Biomedical Ethics

Edited by L. Syd M Johnson (SUNY Upstate Medical University)
Assistant editor: Tyler John (Longview Philanthropy)
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History/traditions: Biomedical Ethics

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91035 found
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  1. ‘Chết phải toàn th'y’: belief in Vietnamese culture and its impact on organ donation.Quang Thanh Nguyen, Ngoc Luong Khanh Nguyen & Thuy Minh Ha - forthcoming - Journal of Medical Ethics.
    The phrase ‘chết phải toàn thây’, which has no direct English translation, can be roughly interpreted as ‘one must die with an intact body’. This belief, deeply rooted in Vietnamese culture, significantly influences how the body is treated after death. It is often linked to the idea that the body must remain whole for the soul to rest peacefully or transition smoothly into the afterlife. While many societies, particularly in the Western world, view the donation of organs after death as (...)
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  2. Developing Novel Tools for Bioethics Education: ACECS and the Visual Analytics Dashboard.Stowe Locke Teti & Kelly Armstrong - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-18.
    The translation of bedside experience to pedagogical content presents a unique challenge for the field of bioethics. The contributions are multidisciplinary, the practices are heterogeneous, and the work product is characteristically nuanced. While academic bioethics education programs have proliferated, developing content and pedagogy sufficient to teach clinical ethics effectively remains a longstanding challenge. The authors identify three reasons why progress towards this goal has been slow. First, there is a lack of robust, empirical knowledge for education focused on praxis. Second, (...)
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  3. Why We Should Be Experientialists about Suffering.Michael S. Brady - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-11.
    Increased interest in suffering has given rise to different accounts of what suffering is. This paper focuses the debate between experientialists and non-experientialists about suffering. The former hold that suffering is necessarily experiential—for instance, because it is necessarily unpleasant or painful; the latter deny this—for instance, because one can suffer when and because one’s objective properties are damaged, even if one does not experience this. After surveying how the two accounts fare on a range of issues, the paper presents a (...)
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  4. Objective Suffering: What is it? What Could it be?Tyler Tate - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-9.
    There is an ongoing debate in bioethics regarding the nature of suffering. This conversation revolves around the following question: What kind of thing, exactly, is suffering? Specifically, is suffering a subjective phenomenon—intrinsically linked to personhood, personal values, feelings, and lived experience—or an objective affair, amenable to impersonal criteria and existing as an independent feature of the natural world? Notably, the implications of this determination are politically and ethically significant. This essay attempts to bring clarity to the subjective versus objective debate (...)
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  5. Biopolitics at the Nexus of Chronic and Infectious Diseases.N. D. Brantly - forthcoming - Journal of Bioethical Inquiry:1-17.
    Non-communicable (chronic) and communicable (infectious) diseases constitute the leading causes of death worldwide. They appear to impact populations in developed and developing nations differently with changing trends in the landscape of human conditions. Greater understanding of changing disease burdens should influence the planning of health programmes, the implementation of related interventions, and policymaking efforts on a national and global scale. However, the knowledge of disease burdens does not reflect how states and global health organizations prioritize their efforts in addressing them. (...)
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  6. «Doctors must live»: a care ethics inquiry into physicians’ late modern suffering.Caroline Engen - forthcoming - Medicine, Health Care and Philosophy:1-16.
    In 2023, thousands of young Norwegian physicians joined an online movement called #legermåleve (#doctorsmustlive) and shared stories of their own mental and somatic health issues, which they considered to be caused by unacceptable working conditions. This paper discusses this case as an extreme example of physicians’ and healthcare workers’ suffering in late modern societies, using Vosman and Niemeijer’s approach of rethinking care imaginaries by a structured process of thinking along, counter-thinking and rethinking, bringing to bear suffering as a heuristic device. (...)
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  7. Sufficiency and healthcare emissions.Joshua Parker - forthcoming - Bioethics.
    In this paper, I am concerned with how healthcare systems ought to transition away from the greenhouse gas emissions that they have historically relied on to provide care. I address two questions in relation to this issue. The first is what emissions target should healthcare systems adopt? Second, is how should the burdens of mitigation be shared fairly in light of that target? I argue that sufficientarianism offers an attractive way to answer both of these questions because it is better (...)
