95 found
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  1.  51
    Moral distress experienced by nurses: A quantitative literature review.Younjae Oh & Chris Gastmans - 2015 - Nursing Ethics 22 (1):15-31.
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  2.  23
    Relational autonomy: what does it mean and how is it used in end-of-life care? A systematic review of argument-based ethics literature.Carlos Gómez-Vírseda, Yves de Maeseneer & Chris Gastmans - 2019 - BMC Medical Ethics 20 (1):1-15.
    BackgroundRespect 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 of different theoretical traditions. Many authors claim that the principle of respect for autonomy needs to be reconceptualised starting from a relational viewpoint. Along these lines, the notion of relational autonomy is attracting increasing attention in medical ethics. Yet, others argue that relational autonomy needs further clarification in order to be adequately (...)
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  3.  19
    The concept of vulnerability in aged care: a systematic review of argument-based ethics literature.Chris Gastmans, Roberta Sala & Virginia Sanchini - 2022 - BMC Medical Ethics 23 (1):1-20.
    BackgroundVulnerability is a key concept in traditional and contemporary bioethics. In the philosophical literature, vulnerability is understood not only to be an ontological condition of humanity, but also to be a consequence of contingent factors. Within bioethics debates, vulnerable populations are defined in relation to compromised capacity to consent, increased susceptibility to harm, and/or exploitation. Although vulnerability has historically been associated with older adults, to date, no comprehensive or systematic work exists on the meaning of their vulnerability. To fill this (...)
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  4. Dignity-enhancing nursing care.Chris Gastmans - 2013 - Nursing Ethics 20 (2):142-149.
    Starting from two observations regarding nursing ethics research in the past two decades, namely, the dominant influence of both the empirical methods and the principles approach, we present the cornerstones of a foundational argument-based nursing ethics framework. First, we briefly outline the general philosophical–ethical background from which we develop our framework. This is based on three aspects: lived experience, interpretative dialogue, and normative standard. Against this background, we identify and explore three key concepts—vulnerability, care, and dignity—that must be observed in (...)
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  5.  27
    Relational autonomy in end-of-life care ethics: a contextualized approach to real-life complexities.Carlos Gómez-Vírseda, Yves de Maeseneer & Chris Gastmans - 2020 - BMC Medical Ethics 21 (1):1-14.
    BackgroundRespect for autonomy is a paramount principle in end-of-life ethics. Nevertheless, empirical studies show that decision-making, exclusively focused on the individual exercise of autonomy fails to align well with patients’ preferences at the end of life. The need for a more contextualized approach that meets real-life complexities experienced in end-of-life practices has been repeatedly advocated. In this regard, the notion of ‘relational autonomy’ may be a suitable alternative approach. Relational autonomy has even been advanced as a foundational notion of palliative (...)
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  6.  60
    Nursing considered as moral practice: A philosophical-ethical interpretation of nursing.Chris Gastmans, Bernadette Dierckx de Casterle & Paul Schotsmans - 1998 - Kennedy Institute of Ethics Journal 8 (1):43-69.
    : Discussions of ethical approaches in nursing have been much enlivened in recent years, for instance by new developments in the theory of care. Nevertheless, many ethical concepts in nursing still need to be clarified. The purpose of this contribution is to develop a fundamental ethical view on nursing care considered as moral practice. Three main components are analyzed more deeply--i.e., the caring relationship, caring behavior as the integration of virtue and expert activity, and "good care" as the ultimate goal (...)
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  7.  36
    A personalist approach to care ethics.Linus Vanlaere & Chris Gastmans - 2011 - Nursing Ethics 18 (2):161-173.
    Notwithstanding the fact that care ethics has received increased attention, it has also faced much criticism. One of the focal points of critics is the normativity of care. Only when the objective normative basis of care is sufficiently clarified can care practices be evaluated and optimized from an ethical point of view. We emphasize that two levels of normativity can be identified: the context level and the foundational anthropology level. The personalist approach to care ethics is normatively stronger, at least (...)
