19 found
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  1.  32
    A hermeneutical rapprochement framework for clinical ethics practice.Franco A. Carnevale - 2019 - Nursing Ethics 26 (3):674-687.
    Background:A growing number of frameworks for the practice of clinical ethics are described in the literature. Among these, hermeneutical frameworks have helped highlight the interpretive and contextual nature of clinical ethics practice.Objectives:The aim of this article is to further advance this body of work by drawing on the ideas of Charles Taylor, a leading hermeneutical philosopher.Design/Findings:A Hermeneutical Rapprochement Framework is presented for clinical ethics practice, based on Taylor’s hermeneutical “retrieval” and “rapprochement.” This builds on existing hermeneutical approaches for the practice (...)
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  2.  12
    Exploring a hermeneutic perspective of nursing through revisiting nursing health history.Julie Frechette & Franco A. Carnevale - 2020 - Nursing Philosophy 21 (2):e12289.
    In this article, the nursing health history is revisited with a hermeneutic lens to uncover means by which this tool can better serve nursing practice. It is argued that further distanciation from the developmental and medical model is necessary to accurately uncover health and history in the nurse–client encounter. Based on the works of prominent hermeneutic philosophers, such as Heidegger, Gadamer, Merleau‐Ponty, Ricoeur, and Taylor, four orientations to health history and nursing are explored: orientation to caring, orientation to narrative, orientation (...)
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  3.  20
    Ethical Care of the Critically Ill Child: a conception of a ‘thick’ bioethics.Franco A. Carnevale - 2005 - Nursing Ethics 12 (3):239-252.
    In this article I argue for an interpretive approach to bioethics with critically ill children. I begin by highlighting the dominant Anglo-American bioethical framework that defines standards for ethical care in critically ill children and then outline a critique of this framework. Drawing predominantly on the ideas of Charles Taylor, Michael Walzer and Richard Zaner, I call for a reconception of bioethics and propose an interpretive ‘thick’ framework that is centred on culture and context. Finally, I illustrate this interpretive approach (...)
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  4.  62
    A Conceptual and Moral Analysis of Suffering.Franco A. Carnevale - 2009 - Nursing Ethics 16 (2):173-183.
    This analysis presents an epistemological and moral examination of suffering. It addresses the specific questions: (1) What is suffering? (2) Can one's suffering be assessed by another? and (3) What is the moral significance of suffering? The epistemological analysis is orientated by Peter Hacker's framework for the investigation of emotions, demonstrating that suffering is an emotion. This leads to a discussion of whether suffering is a phenomenon that can be evaluated objectively by another person who is not experiencing the suffering, (...)
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  5.  67
    Charles Taylor, hermeneutics and Social Imaginaries: a framework for ethics research.Franco A. Carnevale - 2013 - Nursing Philosophy 14 (2):86-95.
    Hermeneutics, also referred to as interpretive phenomenology, has led to important contributions to nursing research. The philosophy of Charles Taylor has been a major source in the development of contemporary hermeneutics, through his ontological and epistemological articulations of the human sciences. The aim of this paper is to demonstrate that Taylor's ideas can further enrich hermeneutic inquiry in nursing research, particularly for investigations of ethical concerns. The paper begins with an outline of Taylor's hermeneutical framework, followed by a review of (...)
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  6. Engagement and suffering in responsible caregiving: On overcoming maleficience in health care.Dawson S. Schultz & Franco A. Carnevale - 1996 - Theoretical Medicine and Bioethics 17 (3).
    The thesis of this article is that engagement and suffering are essential aspects of responsible caregiving. The sense of medical responsibility engendered by engaged caregiving is referred to herein as clinical phronesis, i.e. practical wisdom in health care, or, simply, practical health care wisdom. The idea of clinical phronesis calls to mind a relational or communicative sense of medical responsibility which can best be understood as a kind of virtue ethics, yet one that is informed by the exigencies of moral (...)
