22 found
Order:
Disambiguations
Jeffrey Kirby [20]Jeffrey C. Kirby [1]Jeffrey Conyers Kirby [1]
  1.  99
    Transnational Gestational Surrogacy: Does It Have to Be Exploitative?Jeffrey Kirby - 2014 - American Journal of Bioethics 14 (5):24-32.
    This article explores the controversial practice of transnational gestational surrogacy and poses a provocative question: Does it have to be exploitative? Various existing models of exploitation are considered and a novel exploitation-evaluation heuristic is introduced to assist in the analysis of the potentially exploitative dimensions/elements of complex health-related practices. On the basis of application of the heuristic, I conclude that transnational gestational surrogacy, as currently practiced in low-income country settings , is exploitative of surrogate women. Arising out of consideration of (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   18 citations  
  2.  25
    Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (1):38-47.
    Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   11 citations  
  3.  35
    The Limits to Setting Limits on Critical-Care Delivery: Response to Open Peer Commentaries on “Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development”.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (1):5-8.
    Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  4.  23
    Deliberative Engagement: An Inclusive Methodology for Exploring Professionalization. [REVIEW]Jeffrey Kirby & Christy Simpson - 2012 - HEC Forum 24 (3):187-201.
    Early on in the development of Practicing Healthcare Ethicists Exploring Professionalization (PHEEP), the founding members recognized the need to address and meet two important goals: (1) the creation of a dynamic, rigorous process to support the exploratory work, and (2) the establishment of the means—deliberative engagement—to generate and justify the substantive content of professionalization-related products, such as practice standards and position statements. Drawing from social justice and deliberative democracy conceptions and insights (among others), the authors identify and describe the core (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  5.  15
    Balancing Competing Interests and Obligations in Mental Health‐Care Practice and Policy.Jeffrey Kirby - 2019 - Bioethics 33 (6):699-707.
    Direct download  
     
    Export citation  
     
    Bookmark   2 citations  
  6. Ethically Informed Pragmatic Conditions for Organ Donation After Cardiocirculatory Death: Could They Assist in Policy Development?Jeffrey Kirby - 2013 - Journal of Clinical Ethics 24:373-380.
    The modern practice of organ donation after cardiocirculatory death emerged in the 1990s as a response to the alarmingly wide gap between the number of transplantable organs available through organ donation after neurological death and the urgent organ transplantation needs of persons in end-organ failure. Various important ethical dimensions of DCD have been considered and debated by prominent organ donation/transplantation theorists and clinicians. In this article, consideration of some of these ethical elements provides a foundation for a proposed set of (...)
     
    Export citation  
     
    Bookmark   5 citations  
  7.  54
    Paper: Enhancing the Fairness of Pandemic Critical Care Triage.Jeffrey Kirby - 2010 - Journal of Medical Ethics 36 (12):758-761.
    Historically, the triage of temporarily scarce health resources has served narrow utilitarian ends. The recent H1N1 pandemic experience provided an opportunity for expanding the theoretical foundations/understandings of critical care triage in the context of declared infectious pandemics. This paper briefly explores the ethics-related challenges associated with the development of modern critical care triage protocols and provides descriptions of some ‘enhanced fairness’ features which were developed through the use of an inclusive deliberative engagement process by a Canadian provincial Department of Health.
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  8.  4
    An Ethics-Informed, Comparative Analysis of Uterus Transplantation and Gestational Surrogacy for Uterine Factor Infertility in High-Income Countries.Jeffrey Kirby - 2021 - Journal of Bioethical Inquiry 18 (3):417-427.
    Interest in the future, clinical implementation of uterus transplantation for uterine factor infertility was recently boosted by the demonstration of proof-of-concept for deceased uterus donation/transplantation. The ethical dimensions of living and deceased uterus transplantation are explored and addressed in the paper through their comparison to the ethical elements of an existing, legal, assisted reproduction practice in some high-income countries, i.e., gestational surrogacy. A set of six ethics lenses is used in the comparative analysis: reproductive autonomy and rights, informed choice/consent, relevant (...)
    Direct download (3 more)  
    Translate
     
