Monash bioethics review
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Monash bioethics review · Jun 2009
Ethical decision-making in an emergency department: findings on nursing advocacy.
The purpose of this article is to share with the reader the specific findings on the role of nurse as consumer advocate from a study on ethical decision-making in an emergency department (ED). Qualitative interviews were conducted with 11 health professionals (doctors and nurses) working in the ED of a hospital. The interviews were audio-recorded, transcribed verbatim and thematically analysed. ⋯ It is noted that seeing the need for advocacy does not necessarily translate into effective action, as management support is essential for productive advocacy. A phenomenon of the desire not to rock the boat was reported. The findings indicate that the support of other nurses is essential for advocacy and affirm the importance of focusing on the ethical nature of the organisation as opposed to an exclusive focus on the individual.
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Monash bioethics review · Mar 2009
ReviewThe ethics of expectations: biobanks and the promise of personalised medicine.
Expectations play a major role in 'driving' biotechnology research and development. However, their ethical significance has been largely overlooked. ⋯ The article identifies the claims and practices that support the expectations pertaining to biotechnologies and some of the factors that work against the fulfilment of predicted innovations. It is argued that the role of expectations in shaping thinking and action needs to be taken seriously by those who are concerned about the ethical implications of biotechnologies.
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Monash bioethics review · Jul 2008
Gaining human ethics approval: a strategy for refining research studies.
We argue that developing a human ethics application is an effective method for refining the intent and design of research studies. Our study aimed to investigate the delivery of end-of-life and palliative care nursing to residents of an aged care unit in a Multi-purpose Service/Centre in rural Victoria. We used the ethics application process as a strategy to focus the study, and to refine the data collection and analysis techniques. It is our contention that the process of completing the application and gaining ethics approval is laborious; however, the intellectualising that occurs provides researchers with an opportunity to reflect upon and refine their studies, thus ensuring the ultimate success and timely completion of research investigations.
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Monash bioethics review · Oct 2007
Inside truths: 'truth' and mental illness in the Australian asylum seeker and detention debates.
This article examines some of the key debates and interactions between the Australian government and medical profession in relation to the mental health consequences of the policy of mandatory detention of asylum seekers. It explores how, in a series of episodes between 2001 and 2005, each side claimed to represent accurately the 'true' nature of the detention system through asserting superior 'objectivity' and commitment to 'scientific truth' in their representations of the mental health of asylum seekers. Placing these debates within the particular political objectives of the Liberal Party during John Howard's term as Prime Minister, the article explores how science and medical advocacy have been characterized and made to signify larger conflicts within the Australian political arena. It shows how populist political ideas of 'elitism' have been used by the government to represent as 'elitist untruths' psychiatric research which has demonstrated a direct causal links between government border control policies and mental ill-health.
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Monash bioethics review · Jan 2007
The patient, the doctor and the family as aspects of community: new models for informed consent.
Filial obligation and its implications have been little-debated in ethics. The basis of informed consent in libertarian positions may be challenged by inclusion of others beyond the immediate doctor-patient relationship. ⋯ Although such a position undoubtedly confronts traditional notions of autonomy, it offers an alternative that may positively impact the practice of medicine by providing a more holistic treatment context. New models premised on shared decision-making will be presented as frameworks that may provide a theoretical basis for greater physician input into medical decisions that impact a patient's family members and in more global terms, his or her community.