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Moral distress is common in neonatal intensive care unit (NICU) nurses. The purpose of this study was to evaluate the relationships between NICU nurses' moral foundations, moral emotions, and moral distress. This is an observational cross-sectional self-report questionnaire study.
View Article and Find Full Text PDFDisclosing and Managing Non-Financial Conflicts of Interest in Scientific Publications.
Res Ethics
April 2023
NIEHS/NIH.
In the last decade, there has been increased recognition of the importance of disclosing and managing non-financial conflicts of interests to safeguard the objectivity, integrity, and trustworthiness of scientific research. While funding agencies and academic institutions have had policies for addressing non-financial interests in grant peer review and research oversight since the 1990s, scientific journals have been only recently begun to develop such policies. An impediment to the formulation of effective journal policies is that non-financial interests can be difficult to recognize and define.
View Article and Find Full Text PDFEvaluating underpinning, complexity and implications of ethical situations in humanitarian operations: qualitative study through the lens of career humanitarian workers.
BMJ Open
September 2020
Population Health, New York University School of Medicine, New York, New York, USA.
Introduction: Data regarding underpinning and implications of ethical challenges faced by humanitarian workers and their organisations in humanitarian operations are limited.
Methods: We conducted comprehensive, semistructured interviews with 44 experienced humanitarian aid workers, from the field to headquarters, to evaluate and describe ethical conditions in humanitarian situations.
Results: 61% were female; average age was 41.
When predictions are used to allocate scarce health care resources: three considerations for models in the era of Covid-19.
Diagn Progn Res
May 2020
3Feinstein Institutes for Medical Research, Northwell Health, New York City, NY USA.
Background: The need for life-saving interventions such as mechanical ventilation may threaten to outstrip resources during the Covid-19 pandemic. Allocation of these resources to those most likely to benefit can be supported by clinical prediction models. The ethical and practical considerations relevant to predictions supporting decisions about microallocation are distinct from those that inform shared decision-making in ways important for model design.
View Article and Find Full Text PDFClinical ethics dilemmas in a low-income setting - a national survey among physicians in Ethiopia.
BMC Med Ethics
September 2019
Department of Bioethics, National Institutes of Health, Bethesda, USA.
Background: Ethical dilemmas are part of medicine, but the type of challenges, the frequency of their occurrence and the nuances in the difficulties have not been systematically studied in low-income settings. The objective of this paper was to map out the ethical dilemmas from the perspective of Ethiopian physicians working in public hospitals.
Method: A national survey of physicians from 49 public hospitals using stratified, multi-stage sampling was conducted in six of the 11 regions in Ethiopia.
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