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  1. Facing COVID-19 Between Sensory and Psychoemotional Stress, and Instrumental Deprivation: A Qualitative Study of Unmanageable Critical Incidents With Doctors and Nurses in Two Hospitals in Northern Italy.Ines Testoni, Chiara Franco, Enrica Gallo Stampino, Erika Iacona, Robert Crupi & Claudio Pagano - 2021 - Frontiers in Psychology 12.
    Background: The COVID-19 pandemic severely strained the already unprepared Italian healthcare system. This had repercussions on healthcare workers, stemming, in particular, from a lack of clear guidelines, adequate protective equipment, and professional preparedness. Such conditions were especially prevalent in Northern Italy.Objectives: This study aimed to examine COVID-19-related professional and psychoemotional stress among nurses and doctors in two hospitals in Northern Italy, along with the worst critical incidents affecting healthcare personnel. A parallel objective was to elicit healthcare professionals' opinions about what (...)
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  • Remember Evil: Remaining Assumptions In Autonomy-based Accounts Of Conscience Protection.Bryan C. Pilkington - 2019 - Journal of Bioethical Inquiry 16 (4):483-488.
    Discussions of the proper role of conscience and practitioner judgement within medicine have increased of late, and with good reason. The cost of allowing practitioners the space to exercise their best judgement and act according to their conscience is significant. Misuse of such protections carve out societal space in which abuse, discrimination, abandonment of patients, and simple malpractice might occur. These concerns are offered amid a backdrop of increased societal polarization and are about a profession which has historically fought for (...)
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  • Remember Evil: Remaining Assumptions In Autonomy-based Accounts Of Conscience Protection.Bryan C. Pilkington - 2019 - Journal of Bioethical Inquiry 16 (4):483-488.
    Discussions of the proper role of conscience and practitioner judgement within medicine have increased of late, and with good reason. The cost of allowing practitioners the space to exercise their best judgement and act according to their conscience is significant. Misuse of such protections carve out societal space in which abuse, discrimination, abandonment of patients, and simple malpractice might occur. These concerns are offered amid a backdrop of increased societal polarization and are about a profession which has historically fought for (...)
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  • Do No Evil: Unnoticed Assumptions in Accounts of Conscience Protection.Bryan C. Pilkington - 2016 - HEC Forum 28 (1):1-10.
    In this paper, I argue that distinctions between traditional and contemporary accounts of conscience protections, such as the account offered by Aulisio and Arora, fail. These accounts fail because they require an impoverished conception of our moral lives. This failure is due to unnoticed assumptions about the distinction between the traditional and contemporary articulations of conscience protection. My argument proceeds as follows: First, I highlight crucial assumptions in Aulisio and Arora’s argument. Next, I argue that respecting maximal play in values, (...)
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  • Conscience Dissenters and Disagreement: Professions are Only as Good as Their Practitioners.Bryan C. Pilkington - 2020 - HEC Forum 33 (3):233-245.
    In this paper, I consider the role of conscience in medical practice. If the conscientious practice of individual practitioners cannot be defended or is incoherent or unreasonable on its own merits, then there is little reason to support conscience protection and to argue about its place in the current medical landscape. If this is the case, conscience protection should be abandoned. To the contrary, I argue that conscience protection should not be abandoned. My argument takes the form of an analysis (...)
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  • Considerations of Conscience.Bryan Pilkington - 2021 - HEC Forum 33 (3):165-174.
    The proper role of conscience in healthcare continues to be a topic of deep interest for bioethicists, healthcare professionals, and health policy experts. This issue of HEC Forum brings together a collection of articles about features of these ongoing discussions of conscience, advancing the conversations about conscience in healthcare from a variety of perspectives and on a variety of fronts. Some articles in this issue take up particularly challenging cases of conscientious objection in practice, such as Fleming, Frith, and Ramsayer’s (...)
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  • Minding the 'Unbridgeable Gap': The Future of Conscientious Objection in a Secular Age.Alain Julian León & Rico Vitz - 2017 - Christian Bioethics 23 (2):149-168.
    In this article, we offer a rebuttal to a key thesis in Chapter 5 of Engelhardt’s After God: namely, that there exists an “unbridgeable gap” between the dominant secular culture and traditional religious believers. Contra Engelhardt, we argue that it is possible to bridge the gap by employing a strategy that includes, but is not limited to, methods for cultivating understanding and respect and a sense of solidarity. Our argument proceeds in three steps. First, we elucidate Engelhardt’s thesis in light (...)
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  • Forget Evil: Autonomy, the Physician–Patient Relationship, and the Duty to Refer.Jake Greenblum & T. J. Kasperbauer - 2018 - Journal of Bioethical Inquiry 15 (3):313-317.
    Aulisio and Arora argue that the moral significance of value imposition explains the moral distinction between traditional conscientious objection and non-traditional conscientious objection. The former objects to directly performing actions, whereas the latter objects to indirectly assisting actions on the grounds that indirectly assisting makes the actor morally complicit. Examples of non-traditional conscientious objection include objections to the duty to refer. Typically, we expect physicians who object to a practice to refer, but the non-traditional conscientious objector physician refuses to refer. (...)
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