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Justifications for coercive care in child and adolescent psychiatry, a content analysis of medical documentation in Sweden.

https://arctichealth.org/en/permalink/ahliterature276745
Source
BMC Health Serv Res. 2016 Feb 19;16:66
Publication Type
Article
Date
Feb-19-2016
Author
Veikko Pelto-Piri
Lars Kjellin
Christina Lindvall
Ingemar Engström
Source
BMC Health Serv Res. 2016 Feb 19;16:66
Date
Feb-19-2016
Language
English
Publication Type
Article
Keywords
Adolescent - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Adolescent Health Services - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Adolescent Psychiatry - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Adult - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Child - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Child Protective Services - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Coercion - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Commitment of Mentally Ill - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Documentation - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Female - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Hospitalization - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Humans - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Male - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Medical Records - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Mental Health Services - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Social Justice - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Sweden - ethics - ethics - ethics - statistics & numerical data - statistics & numerical data - ethics
Abstract
There has been considerable interest in normative ethics regarding how and when coercive care can be justified. However, only a few empirical studies consider how professionals reason about ethical aspects when assessing the need for coercive care for adults, and even less concerning children and adolescents. The aim of this study was to examine and describe how professionals document their value arguments when considering the need for coercive psychiatric care of young people.
All 16 clinics that admitted children or adolescents to coercive care during one year in Sweden were included in the study. These clinics had a total of 155 admissions of 142 patients over one year. Qualitative content analysis with a deductive approach was used to find different forms of justification for coercive care that was documented in the medical records, including Care Certificates.
The analysis of medical records revealed two main arguments used to justify coercive care in child and adolescent psychiatry: 1) the protection argument - the patients needed protection, mainly from themselves, and 2) the treatment requirement argument - coercive care was a necessary measure for administering treatment to the patient. Other arguments, namely the caregiver support argument, the clarification argument and the solidarity argument, were used primarily to support the two main arguments. These supportive arguments were mostly used when describing the current situation, not in the explicit argumentation for coercive care. The need for treatment was often only implicitly clarified and the type of care the patient needed was not specified. Few value arguments were used in the decision for coercive care; instead physicians often used their authority to convince others that treatment was necessary.
One clinical implication of the study is that decisions about the use of coercive care should have a much stronger emphasis on ethical aspects. There is a need for an ethical legitimacy founded upon explicit ethical reasoning and after communication with the patient and family, which should be documented together with the decision to use coercive care.
Notes
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PubMed ID
26893126 View in PubMed
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The role of professional journalism in protecting against questionable practice.

https://arctichealth.org/en/permalink/ahliterature181435
Source
J Am Coll Dent. 2003;70(3):29-33
Publication Type
Article
Date
2003
Author
John P O'Keefe
Author Affiliation
Canadian Dental Association. jokeefe@cda-adc.ca
Source
J Am Coll Dent. 2003;70(3):29-33
Date
2003
Language
English
Publication Type
Article
Keywords
Canada
Decision Making - ethics
Dental Care - ethics
Dental Research - ethics
Dentist's Practice Patterns - ethics
Dentists - ethics
Ethics, Dental
Fraud - ethics
Humans
Journalism, Dental
Peer Review, Research - ethics
Periodicals as Topic - ethics
Professional Practice - ethics
Quackery - ethics
Abstract
The editor in chief of the Journal of the Canadian Dental Association explains that professional journalism alone cannot be expected to protect against questionable practice but it plays a vital role in the network of resources that define standards of excellent and ethical care. According to some, the explosion of biomedical information has created a crisis as emerging science overwhelms practitioners' capacity to intelligently evaluate it and incorporate it into practice. Research in medicine shows that journals play only a part in decisions regarding practice patterns. Some initiatives taken by the Canadian Dental Association to publish professional literature relevant to practitioners' needs to remain current in order to prevent questionable dental practice are described.
Notes
Comment On: J Am Coll Dent. 2003;70(3):6-814977371
PubMed ID
14977378 View in PubMed
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[Clinical and ethical stakes of external supervision of mental health teams].

https://arctichealth.org/en/permalink/ahliterature166485
Source
Sante Ment Que. 2006;31(1):107-24
Publication Type
Article
Date
2006
Author
Mario Poirier
Source
Sante Ment Que. 2006;31(1):107-24
Date
2006
Language
French
Publication Type
Article
Keywords
Ethical Theory
Ethics Consultation
Ethics, Clinical
Humans
Inservice Training - ethics
Interprofessional Relations
Mental Health Services - ethics
Patient Care Team - ethics
Professional-Patient Relations - ethics
Quebec
Abstract
External supervision of teams is increasingly part of mechanisms put in place both in public networks and community organizations to contribute in supporting professional mental health workers in developing their abilities and improving their clinical practices. It also plays a role in the analysis of ethical questions and in the prevention of deontological errors. The supervision of teams also includes its share of challenges, notably with regards to group dynamics and mechanisms to favour in order for supervision to rightly adjust to the needs and levels of participating professionals. Finally, the supervisor must also consider his own ethical responsibilities towards those supervised and towards their clients.
PubMed ID
17111062 View in PubMed
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Ethical aspects in tissue research: thematic analysis of ethical statements to the research ethics committee.