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  8.  50
    Experiential learning of empathy in a care-ethics lab.Linus Vanlaere, Trees Coucke & Chris Gastmans - 2010 - Nursing Ethics 17 (3):325-336.
    To generate empathy in the care of vulnerable older persons requires care providers to reflect critically on their care practices. Ethics education and training must provide them with tools to accomplish such critical reflection. It must also create a pedagogical context in which good care can be taught and cultivated. The care-ethics lab ‘sTimul’ originated in 2008 in Flanders with the stimulation of ethical reflection in care providers and care providers in training as its main goal. Also in 2008, sTimul (...)
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  9.  38
    A Fundamental Ethical Approach to Nursing: some proposals for ethics education.Chris Gastmans - 2002 - Nursing Ethics 9 (5):494-507.
    The purpose of this article is to explore a fundamental ethical approach to nursing and to suggest some proposals, based on this approach, for nursing ethics education. The major point is that the kind of nursing ethics education that is given reflects the theory that is held of nursing. Three components of a fundamental ethical view on nursing are analysed more deeply: (1) nursing considered as moral practice; (2) the intersubjective character of nursing; and (3) moral perception. It is argued (...)
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  10.  15
    Ethics in Nursing Education: Learning To Reflect On Care Practices.Linus Vanlaere & Chris Gastmans - 2007 - Nursing Ethics 14 (6):758-766.
    Providing good care requires nurses to reflect critically on their nursing practices. Ethics education must provide nurses with tools to accomplish such critical reflection. It must also create a pedagogical context in which a caring attitude can be taught and cultivated. To achieve this twofold goal, we argue that the principles of a right-action approach, within which nurses conform to a number of minimum principles, must be integrated into a virtue ethics approach that cultivates a caring attitude. Ethics education that (...)
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  11.  13
    Measuring nurses’ moral courage: an explorative study.Kasper Jean-Pierre Konings, Chris Gastmans, Olivia Hanneli Numminen, Roelant Claerhout, Glenn Aerts, Helena Leino-Kilpi & Bernadette Dierckx de Casterlé - 2022 - Nursing Ethics 29 (1):114-130.
    Background: The 21-item Nurses’ Moral Courage Scale was developed and validated in 2018 in Finland with the purpose of measuring moral courage among nurses. Objectives: The objective of this study was to make a Dutch translation of the Nurses’ Moral Courage Scale to describe the level of nurses’ self-assessed moral courage and associated socio-demographic factors in Flanders, Belgium. Research design: A forward–backward translation method was applied to translate the English Nurses’ Moral Courage Scale to Dutch, and a pilot study was (...)
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  12.  61
    Trust in nurse–patient relationships.Leyla Dinç & Chris Gastmans - 2013 - Nursing Ethics 20 (5):501-516.
    The aim of this study was to report the results of a literature review of empirical studies on trust within the nurse–patient relationship. A search of electronic databases yielded 34 articles published between 1980 and 2011. Twenty-two studies used a qualitative design, and 12 studies used quantitative research methods. The context of most quantitative studies was nurse caring behaviours, whereas most qualitative studies focused on trust in the nurse–patient relationship. Most of the quantitative studies used a descriptive design, while qualitative (...)
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  13.  17
    Care as A Moral Attitude in Nursing.Chris Gastmans - 1999 - Nursing Ethics 6 (3):214-223.
    The concept of care can be explained in various ways, and it can present a different meaning to each person. Nurses are increasingly aware that good nursing care consists of ‘more’ than the competent performance of a number of caring activities. For many nurses it is less clear what this ‘more’ means and what importance it has in nursing. This article will develop a view concerning care considered as a moral attitude. It is argued that care can be considered as (...)
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  14.  37
    Trust and trustworthiness in nursing: an argument‐based literature review.Leyla Dinç & Chris Gastmans - 2012 - Nursing Inquiry 19 (3):223-237.