     
    Export citation  
     
    Bookmark   1 citation  
  9.  17
    Responding to cDCDD Ethical Challenges: Translating Analysis Into Policy Action.Jeffrey Kirby - 2015 - American Journal of Bioethics 15 (8):27-29.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  10. Organ Donation: Who Should Decide?—A Canadian Perspective. [REVIEW]Jeffrey Conyers Kirby - 2009 - Journal of Bioethical Inquiry 6 (1):123-128.
    This paper examines an under-explored issue in organ donation: whose decision making authority should be privileged posthumously in the context of known, explicit consent for donation? Current practices in Canada support the family as the ultimate decision maker, despite the existence of legislative support in many Canadian provinces for the potential donor as legitimate decision maker. Arguments for and against privileging the family and the potential donor are identified. Informing the question of “who should decide” are considerations of individual and (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  11.  26
    Morally-Relevant Similarities and Differences Between Assisted Dying Practices in Paradigm and Non-Paradigm Circumstances: Could They Inform Regulatory Decisions?Jeffrey Kirby - 2017 - Journal of Bioethical Inquiry 14 (4):475-483.
    There has been contentious debate over the years about whether there are morally relevant similarities and differences between the three practices of continuous deep sedation until death, physician-assisted suicide, and voluntary euthanasia. Surprisingly little academic attention has been paid to a comparison of the uses of these practices in the two types of circumstances in which they are typically performed. A comparative domains of ethics analysis methodological approach is used in the paper to compare 1) the use of the three (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  12.  36
    Accessing the Ethics of Complex Health Care Practices: Would a “Domains of Ethics Analysis” Approach Help? [REVIEW]Jeffrey Kirby - 2010 - HEC Forum 22 (2):133-143.
    This paper explores how using a domains of ethics analysis approach might constructively contribute to an enhanced understanding (among those without specialized ethics training) of ethically-complex health care practices through the consideration of one such sample practice, i.e., deep and continuous palliative sedation (DCPS). For this purpose, I select four sample ethics domains (from a variety of possible relevant domains) for use in the consideration of this practice, i.e., autonomous choice, motives, actions and consequences. These particular domains were choosen because (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  13.  9
    Shifting the Emphasis to Meaningful Ethics Engagement in the Development of Health Policies.Jeffrey Kirby - 2012 - American Journal of Bioethics 12 (11):18-20.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  14.  14
    Beyond Influence and Autonomy: Expanding the Scope of Ethical Considerations in Organ Donation Registration.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (11):31-33.
  15.  10
    Reconceptualizing ‘Psychiatric Futility’: Could Harm Reduction, Palliative Psychiatry and Assisted Dying Constitute a Three-Component Spectrum of Appropriate Practices?Jeffrey Kirby - 2021 - American Journal of Bioethics 21 (7):65-67.
    Bianchi, Stanley, and Sutander argue in an insightful, cogent manner for the consideration of harm reduction as an ethically-defensible, non-paternal management approach for capable persons...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  16.  6
    Should Institutional Conscientious Objection to Assisted Dying Be Accommodated?Jeffrey Kirby - 2021 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 4 (1).
    The contentious, topical debate about whether faith-based health care organizations should be granted accommodation on the basis of institutional conscientious objection to medical assistance is dying is addressed through a comparative analysis of arguments on both sides of the issue that references such relevant considerations as: claimed ‘moral-authority’, competing rights-based claims, obligations arising from patient welfare principles, formal justice, dissimilarity in consequences, and two illustrative arguments from analogy. The analysis leads to the conclusion that nonconditional accommodation on the basis of (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark  
  17.  36
    Disability and Justice: A Pluralistic Account.Jeffrey C. Kirby - 2004 - Social Theory and Practice 30 (2):229-246.
  18.  40
    Engaging With a Peer-Proposed, Additional Exploitation Condition: Response to Open Peer Commentaries on “Transnational Gestational Surrogacy: Does It Have to Be Exploitative?”.Jeffrey Kirby - 2014 - American Journal of Bioethics 14 (5):W1 - W3.
    This article explores the controversial practice of transnational gestational surrogacy and poses a provocative question: Does it have to be exploitative? Various existing models of exploitation are considered and a novel exploitation-evaluation heuristic is introduced to assist in the analysis of the potentially exploitative dimensions/elements of complex health-related practices. On the basis of application of the heuristic, I conclude that transnational gestational surrogacy, as currently practiced in low-income country settings, is exploitative of surrogate women. Arising out of consideration of the (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  19.  23
    Organ Donation After Assisted Death: Is It More or Less Ethically-Problematic Than Donation After Circulatory Death?Jeffrey Kirby - 2016 - Medicine, Health Care and Philosophy 19 (4):629-635.
    A provocative question has emerged since the Supreme Court of Canada’s decision on assisted dying: Should Canadians who request, and are granted, an assisted death be considered a legitimate source of transplantable organs? A related question is addressed in this paper: is controlled organ donation after assisted death more or less ethically-problematic than standard, controlled organ donation after circulatory determination of death? Controversial, ethics-related dimensions of cDCD that are of relevance to this research question are explored, and morally-relevant distinctions between (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  20.  16
    Is Context a Distortional Factor, Really?Jeffrey Kirby - 2009 - American Journal of Bioethics 9 (8):20-21.
  21.  9
    Is There a Particular Ethical Practice and Policy Space in North America for Uncontrolled Kidney Donation After Circulatory Death?Jeffrey Kirby - 2017 - Journal of Law, Medicine and Ethics 45 (1):142-148.
    Despite successful transplantation outcomes in Europe, uncontrolled organ donation after circulatory determination of death has essentially been a non-starter in North America. In this paper, I identify and explore a set of interesting, ethics-related considerations that are of relevance to this organ donation-transplantation practice. The analysis provides a theoretical platform for my development of a proposal for the creation of a particular ethical practice and policy space for kidney uDCDD in the U.S. and Canada that recognizes and aims to effectively (...)
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  22.  19
    Ethically Preferable Alternative Practice: “No”; A Preferable, Head-to-Head Analytical Approach: “Maybe”.Jeffrey Kirby - 2011 - American Journal of Bioethics 11 (6):57 - 59.
    The American Journal of Bioethics, Volume 11, Issue 6, Page 57-59, June 2011.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark