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Wayne Shelton [22]Wayne N. Shelton [6]Wayne Naylor Shelton [1]
  1.  31
    Were the “Pioneer” Clinical Ethics Consultants “Outsiders”? For Them, Was “Critical Distance” That Critical?Bruce D. White, Wayne N. Shelton & Cassandra J. Rivais - 2018 - American Journal of Bioethics 18 (6):34-44.
    “Clinical ethics consultants” have been practicing in the United States for about 50 years. Most of the earliest consultants—the “pioneers”—were “outsiders” when they first appeared at patients' bedsides and in the clinic. However, if they were outsiders initially, they acclimated to the clinical setting and became “insiders” very quickly. Moreover, there was some tension between traditional academics and those doing applied ethics about whether there was sufficient “critical distance” for appropriate reflection about the complex medical ethics dilemmas of the day (...)
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  2.  31
    Structuring a Written Examination to Assess ASBH Health Care Ethics Consultation Core Knowledge Competencies.Bruce D. White, Jane B. Jankowski & Wayne N. Shelton - 2014 - American Journal of Bioethics 14 (1):5-17.
    As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...)
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  3.  55
    Difficult hospital inpatient discharge decisions: Ethical, legal and clinical practice issues.Robert N. Swidler, Terese Seastrum & Wayne Shelton - 2007 - American Journal of Bioethics 7 (3):23 – 28.
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  4.  85
    A Process and Format for Clinical Ethics Consultation.Robert D. Orr & Wayne Shelton - 2009 - Journal of Clinical Ethics 20 (1):79-89.
  5.  3
    The Role of Communication and Interpersonal Skills in Clinical Ethics Consultation: The Need for a Competency in Advanced Ethics Facilitation.Jane Jankowski, Cynthia Geppert & Wayne Shelton - 2016 - Journal of Clinical Ethics 27 (1):28-38.
    Clinical ethics consultants (CECs) often face some of the most difficult communication and interpersonal challenges that occur in hospitals, involving stressed stakeholders who express, with strong emotions, their preferences and concerns in situations of personal crisis and loss. In this article we will give examples of how much of the important work that ethics consultants perform in addressing clinical ethics conflicts is incompletely conceived and explained in the American Society of Bioethics and Humanities Core Competencies for Healthcare Ethics Consultation and (...)
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  6.  19
    Confronting the Hidden Curriculum: A Four-Year Integrated Course in Ethics and Professionalism Grounded in Virtue Ethics.Wayne Shelton & Lisa Campo-Engelstein - 2021 - Journal of Medical Humanities 42 (4):689-703.
    We describe a virtue ethics approach and its application in a four-year, integrated, longitudinal, and required undergraduate medical education course that attempts to address some of the challenges of the hidden curriculum and minimize some of its adverse effects on learners. We discuss how a curriculum grounded in virtue ethics strives to have the practical effect of allowing students to focus on their professional identity as physicians in training rather than merely on knowledge and skills acquisition. This orientation, combined with (...)
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  7.  20
    Physicians’ End of Life Discussions with Patients: Is There an Ethical Obligation to Discuss Aid in Dying?Yan Ming Jane Zhou & Wayne Shelton - 2020 - HEC Forum 32 (3):227-238.
    Since Oregon implemented its Death with Dignity Act, many additional states have followed suit demonstrating a growing understanding and acceptance of aid in dying processes. Traditionally, the patient has been the one to request and seek this option out. However, as Death with Dignity acts continue to expand, it will impact the role of physicians and bring up questions over whether physicians have the ethical obligation to facilitate a conversation about AID with patients during end of life discussions. Patients have (...)
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  8.  2
    Limits of advance directives in decision-making around food and nutrition in patients with dementia.Wayne Shelton & Cynthia Geppert - forthcoming - Journal of Medical Ethics.
    Advance directives are critically important for capable individuals who wish to avoid the burdens of life-prolonging interventions in the advanced stages of dementia. However, this paper will argue that advance directives should have less application to questions about feeding patients during the clinical course of dementia than often has been presumed. The argument will be framed within the debate between Ronald Dworkin and Rebecca Dresser regarding the moral authority of precedent autonomy to determine an individual’s future end-of-life care plan. We (...)