    DINÇ L and GASTMANS C. Nursing Inquiry 2012; 19: 223–237 Trust and trustworthiness in nursing: an argument‐based literature reviewCaring requires nurses to establish trusting relationships with patients and to be trustworthy professionals. This article provides insight into the conceptual understanding of trust and trustworthiness in nursing through an argument‐based literature review of 17 articles published between 1980 and 2010. Trust is characterized as an attitude relying with confidence on someone. The importance of trust relationships is considered by addressing the imbalances (...)
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  15.  24
    Attitudes about withholding or withdrawing life-prolonging treatment, euthanasia, assisted suicide, and physician assisted suicide: a cross-sectional survey among the general public in Croatia.Chris Gastmans, Bert Gordijn, Diana Spoljar, Jurica Vukovic, Filip Rubic, Milivoj Novak, Stjepan Oreskovic, Krunoslav Nikodem, Marko Curkovic & Ana Borovecki - 2022 - BMC Medical Ethics 23 (1):1-16.
    BackgroundThere has been no in-depth research of public attitudes on withholding or withdrawing life-prolonging treatment, euthanasia, assisted suicide and physician assisted suicide in Croatia. The aim of this study was to examine these attitudes and their correlation with sociodemographic characteristics, religion, political orientation, tolerance of personal choice, trust in physicians, health status, experiences with death and caring for the seriously ill, and attitudes towards death and dying. MethodsA cross-sectional study was conducted on a three-stage random sample of adult citizens of (...)
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  16.  6
    Ethics of resuscitation for extremely premature infants: a systematic review of argument-based literature.Alice Cavolo, Bernadette Dierckx de Casterlé, Gunnar Naulaers & Chris Gastmans - 2021 - Journal of Medical Ethics 47 (12):4-4.
    ObjectiveTo present (1) the ethical concepts related to the debate on resuscitation of extremely premature infants (EPIs) as they are described in the ethical literature; and (2) the ethical arguments based on these concepts.DesignWe conducted a systematic review of the ethical literature. We selected articles based on the following predefined inclusion/exclusion criteria: (1) English language articles (2) presenting fully elaborated ethical arguments (3) on resuscitation (4) of EPIs, that is, infants born before 28 weeks of gestation.AnalysisAfter repeated reading of articles, (...)
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  17.  21
    Euthanasia in persons with advanced dementia: a dignity-enhancing care approach.Carlos Gómez-Vírseda & Chris Gastmans - 2022 - Journal of Medical Ethics 48 (11):907-914.
    In current Western societies, increasing numbers of people express their desire to choose when to die. Allowing people to choose the moment of their death is an ethical issue that should be embedded in sound clinical and legal frameworks. In the case of persons with dementia, it raises further ethical questions such as: Does the person have the capacity to make the choice? Is the person being coerced? Who should be involved in the decision? Is the person’s suffering untreatable? The (...)
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  18.  10
    Ethics of socially assistive robots in aged-care settings: a socio-historical contextualisation.Tijs Vandemeulebroucke, Bernadette Dierckx de Casterlé & Chris Gastmans - 2020 - Journal of Medical Ethics 46 (2):128-136.
    Different embodiments of technology permeate all layers of public and private domains in society. In the public domain of aged care, attention is increasingly focused on the use of socially assistive robots supporting caregivers and older adults to guarantee that older adults receive care. The introduction of SARs in aged-care contexts is joint by intensive empirical and philosophical research. Although these efforts merit praise, current empirical and philosophical research are still too far separated. Strengthening the connection between these two fields (...)
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  19.  6
    The Need for a Global Approach to the Ethical Evaluation of Healthcare Machine Learning.Tijs Vandemeulebroucke, Yvonne Denier & Chris Gastmans - 2022 - American Journal of Bioethics 22 (5):33-35.
    In their article “A Research Ethics Framework for the Clinical Translation of Healthcare Machine Learning,” McCradden et al. highlight the various gaps that emerge when artificial intelligen...
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  20. Living to the bitter end? A personalist approach to euthanasia in persons with severe dementia.Jan de Lepeleire & Chris Gastmans - 2010 - Bioethics 24 (2):78-86.
    The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...)
