24 found
Order:
  1.  7
    How Much Volume Should Healthcare Ethics Consult Services Have?Jason Lesandrini, Evelina W. Sterling, Thomas V. Cunningham & Avery C. Glover - 2020 - Journal of Clinical Ethics 31 (2):158-172.
    BackgroundNo standard method exists to assess how many consults a healthcare ethics consultation (HCEC) service should perform. To address this, we developed a method to estimate the volume of HCEC services based on a mixed-methods approach that included a systematic review and survey data on the volume of consult services requested.MethodsOur investigation included a systematic review of studies that reported the volume of HCEC services that were requested from 2000 to 2017, institutional surveys, and statistical analyses that estimated the volume (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   6 citations  
  2.  24
    How do clinicians prepare family members for the role of surrogate decision-maker?Thomas V. Cunningham, Leslie P. Scheunemann, Robert M. Arnold & Douglas White - 2017 - Journal of Medical Ethics Recent Issues 44 (1):21-26.
    Purpose Although surrogate decision-making is prevalent in intensive care units and concerns with decision quality are well documented, little is known about how clinicians help family members understand the surrogate role. We investigated whether and how clinicians provide normative guidance to families regarding how to function as a surrogate. Subjects and methods We audiorecorded and transcribed 73 ICU family conferences in which clinicians anticipated discussing goals of care for incapacitated patients at high risk of death. We developed and applied a (...)
    No categories
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  3.  18
    All Healthcare Ethics Consultation Services Should Meet Shared Quality Standards.Joshua S. Crites & Thomas V. Cunningham - 2022 - American Journal of Bioethics 22 (4):69-72.
    Ellen Fox and collaborators have produced the most detailed description of healthcare ethics practices in the United States available. Some findings are shocking for anyone committed to promoting q...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  4. Objectivity, Scientificity, and the Dualist Epistemology of Medicine.Thomas V. Cunningham - 2015 - In P. Huneman (ed.), Classification, Disease, and Evidence. Springer Science + Business. pp. 01-17.
    This paper considers the view that medicine is both “science” and “art.” It is argued that on this view certain clinical knowledge – of patients’ histories, values, and preferences, and how to integrate them in decision-making – cannot be scientific knowledge. However, by drawing on recent work in philosophy of science it is argued that progress in gaining such knowledge has been achieved by the accumulation of what should be understood as “scientific” knowledge. I claim there are varying degrees of (...)
    Direct download  
     
    Export citation  
     
    Bookmark   4 citations  
  5.  12
    Comprehensive Quality Assessment in Clinical Ethics.Joshua S. Crites, Flora Sheppard, Mark Repenshek, Janet Malek, Nico Nortjé, Matthew Kenney, Avery C. Glover, John Frye, Kristin Furfari, Evan G. DeRenzo, Cynthia Coleman, Andrea Chatburn & Thomas V. Cunningham - 2019 - Journal of Clinical Ethics 30 (3):284-296.
    Scholars and professional organizations in bioethics describe various approaches to “quality assessment” in clinical ethics. Although much of this work represents significant contributions to the literature, it is not clear that there is a robust and shared understanding of what constitutes “quality” in clinical ethics, what activities should be measured when tracking clinical ethics work, and what metrics should be used when measuring those activities. Further, even the most robust quality assessment efforts to date are idiosyncratic, in that they represent (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   4 citations  
  6.  39
    Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare Ethics Consultation.Kelly W. Harris, Thomas V. Cunningham, D. Micah Hester, Kelly Armstrong, Ahra Kim, Frank E. Harrell & Joseph B. Fanning - 2021 - AJOB Empirical Bioethics 12 (2):123-136.
    For over three decades, clinical ethicists in the United States have recorded their consulting activities to supplement documentation in the medical record, often using locally developed instrument...
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  7. Introducing the Medical Ethics Bowl.Allison Merrick, Rochelle Green, Thomas V. Cunningham, Leah R. Eisenberg & D. Micah Hester - 2016 - Cambridge Quarterly of Healthcare Ethics 25 (1):141-149.
    Although ethics is an essential component of undergraduate medical education, research suggests current medical ethics curricula face considerable challenges in improving students’ ethical reasoning. This paper discusses these challenges and introduces a promising new mode of graduate and professional ethics instruction for overcoming them. We begin by describing common ethics curricula, focusing in particular on established problems with current approaches. Next, we describe a novel method of ethics education and assessment for medical students that we have devised, the Medical Ethics (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  8. A Life Below the Threshold? Examining Conflict Between Ethical Principles and Parental Values In Neonatal Treatment Decision Making.Thomas V. Cunningham - 2016 - Narrative Inquiry in Bioethics 6 (1).
    Three common ethical principles for establishing the limits of parental authority in pediatric treatment decision making are the harm principle, the principle of best interest, and the threshold view. This paper consider how these principles apply to a case of a premature neonate with multiple significant comorbidities whose mother wanted all possible treatments, and whose health care providers wondered whether it would be ethically permissible to allow him to die comfortably despite her wishes. Whether and how these principles help to (...)
    Direct download  
     