https://arctichealth.org/en/permalink/ahliterature121847
Source
BMC Med Ethics. 2012;13:20
Publication Type
Article
Date
2012
Author
Arja Halkoaho
Anna-Maija Pietilä
Mari Vesalainen
Kirsi Vähäkangas
Author Affiliation
Faculty of Health Sciences, University of Eastern Finland, Research Unit/Research Ethics Committee, University Hospital of Kuopio, PO Box 1777, 70210 , Kuopio, Finland. arja.halkoaho@kuh.fi
Source
BMC Med Ethics. 2012;13:20
Date
2012
Language
English
Publication Type
Article
Keywords
Clinical Trials as Topic - ethics
Confidentiality - ethics
Ethics Committees, Research
Ethics, Research
Finland
Human Experimentation - ethics
Humans
Informed Consent - ethics
Patient Selection - ethics
Research Design
Abstract
Many studies have been published about ethics committees and the clarifications requested about the submitted applications. In Finland, ethics committees require a separate statement on ethical aspects of the research in applications to the ethics committee. However, little is known about how researchers consider the ethical aspects of their own studies.
The data were collected from all the applications received by the official regional ethics committee in the Hospital District of Northern Savo during 2004-2009 (n?=?688). These included a total of 56 studies involving research on tissue other than blood. The statements by the researchers about the ethics about their own research in these applications were analyzed by thematic content analysis under the following themes: recruitment, informed consent, risks and benefits, confidentiality and societal meaning.
The researchers tended to describe recruitment and informed consent process very briefly. Usually these descriptions simply stated who the recruiter was and that written consent would be required. There was little information provided on the recruitment situation and on how the study recruiters would be informed. Although most of the studies were clinical, the possibility was hardly ever discussed that patients could fail to distinguish between care and research.
The written guidelines, available on the webpages of the ethics committee, do not seem to be enough to help researchers achieve this goal. In addition to detailed guidelines for researchers, investigators need to be taught to appreciate the ethical aspects in their own studies.
Notes
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PubMed ID
22873761 View in PubMed
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[Ethical deliberation: from case study to responsible citizenship].

https://arctichealth.org/en/permalink/ahliterature166486
Source
Sante Ment Que. 2006;31(1):47-63
Publication Type
Article
Date
2006
Author
Pierre-Luc Bossé
Paul Morin
Nicole Dallaire
Author Affiliation
Département de service social de l'Université de Sherbrooke.
Source
Sante Ment Que. 2006;31(1):47-63
Date
2006
Language
French
Publication Type
Article
Keywords
Adult
Dangerous Behavior
Ethical Theory
Ethics Committees - ethics
Ethics, Clinical
Humans
Male
Mental Health Services - ethics
Patient Care Team - ethics
Professional-Patient Relations - ethics
Quebec
Social Responsibility
Social Work, Psychiatric - ethics
Suicide - ethics - prevention & control
Abstract
This article wants to be a contribution reflecting on the theme of applied ethics aiming at nourishing professional and interdisciplinary practices. The authors examine the process of ethical deliberation which has four major ends : the development of reflective and ethical competences of professionals, the elaboration by professionals, of an ethical reflective structure facilitating professional praxis, orientation and quick coordination of action ; implementation of a structure of collective deliberation useful in the orientation of difficult decisions and future actions. Finally, this process also has an objective of evaluation and appears relevant in the apprenticeship drawn from experiences of each participant.
PubMed ID
17111058 View in PubMed
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Four themes in recent Swedish bioethics debates.

https://arctichealth.org/en/permalink/ahliterature133692
Source
Camb Q Healthc Ethics. 2011 Jul;20(3):409-17
Publication Type
Article
Date
Jul-2011
Author
Gert Helgesson
Stefan Eriksson
Author Affiliation
Centre for Bioethics at the Karolinska Institute and Uppsala University, Uppsala, Sweden.
Source
Camb Q Healthc Ethics. 2011 Jul;20(3):409-17
Date
Jul-2011
Language
English
Publication Type
Article
Keywords
Advisory Committees
Analgesia - ethics
Bioethical Issues
Bioethics - education
Deep Sedation - ethics
Double Effect Principle
Ethics, Research
Humans
Informed Consent - ethics
Palliative Care - ethics
Right to Die - ethics - legislation & jurisprudence
Scientific Misconduct - ethics
Suicide, Assisted - ethics
Sweden
Terminal Care - ethics
Tissue Banks - ethics - legislation & jurisprudence
Withholding Treatment - ethics
Abstract
A wide variety of bioethical themes have recently been debated and researched in Sweden, including genetic screening, HPV vaccination strategies, end-of-life care, injustices and priority setting in healthcare, dual-use research, and the never-ending story of scientific fraud. Also, there are some new events related to Swedish biobanking that might be of general interest. Here we will concentrate on four themes: end-of-life care, dual-use research, scientific fraud, and biobanking.
PubMed ID
21676328 View in PubMed
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[P C Jersild on medical ethics: "It happens that I question my own point of view"].

https://arctichealth.org/en/permalink/ahliterature187049
Source
Lakartidningen. 2002 Nov 28;99(48):4828-9
Publication Type
Article
Date
Nov-28-2002
Author
Peter Orn
Author Affiliation
peter.orn@lakartidningen.se
Source
Lakartidningen. 2002 Nov 28;99(48):4828-9
Date
Nov-28-2002
Language
Swedish
Publication Type
Article
Keywords
Abortion, Induced - ethics
Ethics, Medical
Ethics, Research
Euthanasia - ethics
Humans
Sweden
PubMed ID
12523064 View in PubMed
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The ethics statement of the Vancouver Forum on the live lung, liver, pancreas, and intestine donor.

https://arctichealth.org/en/permalink/ahliterature169112
Source
Transplantation. 2006 May 27;81(10):1386-7
Publication Type
Conference/Meeting Material
Article
Date
May-27-2006

Promoting ethical behavior: the Canadian Psychological Association model.

https://arctichealth.org/en/permalink/ahliterature227008
Source
Can Psychol. 1991 Jan;32(1):74-6
Publication Type
Article
Date
Jan-1991

3434 records – page 1 of 344.