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  21.  53
    “It’s intense, you know.” Nurses’ experiences in caring for patients requesting euthanasia.Yvonne Denier, Bernadette Dierckx de Casterlé, Nele De Bal & Chris Gastmans - 2010 - Medicine, Health Care and Philosophy 13 (1):41-48.
    The Belgian Act on Euthanasia came into force on 23 September 2002, making Belgium the second country—after the Netherlands—to decriminalize euthanasia under certain due-care conditions. Since then, Belgian nurses have been increasingly involved in euthanasia care. In this paper, we report a qualitative study based on in-depth interviews with 18 nurses from Flanders (the Dutch-speaking part of Belgium) who have had experience in caring for patients requesting euthanasia since May 2002 (the approval of the Act). We found that the care (...)
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  22.  44
    An explorative study of experiences of healthcare providers posing as simulated care receivers in a 'care-ethical' lab.Linus Vanlaere, Madeleine Timmermann, Marleen Stevens & Chris Gastmans - 2012 - Nursing Ethics 19 (1):68-79.
    In recent approaches to ethics, the personal involvement of health care providers and their empathy are perceived as important elements of an overall ethical ability. Experiential working methods are used in ethics education to foster, inter alia, empathy. In 2008, the care-ethics lab ‘sTimul’ was founded in Flanders, Belgium, to provide training that focuses on improving care providers' ethical abilities through experiential working simulations. The curriculum of sTimul focuses on empathy sessions, aimed at care providers' empathic skills. The present study (...)
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  23.  15
    Socially Assistive Robots in Aged Care: Ethical Orientations Beyond the Care-Romantic and Technology-Deterministic Gaze.Tijs Vandemeulebroucke, Bernadette Dierckx de Casterlé & Chris Gastmans - 2021 - Science and Engineering Ethics 27 (2):1-20.
    Socially Assistive Robots are increasingly conceived as applicable tools to be used in aged care. However, the use carries many negative and positive connotations. Negative connotations come forth out of romanticized views of care practices, disregarding their already established technological nature. Positive connotations are formulated out of techno-deterministic views on SAR use, presenting it as an inevitable and necessary next step in technological development to guarantee aged care. Ethical guidance of SAR use inspired by negative connotations tends to be over-restrictive (...)
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  24.  33
    Belgian Nurses' Views on Codes of Ethics: Development, Dissemination, Implementation.Ellen Verpeet, Bernadette Dierckx de Casterlé, Joke Lemiengre & Chris Gastmans - 2006 - Nursing Ethics 13 (5):531-545.
    The aim of this study was to explore how Belgian nurses view issues related to the development, dissemination and implementation of a code of ethics for nurses. Fifty nurses took part in eight focus groups. The participants stated that, on the whole, a code of ethics for nurses would be useful. They stressed that a code should be a practical and useful instrument developed by nurses for nurses, and that it should be formulated and presented in a practical way, just (...)
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  25.  15
    ‘You can give them wings to fly’: a qualitative study on values-based leadership in health care.Yvonne Denier, Lieve Dhaene & Chris Gastmans - 2019 - BMC Medical Ethics 20 (1):1-17.
    Within contemporary health care, many of the decisions affecting the health and well-being of patients are not being made by the clinicians or health professionals, but by those involved in health care management. Existing literature on organizational ethics provides insight into the various structures, processes and strategies - such as mission statement, ethics committees, ethical rounds … - that exist to create an organizational climate, which fosters ethical practices and decision-making It does not, however, show how health care managers experience (...)
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  26.  59
    Living to the bitter end? A personalist approach to euthanasia in persons with severe dementia.Chris Gastmans & Jan de Lepeleire - 2009 - Bioethics 24 (2):78-86.
    The number of people suffering from dementia will rise considerably in the years to come. This will have important implications for society. People suffering from dementia have to rely on relatives and professional caregivers when their disorder progresses. Some people want to determine for themselves their moment of death, if they should become demented. They think that the decline in personality caused by severe dementia is shocking and unacceptable. In this context, some people consider euthanasia as a way to avoid (...)
