Readings
Through an agreement with Access Copyright, the Nova Scotia Health Ethics Network (NSHEN) has created groups of readings of relevant and timely articles as educational resources. Each package contains 6-8 articles that are meant to provide a general overview and introduction to a selected topic.
To request the readings from one of the topics below please email the NSHEN Administrator at krista.mleczkoskerry@iwk.nshealth.ca indicating:
- which topic of readings you would like
- your name and mailing address
We will then mail the readings to you, free of charge.
To view the articles that are included within each package, please select a title of the topics listed below.
1: Complementary & Alternative Health Care
2: Health Policy
3: Health Resource Allocation
4: Hope
5: Moral Distress
6: Organizational Ethics
7: Pandemic Planning
8: Rural Health Care
Health Ethics Readings by Topic
1. Complementary & Alternative Health Care
Adams, K. E., Cohen, M. H., Eisenberg, D., & Jonsen, A. R. (2002). Ethical considerations of complementary and alternative medical therapies in conventional medical settings. Annals of Internal Medicine, 137(8), 660-664.
Alternative and/or complementary therapy: Standards for registered nurses. College and Association of Registered Nurses of Alberta Provincial Council.
Brown, J., Cooper, E., Frankton, L., Steeves-Wall, M., Gillis-Ring, J., Barter, W., et al. (2007). Complementary and alternative therapies: Survey of knowledge and attitudes of health professionals at a tertiary pediatric/women's care facility. Complementary Therapies in Clinical Practice, 13(3), 194-200.
Canadian association of naturopathic medicine - guide to ethical conduct of naturopathic doctors. (2008).
Canadian association of naturopathic medicine - standards of practice.(2008). http://www.naturopathicassoc.ca/
Cohen, M. H., Sandler, L., Hrbek, A., Davis, R. B., & Eisenberg, D. M. (2005). Policies pertaining to complementary and alternative medical therapies in a random sample of 39 academic health centers.Alternative Therapies in Health and Medicine, 11(1), 36-40.
Kelly, M., Hardwick, K., Moritz, S., Kelner, M., Rickhi, B., & Quan, H. (2005). Towards integration: Opinions of health policy makers on complementary and alternative medicine. Evidence-Based Integrative Medicine, 2(2), 78-86.
Walker, P. C. (2000). Evolution of a policy disallowing the use of alternative therapies in a health system. American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists, 57(21), 1984-1990.
2. Health Policy
Aronson, J. (1993). Giving consumers a say in policy development: Influencing policy or just being heard? Canadian Public Policy, 14(4), 367-378.
Baird, P. A. (1996). Funding medical and health-related research in the public interest. CMAJ : Canadian Medical Association Journal, 155(3), 299-301.
Kirby J., Simpson C. (2007). An Innovative, Inclusive Process for Meso-level Health Policy Development. Healthcare Ethics Forum. 19(2), 161-76.
Malone, R. E. (1999). Policy as product. morality and metaphor in health policy discourse. The Hastings Center Report, 29(3), 16-22.
McDonald, Fiona; Simpson, Christy; and Fran O'Brien. 2008. Including organizational ethics in policy review processes in healthcare institutions: A view from Canada. HEC Forum 20(2): 137-153.
Sherwin, S., & Baylis, F. (2003). The feminist health care ethics consultant as architect and advocate. Public Affairs Quarterly, 17(2), 141-158.
Walker, M. U. (1993). Keeping moral space open. new images of ethics consulting. The Hastings Center Report, 23(2), 33-40.
3. Health Resource Allocation
Beauchamp T. Distributive Justice and Morally Relevant Differences. In the Belmont Report Appendix Volume 1, 1978.
Buchanan A, Brock DW, Daniels N, Wikler D. From Chance to Choice: Genetics and Justice (Cambridge: Cambridge University Press, 2000).
Canadian Nurses Association. Working with Limited Resources: Nurses’ Moral Constraints. Ethics in Practice 2000 (Sept).
Daniels N, Sabin JE. Setting Limits Fairly: Can We Learn to Share Medical Resources? New England Journal of Medicine 2002; 347:953-54.
Daniels N. Rationing fairly: Programmatic Considerations. Bioethics 1993; 7(2/3): 224-233.
Daniels N. Justice and Health Care. In Van de Veer D, Regan T, eds., Health Care Ethics: An Introduction (Philadelphia: Temple University Press, 1987).
Fleck LM. Last Chance Therapies: Can a Just and Caring Society Do Health Care Rationing When Life Itself is at Stake? Yale Journal of Health Policy, Law, and Ethics 2002; 2(2): 255-298.
Fleck LM. Rationing: Don’t Give Up. Hastings Center Report 2002; 32(2): 35-36.
Gibson JL, Martin DK, Singer P. Evidence, Economics and Ethics: Resource Allocation in Health Services Organizations. Healthcare Quarterly 2005; 8(2): 50-58.
McNeally MF, Dickens BM, et al. Bioethics for Clinicians: 13. Resource Allocation. CMAJ 1997; 157: 163-167.
Kenny N, Chafe R. Pushing Right against the Evidence: Turbulent Times for Canadian Health Care. The Hastings Center Report 2007.
Malone RE. Policy as Product. Hastings Center Report 1999; 29(3):16-22.
Rawls J. A Theory of Justice (Cambridge: Harvard University Press, 1971).
4. Hope
Back, A.L.; Arnold, R.M.; & Quill T.E. (2003) Hope for the best, and prepare for the worst. Annals of Internal Medicine 138, 439-443.