    Export citation  
     
    Bookmark   2 citations  
  9. What Justifies the Ban on Federal Funding for Nonreproductive Cloning?Thomas V. Cunningham - 2013 - Medicine, Health Care, and Philosophy 16:825-841.
    This paper explores how current United States policies for funding nonreproductive cloning are justified and argues against that justification. I show that a common conceptual framework underlies the national prohibition on the use of public funds for cloning research, which I call the simple argument. This argument rests on two premises: that research harming human embryos is unethical and that embryos produced via fertilization are identical to those produced via cloning. In response to the simple argument, I challenge the latter (...)
    Direct download  
     
    Export citation  
     
    Bookmark   2 citations  
  10. Skepticism About the “Convertibility” of Induced Pluripotent Stem Cells.Thomas V. Cunningham - 2013 - American Journal of Bioethics 13 (1):40-42.
    No abstract available. First paragraph: In this issue’s target article, Stier and Schoene-Siefert purport to ‘depotentialize’ the argument from potentiality based on their claim that any human cell may be “converted” into a morally significant entity, and consequently, the argument from potentiality finally succumbs to a reductio ad absurdum. I aim to convey two reasons for skepticism about the innocuousness of the notion of cell convertibility, and hence, the cogency of their argument.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  11.  14
    Reimagining Thriving Ethics Programs without Ethics Committees.Hilary Mabel, Joshua S. Crites, Thomas V. Cunningham & Jordan Potter - forthcoming - American Journal of Bioethics:1-16.
    With the increasing professionalization of clinical ethics, some hospitals and health systems utilize both ethics committees and professional clinical ethicists to address their ethics needs. Drawing upon historical critiques of ethics committees and their own experiences, the authors argue that, in ethics programs with one or more professional clinical ethicists, ethics committees should be dissolved when they fail to meet minimum standards of effectiveness. The authors outline several criteria for assessing effectiveness, describe the benefits of a model that places primary (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  12. Closure But No Cigar.Leah Eisenberg, Thomas V. Cunningham & D. Micah Hester - 2015 - American Journal of Bioethics 15 (1):44-46.
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  13. Nonreductive Moral Classification and the Limits of Philosophy.Thomas V. Cunningham - 2014 - American Journal of Bioethics 14 (2):22-24.
  14. Rawlsian Reflective Equilibrium.Thomas V. Cunningham - manuscript
    This paper proposes a Rawlsian conception of moral justification as a social activity. Through a close reading, Rawls’ view of ethical justification is shown to be significantly more dialogical and deliberative than is commonly appreciated. The result is a view that emphasizes the social nature of ethical justification and identifies information sharing between persons as the crux of justification in metaethics, in contrast to normative ethics. I call it Rawlsian reflective equilibrium to distinguish it from other varieties.
    Direct download  
     