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  8. Nurse misinformation and the digital era: Abrogating professional responsibility.Christopher M. Charles & Pamela J. Grace - forthcoming - Nursing Ethics.
    In the current digital era, reliance on technology for communication and the gathering and dissemination of information is growing. However, the information disseminated can be misleading or false. Nurses tend to be trusted by the public, but not all information brought to the public forum is well-informed. Ill-informed discussions have resulted in harm to individuals who take such information as fact and act on it. As technology continues to evolve and fact versus fiction becomes more challenging to discern, it is (...)
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  9. Perspectives.Lilit Sargsyan - forthcoming - Journal of Medical Humanities:1-2.
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  10. Scripts and Revelations: Notes on the Gender Reveal Party.George Estreich - forthcoming - Journal of Medical Humanities:1-9.
    “Scripts and Revelations” argues that the gender reveal party is a creative response to the affordances of recent technologies: prenatal tests allow us to discern fetal sex before birth, and social media platforms allow us to share intimate moments for a potentially unlimited audience. Building on the work of scholars of gender (Astri Jack, Carli Gieseler) and disability (Robert McRuer, Tobin Siebers), and interpolating his experience as the father of a young woman with Down syndrome, the author argues that gender (...)
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  11. A Study on Consumer-Centric Health Information Provision Strategy Using SWOT-AHP -Focusing on the National Health Information Portal.Jaeeun Baek - forthcoming - Health Care Analysis:1-24.
    Approximately 70% of Koreans access health and medical information online. Health information providers play a crucial role in enhancing public health by ensuring that individuals can effectively consume and utilize this information according to their information-seeking behaviors. However, existing tools for evaluating health information websites have significant limitations. These tools are often one-size-fits-all and lack strategic recommendations for delivering consumer-centered health information. There is a clear need for alternative approaches beyond merely identifying the quality factors that satisfy consumers. A Strengths, (...)
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  12. Moral sensitivity and attitudes towards patient safety among critical care nurses.Ali Afshari, Mohammad Torabi, Mahsa Dehghani & Mona Farhadi - forthcoming - Nursing Ethics.
    Introduction Patient safety is essential for healthcare quality and a global concern. The rapid advancement of medical technology presents ethical challenges for critical care nurses, who navigate complex decision-making processes. Given their close relationships with patients, nurses are uniquely positioned to address patient safety issues. Thus, enhancing nurses’ moral sensitivity and ethical values is increasingly important. Objective This study aims to explore the relationship between moral sensitivity and attitude towards patient safety in critical care nurses. Methods This cross-sectional, descriptive-correlational study (...)
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  13. Collective Reflective Equilibrium, Algorithmic Bioethics and Complex Ethics.Julian Savulescu - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-16.
    John Harris has made many seminal contributions to bioethics. Two of these are in the ethics of resource allocation. Firstly, he proposed the “fair innings argument” which was the first sufficientarian approach to distributive justice. Resources should be provided to ensure people have a fair innings—when Harris first wrote this, around 70 years of life, but perhaps now 80. Secondly, Harris famously advanced the egalitarian position in response to utilitarian approaches to allocation (such as maximizing Quality Adjusted Life Years [QALYs]) (...)
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  14. A quarter of a century Developing World Bioethics– An invitation to you, our readers.Udo Schuklenk - forthcoming - Developing World Bioethics.
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  15. Why the South African National Health Research Ethics Council is wrong about ownership of human biological material and data.Donrich Thaldar, Uyanda Maboea & Amy Gooden - forthcoming - Developing World Bioethics.
    The South African National Health Research Ethics Council (NHREC) states in its 2024 Ethics Guidelines that human biological material (HBM) and data cannot be privately owned under South African law. This position conflicts with established legal principles, guidelines by the Health Professions Council of South Africa (HPCSA), and South African university policies, all of which support private ownership of HBM and data. Private ownership is not only legally sound but also ethically necessary, providing a framework for accountability, ensuring fair recognition (...)
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  16. Digital Doppelgängers and Lifespan Extension: What Matters?Samuel Iglesias, Brian D. Earp, Cristina Voinea, Sebastian Porsdam Mann, Anda Zahiu, Nancy S. Jecker & Julian Savulescu - 2024 - American Journal of Bioethics 25 (2):95-110.
    There is an ongoing debate about the ethics of research on lifespan extension: roughly, using medical technologies to extend biological human lives beyond the current “natural” limit of about 120 years. At the same time, there is an exploding interest in the use of artificial intelligence (AI) to create “digital twins” of persons, for example by fine-tuning large language models on data specific to particular individuals. In this paper, we consider whether digital twins (or digital doppelgängers, as we refer to (...)
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  17. Virtue Monism and Medical Practice: Practical Wisdom as Cross-Situational Ethical Expertise.Mario De Caro, Federico Bina, Sofia Bonicalzi, Riccardo Brunetti, Michel Croce, Skaistė Kerusauskaite, Claudia Navarini, Elena Ricci & Maria Silvia Vaccarezza - forthcoming - Journal of Medicine and Philosophy.
    This article defends the centrality of practical wisdom in medical practice by building on a monistic view of moral virtue, termed the “Aretai model,” according to which possession of practical wisdom is necessary and sufficient for virtuousness, grounding both moral growth and effective moral behavior. From this perspective, we argue that practical wisdom should be conceived as a cross-situational ethical expertise consisting of four skills:moral perception, moral deliberation, emotion regulation, and moral motivation. Conceiving of practical wisdom as both overall virtuousness (...)
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  18. Changing the Paradigm: Practical Wisdom as True North in Medical Education.Margaret L. Plews-Ogan - forthcoming - Journal of Medicine and Philosophy.
    The practice of medicine is a complex endeavor requiring high levels of knowledge and technical capability, and the capacity to apply the skills and knowledge to do the right thing in the right way, for the right reason, in a particular context. The orchestration of the virtues, managing uncertainty, applying knowledge and technical skills to a particular individual in a particular circumstance, and exercising the virtues in challenging circumstances, are the tasks of practical wisdom. Centuries ago, Aristotle suggested that capacities (...)
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  19. Digital Doppelgängers, Grief Bots, and Transformational Challenges.Alice Elizabeth Kelley Jennifer Blumenthal-Barby Center for Medical Ethics & Health Policy - 2025 - American Journal of Bioethics 25 (2):1-2.
    Volume 25, Issue 2, February 2025, Page 1-2.
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  20. Group Risks: Thinking Outside the Box.Megan Doerr Sara Meeder A. Sage Bionetworksb Maimonides Medical Center - 2025 - American Journal of Bioethics 25 (2):61-64.
    Volume 25, Issue 2, February 2025, Page 61-64.
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  21. Agent Regret Among Patient Families and Hospital Chaplains.Brian Warfield Integris Health - 2025 - American Journal of Bioethics 25 (2):31-33.
    Volume 25, Issue 2, February 2025, Page 31-33.
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  22. Agent-Regret and Clinical Realities: Responding to the “Nearly-Faultless Harmer”.Laura Kolbe A. Weill Cornell Medical Collegeb NewYork-Presbyterian Brooklyn Methodist Hospital - 2025 - American Journal of Bioethics 25 (2):23-25.
    Volume 25, Issue 2, February 2025, Page 23-25.
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  23. I Contain Multitudes: A Typology of Digital Doppelgängers.William D’Alessandro Trenton W. Ford Michael Yankoski William & Mary - 2025 - American Journal of Bioethics 25 (2):132-134.
    Volume 25, Issue 2, February 2025, Page 132-134.
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  24. Integrating Community Voices in Data-Centric Research: Overcoming Barriers to Meaningful Engagement.Sara Watson Preya Agam Austin M. Stroud Michelle L. McGowan Mayo Clinic - 2025 - American Journal of Bioethics 25 (2):87-90.
    Volume 25, Issue 2, February 2025, Page 87-90.
