NSHEN has developed this educational resource called Featured Article Summary. We will be choosing articles from recent health ethics  literature that we think will be of interest to ethics committee members as well as others working in our health care system.

We will create a summary of each article we feature for those too busy to read it in its entirety.


New Summary

 

Pandemic and Beyond: Considerations When Personal Risk and Professional Obligations Converge.

by Daniel J. Benedetti, Mithya Lewis-Newby, Joan S. Roberts, and Douglas S. Diekema. The Journal of Clinical Ethics, 2021.

The Journal of Clinical Ethics, Vol 32(1): 20-34.

Abstract

With each novel infectious disease outbreak, there is scholarly attention to healthcare providers’ obligation to assume personal risk while they care for infected patients. While most agree that healthcare providers have a duty to assume some degree of risk, the extent of this obligation remains uncertain. Furthermore, these analyses rarely examine healthcare institutions’ obligations during these outbreaks. As a result, there is little practical guidance for healthcare institutions that are forced to weigh whether or when to exclude healthcare providers from providing care or allow them to opt out from providing care to protect themselves. This article uses the COVID-19 pandemic to examine the concept of risk and the professional duties of both healthcare providers and healthcare institutions, and proposes a framework that can be used to make concrete institutional policy choices. This framework should be a useful tool for any hospital, clinic, or health agency that must make these choices during the current pandemic and beyond.

Pandemic and Beyond: Considerations When Persona lRisk and Professional Obligations Converge: PDF Article Summary

 

Past Summaries

Our Next Pandemic Ethics Challenge? – Allocating “Normal” Health Care Services by Jeremy R. Garrett, Leslie Ann McNolty, Ian D. Wolfe, and John D. Lantos. Hastings Center Report, 2020.

(Abstract)

Our Next Pandemics Ethics Challenge – Article Summary

Self-Inflicted Moral Distress: Opportunity for a Fuller Exercise of Professionalism by Jeffrey T. Berger, Ann B. Hamric, and Elizabeth Epstein, (2019), The Journal of Clinical Ethics, Volume 30:4;  p.314-317.

(Abstract )

Self-Inflicted Moral Distress – Article Summary

Family-Centered Culture Care: Touched by an Angel by Jesus A Hernandez, (2019), Journal of Clinical Ethics; 30(4):376-383. 

(Abstract )

Family Centered Culture Care – Full Artlcle Summary

Tho’ Much is Taken, Much Abides: A Good Life Within Dementia in Nancy Berlinger, Kate de Medeiros, and Mildred Z. Solomin (Edts.) What makes a Good Life in Late Life? Citizenship and Justice in Aging Societies, A Hastings Center Special Report, September-October 2018: S71-S74.

(Abstract )

Tho’ Much is Taken, Much Abides: A Good Life Within Dementia – Full Article Summary

Poverty – Not a Justification for Banning Physician-Assisted Death by Lindsey M. Freeman, Susannah L. Rose, and Stuart J. Youngner, The Hastings Center Report, 2018

Poverty – Not a Justification for Banning Physician-Assisted Death Article Summary

When Societal Structural Issues Become Patient Problems: The Role of Clinical Ethics Consultation by Aimee Milliken, Martha Jurchak, and Nicholas Sadovnikoff, Hastings Center Report, 2018

(Abstract)

When Societal Structural Issues Become Patient Problems-Article Summary

Feeling like a burden to others and the wish to hasten death in patients with advanced illness: A systematic review by Andrea Rodriquez-Prat, Albert Balaguer, Iris Crespo, Christina Monforte-Royo, Bioethics, 2019

(Abstract)

Feeling Like a Burden to Others – Article Summary

Nursing Ethics Huddles to Decrease Moral Distress among Nurses in the Intensive Care Unit? by Marianne C. Chiafery, Patrick Hopkins, Sally A. Norton, and Margie Hodges Shaw, The Journal of Clinical Ethics, 2018

(Abstract)

Nursing Ethics Huddles – Article Summary

Capacity for Preference – Respecting Patients with Compromised Decision-Making by Jason Adam Wasserman and Mark Christopher Navin, The Hastings Center Report, 2018

(Full article)

Capacity for Preference – Article Summary

Narrative Symposium: Doctor in the Family: Stories and Dilemmas Surrounding Illness in Relatives by Joseph J. Fins, Kathleen N.Fenton, Amos Ritter, et al., Narrative Inquiry in Bioethics, 2018 (https://muse.jhu.edu/article/690220)

Narrative Symposium: Doctor in the Family: Stories and Dilemmas Surrounding Illness in Relatives

Can Rationing Through Inconvenience be Ethical? by Nir Eyal, Paul L Romain, and Christopher Robertson, Hastings Center Report, 2018

Can Rationing Through Inconvenience be Ethical? – Discussion Page

Workarounds Are Routinely Used by Nurses – But Are They Ethical? by Nancy Berlinger, The American Journal of Nursing, 2017

Workarounds Are Routinely Used by Nurses – But Are They Ethical?

How Long a Life is Enough Life? by D. Callahan & W. Gaylin, Hastings Center Report, 2017

How Long a Life is Enough Life?

Development of a Clinical Ethics Committee de Novo at a Small Community Hospital by Addressing Needs and Potential Barriers by Bonnie H. Arzuaga, The Journal of Clinical Ethics, 2017

Development of a Clinical Ethics Committee de Novo at a Small Community Hospital 

After the DNR – Surrogates Who Persists in Requesting Cardiopulmonary Resuscitation by Ellen M. Robinson, Wendy Cadge, Angelika A. Zollfrank, M. Cornelia Crement, and Andrew M. Courtwright, The Hastings Centre Report, 2017

After the DNR – Surrogates Who Persists in Requesting Cardiopulmonary Resuscitation

Moral Agency, Moral Imagination, and Moral Community: Antidotes to Moral Distress by Terri Traudt, Joan Liaschenko and Cynthia Peden-McAlpine, The Journal of Clinical Ethics, 2016

Moral Agency Moral Imagination and Moral Community

The Nurse as the Patient’s Advocate: A Contrarian View by Sarah E Shannon, A Hastings Center Special Report, 2016

The Nurse as the Patient’s Advocate: A Contrarian View

Doctor Knows Best? Tubal Litigation in Young, Childless Women. Case study with commentaries by Kathryn Goldrath and Lauren B. Smith, The Hastings Center Report, 2016

Doctor Knows Best? Tubal Litigation in Young, Childless Women

How Can Clinical Ethics Committees Take on Organization Ethics? Some Practical Suggestions by James E Sabin.

How Can Clinical Ethics Committees Take on Organization Ethics? Some Practical Suggestions

Must We Be Courageous? by Ann B Hamric, John D Arras, and Margaret E Mohrmann.

Must We Be Courageous?

On Not Taking “Yes” for an Answer by Alexander M. Capron.

On Not Taking “Yes” for an Answer

Reframing Conscientious Care. Providing Abortion Care When Law and Conscience Collide. By Mara Buchbinder, Dragana Lassiter, Rebecca Mercier, Amy Bryant, and Anne Drapkin Lyerly.

Reframing Conscientious Care. Providing Abortion Care When Law and Conscience Collide

Let’s not Forget about Clinical Ethics Committees! By Franco A. Carnevale.

Let’s not Forget about Clinical Ethics Committees!

Patient Satisfaction Surveys on a Scale of 0-10: Improving Health Care, or Leading It Astray? By Alexandra Junewicz  and Stuart J. Younger.

Patient Satisfaction Surveys

The Ethics of Physicians’ Web Searches for Patients’ Information by Nicholas Genes and Jacob Appel.

The Ethics of Physicians’ Web Searches