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  27.  17
    Parity Arguments for ‘Physician Aid-in-Dying’ (PAD) for Psychiatric Disorders: Their Structure and Limits.Scott Y. H. Kim, Chris Gastmans & Marie E. Nicolini - 2019 - American Journal of Bioethics 19 (10):3-7.
    Volume 19, Issue 10, October 2019, Page 3-7.
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  28.  20
    Cancer Patients' Perceptions of the Good Nurse: a Literature Review.Leila Rchaidia, Bernadette Dierckx de Casterlé, Liesbeth De Blaeser & Chris Gastmans - 2009 - Nursing Ethics 16 (5):528-542.
    This article discusses findings from a mixed method literature review that investigated cancer patients’ perceptions of what constitutes a good nurse. To find pertinent articles, we conducted a systematic key word search of five journal databases (1998—2008). The application of carefully constructed inclusion criteria and critical appraisal identified 12 relevant articles. According to the patients, good nurses were shown to be characterized by specific, but inter-related, attitudes, skills and knowledge; they engage in person-to-person relationships, respect the uniqueness of patients, and (...)
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  29.  9
    Relational autonomy, vulnerability and embodied dignity as normative foundations of dignified dementia care.Yvonne Denier & Chris Gastmans - 2022 - Journal of Medical Ethics 48 (12):968-969.
    Hojjat Soofi successfully developed a novel dementia-specific model of human flourishing.1 Based on a modified version of Nussbaum’s account of dignity (ie, the theoretical framework of the capabilities approach), and integrated with Kitwood and Bredin’s empirically informed list of indicators of well-being for people with dementia (ie, the field of empirically informed ethics), this model provides guidance on how to actually care for people with dementia in real-life practices, according to the moral requirements of respect for dignity. More specifically, we (...)
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  30.  10
    ‘Yes we hear you. Do you hear us?’. A sociopolitical approach to video-based telepsychiatric consultations.Tijs Vandemeulebroucke, Alice Cavolo & Chris Gastmans - 2022 - Journal of Medical Ethics 48 (1):34-35.
    The COVID-19 pandemic has had, and still has, the risk to have an enormous impact on how people socially interact with each other due to possible lockdowns, quarantine and isolation measures to reduce infection rates. Consequently, these measures hold great implications for those medical disciplines that inherently rely on social interaction, such as psychiatry. In their article, ‘Can you hear me?’— Communication, Relationship and Ethics in Video-based Telepsychiatric Consultations’, Frittgen and Haltaufderheide1 show that videoconferencing holds potential to ensure that this (...)
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  31.  5
    Assent: going beyond acknowledgement for fair inclusion.Alice Cavolo & Chris Gastmans - 2023 - Journal of Medical Ethics 49 (7):487-488.
    In her article Reification and assent in research involving those who lack capacity, Anna Smajdor shows how excluding adults with impairments of capacity (AWICs) to protect them from the risks of medical research has the paradoxical effect of harming them by reifying them.1 While the medical risks of excluding vulnerable populations in general from medical research are well known, the main risk being the creation of therapeutic orphans, the risk of reifying these populations is less discussed. Hence, we commend Smajdor (...)
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  32.  21
    Care, compassion and recognition: an ethical discussion.Carlo Leget, Chris Gastmans & Marian Verkerk (eds.) - 2011 - Leuven: Peeters.
    Since Carol Gilligan's In a Different Voice (1982) the ethics of care has developed as a movement of allied thinkers, in different continents, who have a shared concern and who reflect on similar topics. This shared concern is that care can only be revalued and take its societal place if existing asymmetrical power relations are unveiled, and if the dignity of care givers and care receivers is better guaranteed, socially, politically and personally. In this first volume of a new series (...)
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  33.  34
    ‘Because we see them naked' - nurses’ experiences in caring for hospitalized patients with dementia: Considering artificial nutrition or hydration.Els Bryon, Bernadette Dierckx de Casterlé & Chris Gastmans - 2012 - Bioethics 26 (6):285-295.
    The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...)
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  34.  18
    ‘Because we see them naked' - nurses’ experiences in caring for hospitalized patients with dementia: Considering artificial nutrition or hydration.Els Bryon, Bernadette Dierckx de Casterlé & Chris Gastmans - 2012 - Bioethics 26 (6):285-295.
    The aim of this study was to explore and describe how Flemish nurses experience their involvement in the care of hospitalized patients with dementia, particularly in relation to artificial nutrition or hydration (ANH). We interviewed 21 hospital nurses who were carefully selected from nine hospitals in different regions of Flanders. ‘Being touched by the vulnerability of the demented patient’ was the central experience of the nurses, having great impact on them professionally as well as personally. This feeling can be described (...)
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  35.  76
    Nurses’ ethical reasoning in cases of physical restraint in acute elderly care: a qualitative study.Sabine Goethals, Bernadette Dierckx de Casterlé & Chris Gastmans - 2013 - Medicine, Health Care and Philosophy 16 (4):983-991.
    In their practice, nurses make daily decisions that are ethically informed. An ethical decision is the result of a complex reasoning process based on knowledge and experience and driven by ethical values. Especially in acute elderly care and more specifically decisions concerning the use of physical restraint require a thoughtful deliberation of the different values at stake. Qualitative evidence concerning nurses’ decision-making in cases of physical restraint provided important insights in the complexity of decision-making as a trajectory. However a nuanced (...)
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  36. Clarifying the Concept of Human Dignity in the Care of the Elderly.Win Tadd, Linus Vanlaere & Chris Gastmans - 2010 - Ethical Perspectives 17 (2):253-281.
    The need for dignity is frequently mentioned in policy documents relating to the care of the elderly. It is also described as an important value in professional codes. Yet concerns about the standards of care for an important number of elderly people abound, despite global ageing being a challenging phenomenon. Not least among these is how to ensure that the elderly will be able to live out their days with dignity.In the present paper, we begin with an empirical exploration of (...)
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  37.  67
    A Review and Taxonomy of Argument-Based Ethics Literature regarding Conscientious Objections to End-of-Life Procedures.Jerome R. Wernow & Chris Gastmans - 2010 - Christian Bioethics 16 (3):274-295.
    Our study provides a review of argument-based scientific literature to address conscientious objections to end-of-life procedures. We also proposed a taxonomy based on this study that might facilitate clarification of this discussion at a basic level. The three clusters of our taxonomy include (1) nonconventional compatibilists that claim that conscientious objection against morally repugnant social conventions is compatible with professional obligation, (2) conventional compatibilists that suggest that conscientious objection against social convention is permissible under certain terms of compromise, and (3) (...)
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  38.  51
    Ethics Meetings in Support of Good Nursing Care: some practice-based thoughts.Bernadette Dierckx de Casterlé, Tom Meulenbergs, Lut van de Vijver, Anne Tanghe & Chris Gastmans - 2002 - Nursing Ethics 9 (6):612-622.
    The purpose of this article is to clarify both the role of nurses in ethics meetings and the way in which ethics meetings can function as a catalyst for good nursing care. The thoughts presented are practice based; they arose from our practical experiences as nurses and ethicists with ethics meetings in health care organizations in Belgium. Our reflections are written from the perspective of the nurse in the field who is participating in (inter)professional ethical dialogue. First, the difficulties that (...)
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  39.  10
    Neonatologists’ decision-making for resuscitation and non-resuscitation of extremely preterm infants: ethical principles, challenges, and strategies—a qualitative study.Chris Gastmans, Gunnar Naulaers, Bernadette Dierckx de Casterlé & Alice Cavolo - 2021 - BMC Medical Ethics 22 (1):1-15.