Davison, S. N. & Simpson, C. (2006). Hope and advance care planning in patients with end stage renal disease: Qualitative interview study. BMJ, 333(7574), 868 - 872.
Olver, I.N. (2005) Bioethical implications of hope. In J Eliott (Ed.), Interdisciplinary perspectives on hope (pp. 241-256). New York: Nova Science Publishers, Inc.
Martin, A.M. (2008) Hope and exploitation. Hastings Center Report, 38(5), 49-55.
Simpson, C. (2004). When hope makes us vulnerable: A discussion of patient-healthcare provider interactions in the context of hope. Bioethics, 18(5), 428-447.
* For more references and readings on hope, especially for different health conditions see also: The Hope Foundation of Alberta, Hope Literature database (www.ualberta.ca/hope).
5. Moral Distress
Austin, W., Lemermeyer, G., Goldberg, L., Bergum, V., & Johnson, M. S. (2005). Moral distress in healthcare practice: The situation of nurses. HEC Forum : An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues, 17(1), 33-48.
Canadian Nurses Association. Ethical distress in health care environments. Ethics in Practice for Registered Nurses, (Oct. 2003), 1-8.
Forde, R., & Aasland, O. G. (2008). Moral distress among norwegian doctors. Journal of Medical Ethics, 34(7), 521-525.
Hamric, A. B., & Blackhall, L. J. (2007). Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate. Critical Care Medicine, 35(2), 422-429.
Hamric, A. B., Davis, W. S., & Childress, M. D. (2006). Moral distress in health care professionals. The Pharos of Alpha Omega Alpha-Honor Medical Society.Alpha Omega Alpha, 69(1), 16-23.
Nathaniel, A. Moral distress among nurses. American Nurses Association Ethics and Human Rights Issues Update, Spring 2002.
Wilkinson, J. M. (1988). Moral distress in nursing practice: Experience and effect. Nursing Forum, 23(1), 16-29.
6. Organizational Ethics
Ells, Carolyn and Chris MacDonald. 2002. Implications of organizational ethics to healthcare. Healthcare Management Forum 15(3): 32-38.
Goodstein, Jerry D. and Bridget Carney. 1999. Actively engaging organizational ethics in healthcare: Four essential elements. Journal of Clinical Ethics 10(3): 224-229.
*Please see above issue for additional readings on organizational ethics
Goold, Susan Dorr. 2001. Trust and the ethics of health care institutions. Hastings Center Report 31(6): 26-33.
Kirby, Jeffrey; Simpson, Christy; McNally, Mary; and Fiona McDonald. 2005. Instantiating organizational ethics in large health care institutions. Organizational Ethics: Healthcare, Business, and Policy 2(2): 117-123.
McDonald, Fiona; Simpson, Christy; and Fran O'Brien. 2008. Including organizational ethics in policy review processes in healthcare institutions: A view from Canada. HEC Forum 20(2): 137-153.
Reiser, Stanley Joel. 1994. The ethical life of health care organizations. Hastings Center Report 24(6): 28-35.
Simpson, Christy and Jeff Kirby. 2004. Organizational ethics and social justice in practice: Choices and challenges in a rural-urban health region. HEC Forum 16(4): 274-283.
7. Pandemic Planning
Government of Nova Scotia. (2008). Pandemic influenza: Nova Scotia health system pandemic influenza plan. ver.2. Halifax, NS:Department of Health. http://www.gov.ns.ca/pandemic/docs/plan/Full_NS_Pandemic_plan.pdf
Kayman, H., & Ablorh-Odjidja, A. (2006). Revisiting public health preparedness: Incorporating social justice principles into pandemic preparedness planning for influenza.Journal of Public Health Management and Practice, 12(4), 373-380.
Kotalik, J. (February 2006). Ethics of planning for and responding to pandemic influenza: Literature review.Centre for Health Care Ethics Lakehead University.
Kotalik, J. (2005). Preparing for an influenza pandemic: Ethical issues. Bioethics, 19(4), 422-431.
Lo, B., & Katz, M. H. (2005). Clinical decision making during public health emergencies: Ethical considerations. Annals of Internal Medicine, 143(7), 493-498.
Torda, A. (2006). Ethical issues in pandemic planning. The Medical Journal of Australia, 185, S73-6. http://www.mja.com.au/public/issues/185_10_201106/tor10900_fm.html
World Health Organization. Ethical considerations in developing a public health response to pandemic influenza. WHO Press. http://www.who.int/csr/resources/publications/WHO_CDS_EPR_GIP_2007_2/en/index.html
8. Rural Health Care
Cook, A. F., & Hoas, H. (2008). Ethics and rural healthcare: What really happens? What might help? The American Journal of Bioethics: AJOB, 8(4), 52-56.
*Please see above issue for additional commentaries on rural health care
National rural bioethics web site. (2008). http://www.umt.edu/bioethics
*See this website for more resources
Nelson, W., Lushkov, G., Pomerantz, A., & Weeks, W. B. (2006). Rural health care ethics: Is there a literature? The American Journal of Bioethics: AJOB, 6(2), 44-50.
Roberts, L. W., Battaglia, J., Smithpeter, M., & Epstein, R. S. (1999). An office on main street. Health care dilemmas in small communities. The Hastings Center Report, 29(4), 28-37.
Simpson, C. (2004). Challenges for health regions--meeting both rural and urban ethics needs: A Canadian perspective. HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues, 16(4), 219-221.
*Please see above issue for additional readings on rural health care