     
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  7.  23
    Recognizing Children as Agents: Taylor’s Hermeneutical Ontology and the Philosophy of Childhood.Franco A. Carnevale - 2021 - International Journal of Philosophical Studies 29 (5):791-808.
    Within his earliest contributions to the human sciences, Charles Taylor challenged dominant behavioral views by advancing a hermeneutical conception of human agency. For Taylor, persons continually...
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  8.  25
    Considering medical assistance in dying for minors: the complexities of children’s voices.Harprit Kaur Singh, Mary Ellen Macdonald & Franco A. Carnevale - 2020 - Journal of Medical Ethics 46 (6):399-404.
    Medical assistance in dying legislation in Canada followed much deliberation after the Supreme Court of Canada’s ruling in Carter v. Canada. Included in this deliberation was the Special Joint Committee on Physician Assisted Dying’s recommendation to extend MAID legislation beyond the inclusion of adults to mature minors. Children's agency is a construct advanced within childhood studies literature which entails eliciting children’s voices in order to recognise children as active participants in constructing their own childhoods. Using this framework, we consider the (...)
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  9.  17
    The Birth of Tragedy in Pediatrics: a Phronetic Conception of Bioethics.Franco A. Carnevale - 2007 - Nursing Ethics 14 (5):571-582.
    Accepted standards of parental decisional autonomy and child best interests do not address adequately the complex moral problems involved in the care of critically ill children. A growing body of moral discourse is calling for the recognition of `tragedy' in selected human problems. A tragic dilemma is an irresolvable dilemma with forced terrible alternatives, where even the virtuous agent inescapably emerges with `dirty hands'. The shift in moral framework described here recognizes that the form of conduct called for by tragic (...)
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  10.  31
    Validity of the Italian Code of Ethics for everyday nursing practice.Paola Gobbi, Maria Grazia Castoldi, Rosa Anna Alagna, Anna Brunoldi, Chiara Pari, Annamaria Gallo, Miriam Magri, Lorena Marioni, Giovanni Muttillo, Claudia Passoni, Anna La Torre, Debora Rosa & Franco A. Carnevale - forthcoming - Nursing Ethics:096973301667787.
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  11.  14
    Ethical Considerations in Cross-Linguistic Nursing.Franco A. Carnevale, Bilkis Vissandjée, Amy Nyland & Ariane Vinet-Bonin - 2009 - Nursing Ethics 16 (6):813-826.
    This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequate use of interpreters by nurses. Some evidence suggests that linguistic barriers are particularly problematic for nurses when compared with physicians. A comparative analysis of nursing ethical norms for cross-linguistic nursing was conducted using the codes of ethics of the American Nurses Association, (...)
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  12.  1
    Let’s Not Forget about Clinical Ethics Committees!Franco A. Carnevale - 2016 - Journal of Clinical Ethics 27 (1):68-70.
    The aim of this article is to highlight the under-recognized merits of clinical ethics committees (CECs), to help ensure that the development of roles for clinical ethics consultants do not unwittingly compromise the valuable contributions that CECs can continue to provide. I argue that CECs can offer distinctive contributions to the clinical ethics consultation process that can complement and enrich the input provided by a clinical ethics consultant. These distinctions and complementarities should be further examined and developed. This will help (...)
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  13.  34
    Decisional challenges for children requiring assisted ventilation at home.Kathleen Cranley Glass & Franco A. Carnevale - 2006 - HEC Forum 18 (3):207-221.
  14.  10
    Children as an afterthought during COVID-19: defining a child-inclusive ethical framework for pandemic policymaking.Franco A. Carnevale & Sydney Campbell - 2022 - BMC Medical Ethics 23 (1):1-19.
    BackgroundFollowing the SARS pandemic, jurisdictions around the world began developing ethical resource allocation frameworks for future pandemics—one such framework was developed by Thompson and colleagues. While this framework offers a solid backbone upon which decision-makers can rest assured that their work is driven by rigorous ethical processes and principles, it fails to take into account the nuanced experiences and interests of children and youth (i.e., young people) in a pandemic context. The current COVID-19 pandemic offers an opportunity to re-examine this (...)
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  15.  12
    The Palliation of Dying: A Heideggerian Analysis of the “Technologization” of Death.Franco A. Carnevale - 2005 - Indo-Pacific Journal of Phenomenology 5 (1):1-12.
    The modern West has vigorously sought to overcome death, or at the very least minimize the suffering that it entails. Whereas the former has been predominantly pursued through modern scientific medicine, the minimization of the adversity of death and dying has been sought through ‘death technologies’. This technologization of death is analyzed in light of Martin Heidegger’s phenomenological philosophy. The analysis begins with an outline of the fundamental tenets of Heidegger’s ‘philosophy of Being’. In turn, his philosophical framework is utilized (...)
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  16.  6
    The VOICE Children's Nursing Framework: Drawing on childhood studies to advance nursing practice with young people.Franco A. Carnevale - 2022 - Nursing Inquiry 29 (4):e12495.
    Nursing scholars have called for nursing approaches with children that ensure the promotion of their childhood, contesting dominant adult-based approaches that are adapted for practice with children. Although the nursing literature includes many important advances in the promotion of child-centered approaches, there are still significant gaps in fully recognizing the complexities of childhood within nursing. Within this paper, I (a) outline some key advances in nursing approaches with children, sometimes referred to as “Children's Nursing” (shifting away from “Pediatric Nursing” conceptions (...)
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  17. “We are not the person we will be when these things happen:” Reflections on personhood from an ethnography of neuropalliative care.Marianne Sofronas, Franco A. Carnevale, Mary Ellen Macdonald, Vasiliki Bitzas & David Kenneth Wright - forthcoming - Nursing Inquiry.
    Neuropalliative care developed to address the needs of patients living with life‐limiting neurologic disease. One critical consideration is that disease‐related changes to cognition, communication, and function challenge illness experiences and care practices. We conducted an ethnography to understand neuropalliative care as a phenomenon; how it was experienced, provided, conceptualized. Personhood served as our conceptual framework; with its long philosophical history and important place in nursing theory, we examined the extent to which it captured neuropalliative experiences and concerns. Personhood contextualized complex (...)
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  18.  9
    The moral experiences of children with osteogenesis imperfecta.Yi Wen Wang, Franco A. Carnevale, Maria Ezcurra, Khadidja Chougui, Claudette Bilodeau, Sophia Siedlikowski & Argerie Tsimicalis - 2022 - Nursing Ethics 29 (7-8):1773-1791.
    BackgroundSerious ethical problems have been anecdotally identified in the care of children with osteogenesis imperfecta (OI), which may negatively impact their moral experiences, defined as their sense of fulfillment towards personal values and beliefs.Research aimsTo explore children’s actual and desired participation in discussions, decisions, and actions in an OI hospital setting and their community using art-making to facilitate their self-expression.Research designA focused ethnography was conducted using the moral experiences framework with data from key informant interviews; participant observations, semi-structured interviews, and (...)
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  19.  37
    Qualitative health research and the irb: Answering the “so what?” With qualitative inquiry. [REVIEW]Mary Ellen Macdonald & Franco A. Carnevale - 2008 - Journal of Academic Ethics 6 (1):1-5.
    Qualitative inquiry is increasingly used to foster change in health policy and practice. Research ethics committees often misunderstand qualitative inquiry, assuming its design can be judged by criteria of quantitative science. Traditional health research uses scientific realist standards as a means-to-an-end, answering the question “So what?” to support the advancement of practice and policy. In contrast, qualitative inquiry often draws on constructivist paradigms, generating knowledge either as an end-in-itself or as a means to foster change. When reviewers inappropriately judge qualitative (...)
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