    BackgroundDeciding whether to resuscitate extremely preterm infants (EPIs) is clinically and ethically problematic. The aim of the study was to understand neonatologists’ clinical–ethical decision-making for resuscitation of EPIs.MethodsWe conducted a qualitative study in Belgium, following a constructivist account of the Grounded Theory. We conducted 20 in-depth, face-to-face, semi-structured interviews with neonatologists. Data analysis followed the qualitative analysis guide of Leuven.ResultsThe main principles guiding participants’ decision-making were EPIs’ best interest and respect for parents’ autonomy. Participants agreed that justice as resource allocation (...)
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  40.  20
    Eternal sunshine of the spotless mind? An anthropological-ethical framework for understanding and dealing with sexuality in dementia care.Lieslot Mahieu, Luc Anckaert & Chris Gastmans - 2014 - Medicine, Health Care and Philosophy 17 (3):377-387.
    Contemporary bioethics pays considerable attention to the ethical aspects of dementia care. However, ethical issues of sexuality especially as experienced by institutionalized persons with dementia are often overlooked. The relevant existing ethics literature generally applies an implicit philosophical anthropology that favors the principle of respect for autonomy and the concomitant notion of informed consent. In this article we will illustrate how this way of handling the issue fails in its duty to people with dementia. Our thesis is that a more (...)
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  41.  35
    Professional Values and Norms for Nurses in Belgium.Ellen Verpeet, Tom Meulenbergs & Chris Gastmans - 2003 - Nursing Ethics 10 (6):654-665.
    Because of their responsibilities for providing high-quality care, at times when they are continuously confronted with inherent professional and ethical challenges, nurses should meet high ethical standards of practice and conduct. Contrary to other countries, where codes of ethics for nurses are formulated to support those standards and to guide nurses’ professional practice, Belgian nurses do not have a formal code of ethics. Nevertheless, professional ethics is recognized as an important aspect in legal and other professional documents. The aim of (...)
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  42.  19
    How do ethnic minority patients experience the intercultural care encounter in hospitals? A systematic review of qualitative research.Liesbet Degrie, Chris Gastmans, Lieslot Mahieu, Bernadette Dierckx de Casterlé & Yvonne Denier - 2017 - BMC Medical Ethics 18 (1):2.
    BackgroundIn our globalizing world, caregivers are increasingly being confronted with the challenges of providing intercultural healthcare, trying to find a dignified answer to the vulnerable situation of ethnic minority patients. Until now, international literature lacks insight in the intercultural care process as experienced by the ethnic minority patients themselves. We aim to fill this gap by analysing qualitative literature on the intercultural care encounter in the hospital setting, as experienced by ethnic minority patients.MethodsA systematic search was conducted for papers published (...)
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  43.  34
    Intimacy and Sexuality in Institutionalized Dementia Care: Clinical-Ethical Considerations.Lieslot Mahieu, Luc Anckaert & Chris Gastmans - 2017 - Health Care Analysis 25 (1):52-71.
    Intimacy and sexuality expressed by nursing home residents with dementia remains an ethically sensitive issue for care facilities, nursing staff and family members. Dealing with residents’ sexual longings and behaviour is extremely difficult, putting a burden on the caregivers as well as on the residents themselves and their relatives. The parties in question often do not know how to react when residents express themselves sexually. The overall aim of this article is to provide a number of clinical-ethical considerations addressing the (...)
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  44.  30
    Nurses’ views on their involvement in euthanasia: a qualitative study in Flanders.B. Dierckx De Casterle, C. Verpoort, Nele De Bal & Chris Gastmans - 2006 - Journal of Medical Ethics 32 (4):187-192.
    Background: Although nurses worldwide are confronted with euthanasia requests from patients, the views of palliative care nurses on their involvement in euthanasia remain unclear.Objectives: In depth exploration of the views of palliative care nurses on their involvement in the entire care process surrounding euthanasia.Design: A qualitative Grounded Theory strategy was used.Setting and participants: In anticipation of new Belgian legislation on euthanasia, we conducted semistructured interviews with 12 nurses working in a palliative care setting in the province of Vlaams-Brabant.Results: Palliative care (...)