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  25. Just Tradeoffs in Health Research Decision-Making: A Gap in the Common Rule.Health Sciences - 2025 - American Journal of Bioethics 25 (2):80-82.
    Volume 25, Issue 2, February 2025, Page 80-82.
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  26. Research and Reasons: In Defense of the Common Rule’s Preclusionary Statement.Rosamond Rhodes Olivia Blanchard Icahn School of Medicine at Mount Sinai - 2025 - American Journal of Bioethics 25 (2):67-70.
    Volume 25, Issue 2, February 2025, Page 67-70.
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  27. Integrating Agent-Regret with Frameworks for Mitigating Moral Distress.Georgina Morley Lauren R. Sankary Cleveland Clinic - 2025 - American Journal of Bioethics 25 (2):36-38.
    Volume 25, Issue 2, February 2025, Page 36-38.
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  28. Addressing Risk in Data Centric Research via Community Engagement.Ryan Spellecy Andrew Nencka Medical College of Wisconin - 2025 - American Journal of Bioethics 25 (2):85-87.
    Volume 25, Issue 2, February 2025, Page 85-87.
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  29. Correcting Course: How Should an Ethics Consultant Respond to a Surrogate’s Request for Remote Monitoring?Anita J. Tarzian U. M. Carey School of Law - 2025 - American Journal of Bioethics 25 (2):149-150.
    Volume 25, Issue 2, February 2025, Page 149-150.
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  30. Putting the Agency in Agent-Regret.Jake Wojtowicz Independent Researcher - 2025 - American Journal of Bioethics 25 (2):21-22.
    Volume 25, Issue 2, February 2025, Page 21-22.
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  31. Getting to the Heart of the Matter: How Should Family Support Be Considered in Pediatric Transplant Evaluations?U. I. C. Leah R. Eisenberg A. U. I. Healthb - 2025 - American Journal of Bioethics 25 (2):138-139.
    Volume 25, Issue 2, February 2025, Page 138-139.
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  32. Stewardship or Punishment? Ethical Analysis of Transplant Candidacy for a Child from a Low-Resourced Family.R. Dawn Hood-Patterson Ian Wolfe Children’S. Health & Dallas Texas for Dawn Children’S. Minnesota for Ian - 2025 - American Journal of Bioethics 25 (2):140-142.
    Volume 25, Issue 2, February 2025, Page 140-142.
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  33. Ethics at the Intersection of Technology and Dementia Care: The Case of WanderGuard.Jessica Ginsberg Rogers Jason Lesandrini WellStar Health System - 2025 - American Journal of Bioethics 25 (2):157-159.
    Volume 25, Issue 2, February 2025, Page 157-159.
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  34. Death Is Too High a Price to Pay for Being Born an Impoverished and Ill Child.Cynthia C. Coleman Inova Fairfax Hospital - 2025 - American Journal of Bioethics 25 (2):145-148.
    Volume 25, Issue 2, February 2025, Page 145-148.
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  35. Location Tracking in Dementia Care to Address Sexual Behavior: No Ad-Hoc Decisions, More Talk Is Needed.Jared Howes Yvonne Denier Chris Gastmans K. U. Leuven - 2025 - American Journal of Bioethics 25 (2):153-156.
    Volume 25, Issue 2, February 2025, Page 153-156.
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  36. Slow Codes are symptomatic of ethically and legally inappropriate CPR policies.Stuart McLennan, Marieke Bak & Kathrin Knochel - forthcoming - Bioethics.
    Although cardiopulmonary resuscitation (CPR) was initially used very selectively at the discretion of clinicians, the use of CPR rapidly expanded to the point that it was required to be performed on all patients having in‐hospital cardiac arrests, regardless of the underlying condition. This created problems with CPR being clearly inadvisable for many patients. Do Not Resuscitate (DNR) orders emerged as a means of providing a transparent process for making decisions in advance regarding resuscitation, initially by patients and later also by (...)
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  37. Ethics in digital phenotyping: considerations regarding Alzheimer’s disease, speech and artificial intelligence.Francesca Rose Dino, Peter Scott Pressman, Kevin Bretonnel Cohen, Veljko Dubljevic, William Jarrold, Peter W. Foltz, Matt DeCamp, Mohammad H. Mahoor & Lawrence E. Hunter - forthcoming - Journal of Medical Ethics.
    Artificial intelligence (AI)-based digital phenotyping, including computational speech analysis, increasingly allows for the collection of diagnostically relevant information from an ever-expanding number of sources. Such information usually assesses human behaviour, which is a consequence of the nervous system, and so digital phenotyping may be particularly helpful in diagnosing neurological illnesses such as Alzheimer’s disease. As illustrated by the use of computational speech analysis of Alzheimer’s disease, however, neurological illness also introduces ethical considerations beyond commonly recognised concerns regarding machine learning and (...)
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  38. Resisting the Post-Truth Era: Maintaining a Commitment to Science and Social Justice in Bioethics.Drew B. A. Clark, Alice Virani, Diane Ehrensaft & Johanna Olson-Kennedy - 2019 - American Journal of Bioethics 19 (7).
    A recent target article in the American Journal of Bioethics (AJOB) considered the right of transgender (trans) children to access pubertal suppression (Priest 2019). We were concerned by publicati...
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  39. From Scholarship to Practice: Standardizing Calls to Action in Neuroethics.Kyrstin Lavelle, Laura Y. Cabrera & Judy Illes - forthcoming - American Journal of Bioethics Neuroscience.
    A significant goal of neuroethics is to offer neuroscientists, health care providers, law- and policy-makers and others, ways of thinking and acting on matters relevant to brain health and conditions that affect the central nervous system. This goal and related calls to action have been derived from theory or empirical work and bring different levels of normative force. To bring the latter in particular to the foreground of discussion, we explored for this Policy Forum different calls to action as they (...)
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  40. By Their Side, Not on Their Chest: Ethical Arguments to Allow Residential Aged Care Admission Policies to Forego Full Cardiac Resuscitation.J. P. Winters & E. Hutchinson - forthcoming - Journal of Bioethical Inquiry:1-10.
    We argue that Aged Residential Care (ARC) facilities should be allowed to create and adopt an informed “No Chest Compression” (NCC) policy. Potential residents are informed before admission that staff will not provide chest compressions to a pulseless resident. All residents would receive standard choking care, and a fully discussed advance directive would be utilized to determine if the resident wanted a one-minute trial of rescue breaths (to clear their airway) or utilization of the automatic defibrillator in case of arrest. (...)
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  41. Qualitative Metascience: A Framework for Cultivating Healthier and More Translationally Impactful Neuroscience-Neuroethics Research Ecosystems.Rachel Asher - forthcoming - American Journal of Bioethics Neuroscience.
    Navigating the demands of translational research requires not only addressing scientific issues, but also managing conflicting sociopolitical, cultural, psychosocial, epistemic, and ethical relationships across diverse communities and academic disciplines. Data and analysis of intensive interviews on these phenomena with researchers are presented here, which led to the co-design of a larger, ongoing study in a neuropsychiatric research community. The results generated a set of hypotheses—particularly regarding conflicts and challenges at the neuroscience-neuroethics interface as experienced by neuroscientists—which have not been fully (...)
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  42. Agent-Regret in Healthcare.Gavin Enck & Beth Condley - 2023 - American Journal of Bioethics 25 (2):6-20.
    For healthcare professionals and organizations, there is an emphasis on addressing moral distress and compassion fatigue among clinicians. While addressing these issues is vital, this paper suggests that the philosophical concept of agent-regret is a relevant but overlooked issue in healthcare. To experience agent-regret is to regret your harmful but not wrongful actions. This person’s action results in someone being killed or significantly injured, but it was ethically faultless. Despite being faultless, agent-regret is an emotional response concerning one’s agency in (...)
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  43. 30 Years of Nursing Ethics: Reflections on progress in the field.Ann Gallagher - 2025 - Nursing Ethics 32 (1):7-14.
    Background The field of formal nursing ethics is not new, with literature primarily from North America, dating back to the 1880s. The establishment of the international journal Nursing Ethics in 1994 served to stimulate, curate and disseminate research and scholarship in this evolving field. Three decades on, it is timely to review progress and to make recommendations for the future focus of the field. Purpose This article reviews 182 issues of Nursing Ethics over 30 years, focusing on: regions of origin (...)
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  44. Responses to “Reflections on 30 Years of Nursing Ethic s”.Elizabeth Peter - 2025 - Nursing Ethics 32 (1):15-16.
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  45. Who is vulnerable and why? Uncovering mechanisms of vulnerabilization in healthcare.Settimio Monteverde - 2025 - Nursing Ethics 32 (1):3-4.
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  46. Resilience, compassion fatigue, moral distress and moral injury of nurses.Hamdan Mohammad Albaqawi & Mohammed Hamdan Alshammari - forthcoming - Nursing Ethics.
    Background: Compassion fatigue, moral distress, and moral injury are interconnected phenomena that have a detrimental impact on the delivery of nursing care. Nurses possess the inherent resilience necessary to effectively handle these three adverse occurrences. Aim: To determine the mediating impact of resilience on compassion fatigue, moral distress, and moral injury among nurses in Saudi Arabia. Design: The final product was a structural equation model (SEM) generated using a quantitative correlation cross-sectional design, and we followed the STROBE guidelines for this (...)
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  47. Moral sensitivity, moral courage, and ethical behaviour among clinical nurses.Qihui Chen, Qin Chen, Chenxiao Ma, Yanan Zhang, Mengyu Gou & Weiyu Yang - forthcoming - Nursing Ethics.
    Background: Ethical behaviour in nursing practice is integral to establishing a harmonious nurse-patient relationship and improving the quality of care. A multitude of factors shapes such behaviour. Therefore, it is crucial to understand the interplay between these factors. Research objectives: This study aimed to explore the mechanisms underlying the influence of moral sensitivity on nurses’ ethical behaviour and clarify the mediating role of moral courage. Research design: This cross-sectional quantitative study was conducted between July and August 2023. Participants and Research (...)
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  48. Decent work and ethical ideologies of nurses—A multicenter cross-sectional study.Mohamed Ali Zoromba, Hasan Abualruz, Mohammad A. Abu Sabra, Mohamed Ahmed Zoromba & Heba Emad El-Gazar - forthcoming - Nursing Ethics.
    Background: Although research has established that the work environment significantly shapes nurses’ ethical behavior, it’s less clear whether decent work could influence ethical ideologies of nurses. Aim: To investigate the decent work conditions and ethical ideologies of nurses, and to analyze whether decent work influences their ethical ideologies. Methods: A multicenter cross-sectional survey was conducted among 203 nurses working in three tertiary governmental hospitals across two cities in Egypt. We utilized the Scale of Decent Work, which consists of 15 items (...)
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  49. Moral reckoning among nurses: A directed qualitative content analysis.Akram Sadat Montazeri, Homeira Khoddam, Fariba Borhani & Shohreh Kolagari - 2025 - Nursing Ethics 32 (1):321-335.
    Background When nurses face ethical challenges, they attempt to accept responsibility for their actions and start moral reckoning. Moral reckoning is the personal evaluation of one’s behaviors or others’ behaviors during ethically challenging situations. Research Aim This study aimed at exploring the concept of moral reckoning and its stages among Iranian nurses using Nathaniel’s moral reckoning Theory. Research Design This descriptive qualitative study was conducted in 2022 using directed content analysis. Participants and Research context Eighteen nurses were purposively recruited from (...)
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  50. Does fear of compassion effect nurses’ caring behaviours? a cross-sectional study.Şenay Takmak & Yeliz Karaçar - 2025 - Nursing Ethics 32 (1):336-351.
    Aims The aim of this study is to determine the levels of nurses’ fear of compassion for others, fear of compassion from others, and fear of self-compassion and to examine the effect of fear of compassion on caring behaviors. Design A cross-sectional, quantitative design was used. Participants and research context The study was conducted between October 2022 and April 2023 with 304 nurses working in two public hospitals. Data collection tools were the “Fears of Compassion Scales” and the “Caring Behaviors (...)
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