12 found
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Ann Heesters [8]Ann M. Heesters [3]Ann Munro Heesters [1]
  1.  79
    Clinical ethics consultations: a scoping review of reported outcomes.Ann M. Heesters, Ruby R. Shanker, Kevin Rodrigues, Daniel Z. Buchman, Andria Bianchi, Claudia Barned, Erica Nekolaichuk, Eryn Tong, Marina Salis & Jennifer A. H. Bell - 2022 - BMC Medical Ethics 23 (1):1-65.
    BackgroundClinical ethics consultations can be complex interventions, involving multiple methods, stakeholders, and competing ethical values. Despite longstanding calls for rigorous evaluation in the field, progress has been limited. The Medical Research Council proposed guidelines for evaluating the effectiveness of complex interventions. The evaluation of CEC may benefit from application of the MRC framework to advance the transparency and methodological rigor of this field. A first step is to understand the outcomes measured in evaluations of CEC in healthcare settings. ObjectiveThe primary (...)
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  2.  33
    The use of personal health information outside the circle of care: consent preferences of patients from an academic health care institution.Sarah Tosoni, Indu Voruganti, Katherine Lajkosz, Flavio Habal, Patricia Murphy, Rebecca K. S. Wong, Donald Willison, Carl Virtanen, Ann Heesters & Fei-Fei Liu - 2021 - BMC Medical Ethics 22 (1):1-14.
    Background Immense volumes of personal health information are required to realize the anticipated benefits of artificial intelligence in clinical medicine. To maintain public trust in medical research, consent policies must evolve to reflect contemporary patient preferences. Methods Patients were invited to complete a 27-item survey focusing on: broad versus specific consent; opt-in versus opt-out approaches; comfort level sharing with different recipients; attitudes towards commercialization; and options to track PHI use and study results. Results 222 participants were included in the analysis; (...)
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  3.  20
    Patient consent preferences on sharing personal health information during the COVID-19 pandemic: “the more informed we are, the more likely we are to help”.Sarah Tosoni, Indu Voruganti, Katherine Lajkosz, Shahbano Mustafa, Anne Phillips, S. Joseph Kim, Rebecca K. S. Wong, Donald Willison, Carl Virtanen, Ann Heesters & Fei-Fei Liu - 2022 - BMC Medical Ethics 23 (1):1-15.
    Background Rapid ethical access to personal health information to support research is extremely important during pandemics, yet little is known regarding patient preferences for consent during such crises. This follow-up study sought to ascertain whether there were differences in consent preferences between pre-pandemic times compared to during Wave 1 of the COVID-19 global pandemic, and to better understand the reasons behind these preferences. Methods A total of 183 patients in the pandemic cohort completed the survey via email, and responses were (...)
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  4.  21
    Contracting Compliance: A Discussion of the Ethical Implications of Behavioural Contracts in the Rehabilitation Setting.Jane Cooper, Ann Heesters, Andria Bianchi, Kevin Rodrigues & Nathalie Brown - 2019 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 2 (2):97-101.
    The pervasive use of contracts in healthcare is a source of unease for many healthcare ethicists and patient advocates. This commentary examines the use of such contracts with individuals in rehabilitation settings who have complex medical and behavioural issues. The goals of this paper are to examine the many factors that can lead to contract use, to discuss some legal and ethical implications of contract use, and to assess contract use in light of concerns about health equity. The paper concludes (...)
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  5.  53
    Power of Attorney for Research: The Need for a Clear Legal Mechanism.Ann M. Heesters, Daniel Z. Buchman, Kyle W. Anstey, Jennifer A. H. Bell, Barbara J. Russell & Linda Wright - 2017 - Public Health Ethics 10 (1).
    A recent article in this journal described practical and conceptual difficulties faced by public health researchers studying scabies outbreaks in British residential care facilities. Their study population was elderly, decisionally incapacitated residents, many of whom lacked a legally appropriate decision-maker for healthcare decisions. The researchers reported difficulties securing Research Ethics Committee approval. As practicing healthcare ethicists working in a large Canadian research hospital, we are familiar with this challenge and welcomed the authors’ invitation to join the discussion of the ‘outstanding (...)
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  6.  4
    Key Insights and Priorities for Evaluating the Effectiveness of Clinical Ethics Consultation.Lauren Honan, Ann Heesters, Andria Bianchi, Marina Salis & Jennifer Bell - unknown
    During the 2023 Canadian Bioethics Society forum, 28 practicing healthcare ethicists (PHEs) and other attendees from across Canada, including bioethics students and fellows, gathered virtually for a collaborative workshop entitled “Towards Evaluating Clinical Ethics Consultation Effectiveness: Engagement in a Scoping Review of Reported Outcomes”. The workshop was open to all members of the bioethics community who registered for the forum but was designed primarily for PHEs.
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  7.  37
    Examining Methods to Assess Core Knowledge Competencies: A Canadian Perspective.Barbara Secker, Cécile Bensimon, Cheryl Cline, Dianne Godkin, Ann Heesters & Kevin Reel - 2014 - American Journal of Bioethics 14 (1):30-33.
    We agree with White, Jankowski, and Shelton (2014) that professionalization of health care ethics practice requires serious consideration of a written examination to assess core knowledge competenc...
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  8.  55
    Difficult healthcare transitions.Rosalind Abdool, Michael Szego, Daniel Buchman, Leah Justason, Sally Bean, Ann Heesters, Hannah Kaufman, Bob Parke, Frank Wagner & Jennifer Gibson - 2016 - Nursing Ethics 23 (7):770-783.
    Background: In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement decisions. Objectives: We highlight the current gap in legislation for difficult transition cases involving unrepresented patients and provide a novel framework for who ought to assist with making these decisions and how these (...)
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  9.  14
    James Dunson, iii, Sedation, Suicide, and the Limits of Ethics.Ann Munro Heesters - 2022 - Journal of Moral Philosophy 19 (4):442-445.
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  10.  2
    Inclusion Not Conformity: A Response to a Call for Diversity Based on a Recent Survey of American Bioethicists.Thomas Liang, Claudia Barned, Ann M. Heesters & Jennifer A. H. Bell - 2024 - American Journal of Bioethics 24 (9):40-42.
    Pierson et al. (2024) report that most American bioethicists hold relatively progressive views compared to the public and are not demographically representative of the communities they serve. Furth...
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  11.  53
    Education for Ethics Practice: Tailoring Curricula to Local Needs and Objectives. [REVIEW]Cheryl Cline, Ann Heesters, Barbara Secker & Andrea Frolic - 2012 - HEC Forum 24 (3):227-243.
    Currently, there is no authoritative credentialing process for individuals engaged in ethics practice, no accreditation system that sets minimum education standards for programs aiming to prepare these individuals for their work, and little evidence available that any particular training model is actually achieving its pedagogical goals. At the same time, a number of healthcare organizations and universities now routinely offer post-graduate programs, clinical fellowships and in-house training specifically devised to prepare graduates for ethics practice. However, while their numbers appear to (...)
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  12.  23
    500 Hats: Exploring the Challenges of Boundary and Community—Reflections on Professionalization. [REVIEW]Ann Heesters - 2012 - HEC Forum 24 (3):171-178.
    I argue that it is possible to reframe the current debates over professionalization in a way that can account for disagreement without insisting that its advocates and opponents are adversaries. Giles Scofield, and critics like him, may be understood as engaging in the sort of theoretical disagreement that is an inescapable and vital part of our practice. The field could profit from the work of legal theorist Ronald Dworkin who has long argued that people of good will and great competence (...)
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