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  9.  36
    The Process to Accredit Clinical Ethics Fellowship Programs Should Start Now.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (3):28-30.
    Fins and colleagues rightly note that “clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems” for which “progress in developing standards for q...
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  10. A Survey of Healthcare Industry Representatives’ Participation in Surgery: Some New Ethical Concerns.Wayne Shelton, Crystal Dea Moore & Jeffrey Bedard - 2014 - Journal of Clinical Ethics 25 (3):238-244.
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  11.  22
    Realistic Goals and Expectations for Clinical Ethics Consultations: We Should Not Overstate What We Can Deliver.Wayne N. Shelton & Bruce D. White - 2015 - American Journal of Bioethics 15 (1):54-56.
    The article by Professor Fiester (2015) expresses concern about the long-term moral distress or negative moral emotions, both aspects of moral residue, that linger in some stakeholders’ experiences...
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  12.  13
    The Ethics of Refusing Lifesaving Treatment Following a Failed Suicide Attempt.Wayne Shelton, Jacob Mago & Megan K. Applewhite - 2023 - Journal of Clinical Ethics 34 (3):273-277.
    Injuries from failed suicide attempts account for a large number of patients cared for in the emergency and trauma setting. While a fundamental underpinning of clinical ethics is that patients have a right to refuse treatment, individuals presenting with life-threating injuries resulting from suicide attempts are almost universally treated in this acute care setting. Here we discuss the limitations on physician ability to determine capacity in this setting and the challenges these pose in carrying out patient wishes.
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  13.  25
    For lack of a better plan: A framework for ethical, legal, and clinical challenges in complex inpatient discharge planning.Terese Seastrum Jane Jankowski, N. Swidler Robert & Wayne Shelton - 2009 - HEC Forum 21 (4):311-326.
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  14.  3
    Clinician Moral Distress: Toward an Ethics of Agent‐Regret.Daniel T. Kim, Wayne Shelton & Megan K. Applewhite - 2023 - Hastings Center Report 53 (6):40-53.
    Moral distress names a widely discussed and concerning clinician experience. Yet the precise nature of the distress and the appropriate practical response to it remain unclear. Clinicians speak of their moral distress in terms of guilt, regret, anger, or other distressing emotions, and they often invoke them interchangeably. But these emotions are distinct, and they are not all equally fitting in the same circumstances. This indicates a problematic ambiguity in the moral distress concept that obscures its distinctiveness, its relevant circumstances, (...)
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  15.  8
    Educational opportunities about ethics and professionalism in the clinical environment: surveys of 3rd year medical students to understand and address elements of the hidden curriculum.Wayne Shelton, Sara Silberstein, Lisa Campo-Engelstein, Henry Pohl, James Desemone & Liva H. Jacoby - 2023 - International Journal of Ethics Education 8 (2):351-372.
    Medical students’ concerns during clinical clerkships may not always be addressed with mentors who work under significant time constraints. This study examined 3rd year students’ survey responses regarding patient encounters to elucidate what may be hidden aspects of their learning environment. We analyzed results to an 18-item survey completed during a required ethics and professionalism course in third-year medicine clerkships over a period of 18 months. The survey covered types of concerns elicited by patient encounters, interactions with mentors about concerns, (...)
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  16.  3
    Ethics by Committee: A Textbook on Consultation, Organization, and Education for Hospital Ethics Committees.Micah D. Hester, Dyrleif Bjarnadottir, Mark Bliton, Michael Boyland, Ken DeVille, Stuart Finder, Richard E. Grant, Chris Hackler, Lynn A. Jansen, Nancy Jecker, Kathy Kinlaw, Tracy Koogler, Eugene Kuc, Tim Murphy, David Ozar, Toby Schonfeld, Wayne Shelton & Alissa Swota (eds.) - 2007 - Lanham, Md.: Rowman & Littlefield Publishers.
    While tens of thousands of people across the United States serve on hospital and other healthcare ethics committees , almost no carefully prepared educational material exists for HEC members. Ethics by Committee is a one volume collection of chapters developed exclusively for this educational purpose. Experts in bioethics, clinical consultation, health law, and social psychology from across the country contribute chapters on ethics consultation, education, and policy development.
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  17. Introduction: Lost Virtue: Professional Character Development and Medical Education.Nuala Kenny & Wayne Shelton - 2006 - Advances in Bioethics 10:xi - xvii.
     
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  18.  7
    The Place of Bioethics in Philosophy: Toward a Mutually Constructive Integration.Pierce Randall, Daniel T. Kim & Wayne Shelton - 2022 - American Journal of Bioethics 22 (12):54-56.
    The critique to which Blumenthal-Barby et al. (2022), respond—that philosophy has little left to do in bioethics—reflects a common assumption that normative theorizing first generates general moral...
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  19.  96
    A broader look at medical futility.Wayne Shelton - 1998 - Theoretical Medicine and Bioethics 19 (4):383-400.
    This paper attempts to provide a descriptive theoretical overview of the medical futility debate. I will first argue that quantitative data cannot alone resolve the medical futility debate. I will then examine two aspects of medical futility, which I call the prospective and immediate, respectively. The first involves making prospective factual and value judgments about the efficacy of proposed medical interventions, while the latter involves making value judgments about ongoing medical conditions where the clinical data are clear. At stake is (...)
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  20.  38
    Empirical Bioethics: Present and Future Possibilities.Wayne Shelton - 2009 - American Journal of Bioethics 9 (6-7):74-75.
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  21.  32
    Putting Children at Risk in the Name of Religion.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (1):32-33.
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  22.  66
    Respect for donor autonomy and the dead donor rule.Wayne Shelton - 2003 - American Journal of Bioethics 3 (1):20 – 21.
  23.  25
    When a Chronically Ill Patient Disagrees with the Discharge Recommendation: The Limits of Patient Autonomy.Wayne Shelton - 2021 - American Journal of Bioethics 21 (7):83-84.
    This is a patient in the relatively early stages of a serious chronic disease requiring ongoing vigilant management if acute complications are to be minimized. In today's healthcare system, we see...
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  24.  34
    In Particular Circumstances Attempting Unproven Interventions Is Permissible and Even Obligatory.Bruce D. White, Luke C. Gelinas & Wayne N. Shelton - 2015 - American Journal of Bioethics 15 (4):53-55.
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  25.  71
    For Lack of a Better Plan: A Framework for Ethical, Legal, and Clinical Challenges in Complex Inpatient Discharge Planning. [REVIEW]Jane Jankowski, Terese Seastrum, Robert N. Swidler & Wayne Shelton - 2009 - HEC Forum 21 (4):311-326.
    For Lack of a Better Plan: A Framework for Ethical, Legal, and Clinical Challenges in Complex Inpatient Discharge Planning Content Type Journal Article Pages 311-326 DOI 10.1007/s10730-009-9117-6 Authors Jane Jankowski, Albany Medical Center Albany NY 12208 USA Terese Seastrum, Northeast Health 2212 Burdett Ave. Troy NY 12180 USA Robert N. Swidler, Northeast Health 2212 Burdett Ave. Troy NY 12180 USA Wayne Shelton, Alden March Bioethics Institute, Albany Medical College 47 New Scotland Avenue, MC 153 Albany NY 12208-3478 USA Journal HEC (...)
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  26.  7
    A review of “Caregiving, Carebots, and Contagion”. [REVIEW]Wayne Shelton - 2022 - Monash Bioethics Review 40 (2):231-233.
    AbstractHow far can smart machines, or carebots, go in performing the profoundly intimate human work of patient caregivers? How will mechanization alter how we understand the essential features of the human task of caregiving and the role of the caregiver? It is these complex questions, with real world implications, that this article discusses in reviewing “Caregiving, Carebots, and Contagion” by philosopher and bioethicist Michael Brannagan.
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  27.  55
    Community as Healing: Pragmatist Ethics in Medical Encounters, by D. Micah Hester. Lanham, MD: Rowman & Littlefield, 2001, 105 pp. $18.95. [REVIEW]Wayne Shelton - 2004 - Cambridge Quarterly of Healthcare Ethics 13 (2):207-210.
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