stool from a healthy pre-screened donor into the gastrointestinal tract of a patient. It exerts its therapeutic effec...

    Authors: Amal G. Al-Bakri, Amal A. Akour and Wael K. Al-Delaimy

    Citation: BMC Medical Ethics 2021 22:19

    Content type: Research article

    Published on:

  12. Medical ethics has recently seen a drive away from multiple prescriptive approaches, where physicians are inundated with guidelines and principles, towards alternative, less deontological perspectives. This re...

    Authors: Mervyn Conroy, Aisha Y. Malik, Catherine Hale, Catherine Weir, Alan Brockie and Chris Turner

    Citation: BMC Medical Ethics 2021 22:16

    Content type: Research article

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  13. The convergence of neuroscience, genomics, and data science holds promise to unveil the neurobiology of psychosis and to produce new ways of preventing, diagnosing, and treating psychotic illness. Yet, moral c...

    Authors: Paolo Corsico

    Citation: BMC Medical Ethics 2021 22:11

    Content type: Research article

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  14. This manuscript presents a framework to guide the identification and assessment of ethical opportunities and challenges associated with electronic patient records (EPR). The framework is intended to support de...

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

    Citation: BMC Medical Ethics 2021 22:9

    Content type: Research article

    Published on:

  15. Respect for patients’ autonomy is usually considered to be an important ethical principle in Western countries; privacy is one of the implications of such respect. Healthcare professionals frequently encounter...

    Authors: Hui Zhang, Hongmei Zhang, Zhenxiang Zhang and Yuming Wang

    Citation: BMC Medical Ethics 2021 22:8

    Content type: Debate

    Published on:

  16. 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:

  17. 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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  18. 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

    Published on:

  19. 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

    Published on:

  20. 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

    Published on:

  21. 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

    Published on:

  22. 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

    Published on:

  23. 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

    Published on:

  24. 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:

  25. 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

    Published on:

  26. 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

    Published on:

  27. 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

    Published on:

  28. 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

    Published on:

  29. 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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  30. 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

    Published on:

  31. 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

    Published on:

  32. 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

    Published on:

  33. 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

    Published on:

  34. 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

    Published on:

  35. 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

    Published on:

  36. 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

    Published on:

  37. 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

    Published on:

  38. 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

    Published on:

  39. 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

    Published on:

  40. 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:

  41. 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

    Published on:

Annual Journal Metrics

  • Speed
    122 days to first decision for reviewed manuscripts only
    85 days to first decision for all manuscripts
    235 days from submission to acceptance
    16 days from acceptance to publication

    Citation Impact
    2.652 - 2-year Impact Factor
    3.499 - 5-year Impact Factor
    1.869 - Source Normalized Impact per Paper (SNIP)
    1.075 - SCImago Journal Rank (SJR)

    Usage 
    1,077,136 downloads
    1,135 Altmetric mentions