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  45.  42
    Pluralism and Ethical Dialogue in Christian Healthcare Institutions: The View of Caritas Catholica Flanders.Chris Gastmans, S. J. Fernand Van Neste & Paul Schotsmans - 2006 - Christian Bioethics 12 (3):265-280.
    In this article, the place and the nature of an ethical dialogue that develops within Christian healthcare institutions in Flanders, Belgium is examined. More specifically, the question is asked how Christian healthcare institutions should position themselves ethically in a context of a pluralistic society. The profile developed by Caritas Catholica Flanders must take seriously not only the external pluralistic context of our society and the internal pluralistic worldviews by personnel/employees and patients, but also the inherent inspiration of a Christian healthcare (...)
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  46.  20
    Telepsychiatry and the meaning of in-person contact: a preliminary ethical appraisal.Aimee van Wynsberghe & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (4):469-476.
    Pioneering researchers claim that telepsychiatry presents the possibility of improving both the quality and quantity of patient care for populations in general as well as for those in rural and remote locations. The prevalence of, and literature on telepsychiatry has increased dramatically in the last decade, covering all aspects of research endeavors. However, little can be found on the topic of ethics in telepsychiatry. Using various clinical scenarios we may provide insight into the moral challenge in telepsychiatry—the lack of in-person (...)
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  47.  15
    Telepsychiatry and the meaning of in-person contact: a preliminary ethical appraisal.Aimee Wynsberghe & Chris Gastmans - 2009 - Medicine, Health Care and Philosophy 12 (4):469-476.
    Pioneering researchers claim that telepsychiatry presents the possibility of improving both the quality and quantity of patient care for populations in general as well as for those in rural and remote locations. The prevalence of, and literature on telepsychiatry has increased dramatically in the last decade, covering all aspects of research endeavors. However, little can be found on the topic of ethics in telepsychiatry. Using various clinical scenarios we may provide insight into the moral challenge in telepsychiatry—the lack of in-person (...)
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  48.  20
    Caring for a Dignified End of Life in a Christian Health Care Institution: The View of Caritas Catholica Vlaanderen.Chris Gastmans - 2002 - Ethical Perspectives 9 (2-3):134-145.
    Immediately following the approval of the Belgian law on euthanasia, Caritas Catholica Vlaanderen sent a position paper to all affiliated institutions in which its standpoint regarding care for a dignified end of life is clarified. We would like to sketch very briefly the context in which this position paper should be placed, before reproducing the complete text of the recommendation.Caritas Catholica Vlaanderen is an umbrella organization for cooperation and consultation between the Verbond der Verzorgingsinstellingen [Association of Care Institutions], grouping health-care (...)
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  49.  9
    Nurses’ knowledge and attitudes toward aged sexuality in Flemish nursing homes.Lieslot Mahieu, Bernadette Dierckx de Casterlé, Jolien Acke, Hanne Vandermarliere, Kim Van Elssen, Steffen Fieuws & Chris Gastmans - 2016 - Nursing Ethics 23 (6):605-623.
    Background:Admission to a nursing home does not necessarily diminish an older person’s desire for sexual expression and fulfillment. Given that nursing staff directly and indirectly influence the range of acceptable sexual expressions of nursing home residents, their knowledge and attitudes toward aged sexuality can have far-reaching effects on both the quality of care they provide to residents and the self-image and well-being of these residents.Research objectives:To investigate nursing staff’s knowledge and attitudes toward aged sexuality, to determine whether certain sociodemographic factors (...)
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  50.  45
    Elderly patients' and residents' perceptions of 'the good nurse': a literature review.Elisa Van der Elst, Bernadette Dierckx de Casterlé & Chris Gastmans - 2012 - Journal of Medical Ethics 38 (2):93-97.
    This article describes the findings of a mixed method literature review that examined the perceptions of elderly patients and residents of a good nurse in nursing homes, hospitals and home care. According to elderly patients and residents, good nurses are individuals who have the necessary technical and psychosocial skills to care for patients. They are at their disposal, promptly recognising the patients' needs. Good nurses like their job and are sincere and affectionate. They are understanding and caring. They do not (...)
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