    Export citation  
     
    Bookmark  
  15.  15
    Power and Limits in Medical Decision Making.Thomas V. Cunningham - 2016 - American Journal of Bioethics 16 (1):56-58.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  16.  36
    What justifies the United States ban on federal funding for nonreproductive cloning?Thomas V. Cunningham - 2013 - Medicine, Health Care and Philosophy 16 (4):825-841.
    This paper explores how current United States policies for funding nonreproductive cloning are justified and argues against that justification. I show that a common conceptual framework underlies the national prohibition on the use of public funds for cloning research, which I call the simple argument. This argument rests on two premises: that research harming human embryos is unethical and that embryos produced via fertilization are identical to those produced via cloning. In response to the simple argument, I challenge the latter (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  17.  4
    Beware the Jackalopes.Thomas V. Cunningham - 2022 - American Journal of Bioethics 22 (8):75-77.
    Philosophers of science deploy mathematical models to describe epistemic communities, or groups of people creating and sharing knowledge for individual and collective purposes. These models capture...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  18.  6
    Becoming Inclusive: Actionable Steps to Diversify the Field of Clinical Ethics.Becket Gremmels, Colleen M. Gallagher, Thomas V. Cunningham, Amy Collard, Caroline Buchanan, Jamila Young, Sheridawn Peden & Barquiesha Madison - 2022 - Journal of Clinical Ethics 33 (4):323-332.
    At the 2022 Clinical Ethics Unconference, the authors perceived a significant lack of racial and ethnic diversity, which was consistent with their experiences in other clinical ethics settings. As a result, they convened a working group to address the pervasive lack of diversity present in the field of clinical ethics and to propose strategies to increase the representation of people from racial and ethnic minority populations. This article identifies the harms associated with the lack of diversity in the healthcare setting (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark  
  19.  17
    Ethical Dilemmas Encountered by Health Care Providers Caring for Marshallese Migrants in Northwest Arkansas.Lisa Low, Rachel S. Purvis, Thomas V. Cunningham, Almas Chughati, Robert Garner & Pearl A. McElfish - 2019 - Narrative Inquiry in Bioethics 9 (1):53-62.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  20.  20
    First Do No Harm: Ethical Concerns of Health Researchers That Discourage the Sharing of Results With Research Participants.Rachel S. Purvis, Christopher R. Long, Leah R. Eisenberg, D. Micah Hester, Thomas V. Cunningham, Angel Holland, Harish E. Chatrathi & Pearl A. McElfish - 2020 - AJOB Empirical Bioethics 11 (2):104-113.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  21.  29
    The Problems of Half-Hearted Interdisciplinarity.Angela Scott & Thomas V. Cunningham - 2016 - American Journal of Bioethics Neuroscience 7 (2):108-109.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  22.  15
    In This Together: Navigating Ethical Challenges Posed by Family Clustering during the Covid‐19 Pandemic.Nicole R. Van Buren, Elijah Weber, Mark J. Bliton & Thomas V. Cunningham - 2021 - Hastings Center Report 51 (2):16-21.
    Harrowing stories reported in the media describe Covid‐19 ravaging through families. This essay reports professional experiences of this phenomenon, family clustering, as encountered during the pandemic's spread across Southern California. We identify three ethical challenges following from it: Family clustering impedes shared decision‐making by reducing available surrogate decision‐makers for incapacitated patients, increases the emotional burdens of surrogate decision‐makers, and exacerbates health disparities for and the suffering of people of color at increased likelihood of experiencing family clustering. We propose that, in (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  23.  21
    Scientific Pluralism. Minnesota Studies in the Philosophy of Science. Vol. 19 by Stephen H. Kellert, Helen E. Longino, C. Kenneth Waters. [REVIEW]Thomas V. Cunningham - 2008 - The Pluralist 3 (1):132-137.
  24.  69
    Ubel, Peter: Critical decisions: how you and your doctor can make the right medical choices together: HarperOne Imprint of HarperCollins Publishers, New York, 2012, 368 pp, $26.99 , ISBN: 978-0-06-210382-6. [REVIEW]Thomas V. Cunningham - 2013 - Theoretical Medicine and Bioethics 34 (6):505-509.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark