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  1.  35
    Understandings and Uses of ‘Culture’ in Bioethics Deliberations Over Parental Refusal of Treatment: Children with Cancer.Ben Gray & Fern Brunger - 2017 - Clinical Ethics 13 (2):55-66.
    We developed this study to examine the issue of parental refusal of treatment, looking at the issue through a cultural competence lens. Recent cases in Canada where courts have declined applications by clinicians for court orders to overrule parental refusal of treatment highlight the dispute in this area. This study analyses the 16 cases of a larger group of 24 cases that were selected by a literature review where cultural or religious beliefs or ethnic identity was described as important reasons (...)
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  2.  36
    Guidelines for Teaching Cross-Cultural Clinical Ethics: Critiquing Ideology and Confronting Power in the Service of a Principles-Based Pedagogy.Fern Brunger - 2016 - Journal of Bioethical Inquiry 13 (1):117-132.
    This paper presents a pedagogical framework for teaching cross-cultural clinical ethics. The approach, offered at the intersection of anthropology and bioethics, is innovative in that it takes on the “social sciences versus bioethics” debate that has been ongoing in North America for three decades. The argument is made that this debate is flawed on both sides and, moreover, that the application of cross-cultural thinking to clinical ethics requires using the tools of the social sciences within a principles-based framework for clinical (...)
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  3.  15
    Models of Ethics Consultation Used by Canadian Ethics Consultants: A Qualitative Study.Chris Kaposy, Fern Brunger, Victor Maddalena & Richard Singleton - 2016 - HEC Forum 28 (4):273-282.
    This article describes a qualitative study of models of ethics consultation used by ethics consultants in Canada. We found four different models used by Canadian ethics consultants whom we interviewed, and one sub-variant. We describe the lone ethics consultant model, the hub-and-spokes sub-variant of this model; the ethics committee model; the capacity-building model; and the facilitated model. Previous empirical studies of ethics consultation describe only two or three of these models.
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  4.  13
    The Use of Ethics Decision‐Making Frameworks by Canadian Ethics Consultants: A Qualitative Study.Chris Kaposy, Fern Brunger, Victor Maddalena & Richard Singleton - 2016 - Bioethics 30 (8):636-642.
    In this study, Canadian healthcare ethics consultants describe their use of ethics decision-making frameworks. Our research finds that ethics consultants in Canada use multi-purpose ethics decision-making frameworks, as well as targeted frameworks that focus on reaching an ethical resolution to a particular healthcare issue, such as adverse event reporting, or difficult triage scenarios. Several interviewees mention the influence that the accreditation process in Canadian healthcare organizations has on the adoption and use of such frameworks. Some of the ethics consultants we (...)
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  5.  13
    Problematizing the Notion of “Community” in Research Ethics.Fern Brunger - 2003 - In Bartha Maria Knoppers (ed.), Populations and Genetics: Legal and Socio-Ethical Perspectives. Martinus Nijhoff. pp. 245--247.
  6.  24
    The Forum.Charles Weijer, Fern Brunger, Simon Shimshon Rubin, Ruth Macklin, Michael A. Grodin, Sondra Crosby & Susan Douglas Kelley - 2002 - Ethics and Behavior 12 (4):371-387.
  7.  49
    DAKO on Trial.Kimberly Bonia, Fern Brunger, Laura Fullerton, Chad Griffiths & Chris Kaposy - 2012 - Techné: Research in Philosophy and Technology 16 (3):275-295.
    This paper tells the story of a recent laboratory medicine controversy in the Canadian province of Newfoundland and Labrador. During the controversy, a DAKOAutostainer machine was blamed for inaccurate breast cancer test results that led to the suboptimal treatment of many patients. In truth, the machine was not at fault. Using concepts developed by Bruno Latour and Pierre Bourdieu, we document the changing nature of the DAKO machine’s agency before, during, and after the controversy, and we make the ethical argument (...)
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  8.  23
    The Interactions of Canadian Ethics Consultants with Health Care Managers and Governing Boards During Times of Crisis.Chris Kaposy, Victor Maddalena, Fern Brunger, Daryl Pullman & Richard Singleton - 2017 - Ajob Empirical Bioethics 8 (2):128-136.
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  9.  14
    Acknowledging Diversity of Meaning: A Reflection on American Bioethics.Daryl Pullman & Fern Brunger - 2016 - American Journal of Bioethics 16 (5):44-46.
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  10.  15
    The Importance of Context in International Research.Fern Brunger & Charles Weijer - unknown
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  11.  9
    DAKO on Trial: A Case Study in the Politics of a Medical Controversy.Kimberly Bonia, Fern Brunger, Laura Fullerton, Chad Griffiths, Chris Kaposy & Barbara Mason - 2012 - Techné: Research in Philosophy and Technology 16 (3):275-295.
    This paper tells the story of a recent laboratory medicine controversy in the Canadian province of Newfoundland and Labrador. During the controversy, a DAKOAutostainer machine was blamed for inaccurate breast cancer test results that led to the suboptimal treatment of many patients. In truth, the machine was not at fault. Using concepts developed by Bruno Latour and Pierre Bourdieu, we document the changing nature of the DAKO machine’s agency before, during, and after the controversy, and we make the ethical argument (...)
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  12. Overuse of Diagnostic Tests in Canada: A Critical Perspective.Julia Borges, Tiffany Lee, Abdullah Saif, Amit Sundly & Fern Brunger - 20019 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 2 (2):39-41.
    In this commentary we describe the interplay between 1) contemporary popular and professional understandings of “risk” and “normality” in health and healthcare, and 2) the promotion by state and market forces of individual self-regulation of health. We draw upon the work of critical theorists who have described the relationship between risk, fear, and the notion of “normal” in health discourse to argue that these factors act, primarily via the popular media, to shape the discourse on, and overuse of, diagnostic tests (...)
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  13.  3
    Overuse of Diagnostic Tests in Canada: A Critical Perspective.Julia Borges, Tiffany Lee, Abdullah Saif, Amit Sundly & Fern Brunger - 2019 - Canadian Journal of Bioethics/Revue canadienne de bioéthique 2 (2):39-41.
    In this commentary we describe the interplay between 1) contemporary popular and professional understandings of “risk” and “normality” in health and healthcare, and 2) the promotion by state and market forces of individual self-regulation of health. We draw upon the work of critical theorists who have described the relationship between risk, fear, and the notion of “normal” in health discourse to argue that these factors act, primarily via the popular media, to shape the discourse on, and overuse of, diagnostic tests (...)
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