A5008883559- Ethics in medical practice
- Palliative Care and End-of-Life Issues
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Patient Dignity and Privacy
- Ethics in Clinical Research
- Family and Patient Care in Intensive Care Units
- Ethics and Legal Issues in Pediatric Healthcare
- Primary Care and Health Outcomes
- Disaster Response and Management
- Patient-Provider Communication in Healthcare
- Medical Malpractice and Liability Issues
- Global Maternal and Child Health
- Food Security and Health in Diverse Populations
- Biomedical Ethics and Regulation
- Grief, Bereavement, and Mental Health
- Health Policy Implementation Science
- Public Health Policies and Education
- Global Health Care Issues
- Health disparities and outcomes
- Global Public Health Policies and Epidemiology
- Healthcare Systems and Reforms
- Emergency and Acute Care Studies
- Mental Health and Patient Involvement
Film Independent
2025
National Institutes of Health
2015-2024
National Institutes of Health Clinical Center
2014-2023
Center for Practical Bioethics
2023
City College of New York
2023
Bioethics International
2010-2021
Hastings Center
2021
Howard Hughes Medical Institute
2018
University of Chicago
2002-2018
University of Michigan
2006-2016
OBJECTIVE : To describe family perceptions of care at the end life. METHODS In a representative sample older people who died from chronic diseases, members were interviewed about satisfaction with treatment intensity, decision‐making, and symptom relief in last month life, gave suggestions to improve care. RESULTS Interviews completed 461 members, 80% those contacted. They reported that 9% decedents received CPR, 11% ventilator support, 24% intensive during their Family could not recall...
The use of advance directives is recommended so that people can determine the medical care they will receive when are no longer competent, but effectiveness such not clear.
Truog, Robert D. MD; Cist, Alexandra F. M. Brackett, Sharon E. RN, BSN; Burns, Jeffrey P. Curley, Martha A. Q. PhD, CCNS, FAAN; Danis, Marion DeVita, Michael Rosenbaum, Stanley H. Rothenberg, David Sprung, Charles L. Webb, Sally Wlody, Ginger S. EdD, FCCM; Hurford, William MD Author Information
Objectives: Shared decision making is endorsed by critical care organizations; however, there remains confusion about what shared is, when it should be used, and approaches to promote partnerships in treatment decisions. The purpose of this statement define making, recommend identify the range ethically acceptable decision-making models, present important communication skills. Design: American College Critical Care Medicine Thoracic Society Ethics Committees reviewed empirical research...
<h3>Importance</h3> Family caregivers of patients with chronic critical illness experience significant psychological distress. <h3>Objective</h3> To determine whether family informational and emotional support meetings led by palliative care clinicians improve anxiety depression. <h3>Design, Setting, Participants</h3> A multicenter randomized clinical trial conducted from October 2010 through November 2014 in 4 medical intensive units (ICUs). Adult (aged ≥21 years) requiring 7 days...
ulrich c.m., taylor c., soeken k., o’donnell p., farrar a., danis m. & grady c. (2010) Everyday ethics: ethical issues and stress in nursing practice. Journal of Advanced Nursing 66 (11), 2510–2519. Abstract Aim. This paper is a report study the type, frequency, level encountered by nurses their everyday Background. practice attract little attention but can create for nurses. Nurses often feel uncomfortable addressing they encounter patient care. Methods. A self‐administered survey was...
<h3>Importance</h3> Physicians’ views about health care costs are germane to pending policy reforms. <h3>Objective</h3> To assess physicians’ attitudes toward and perceived role in addressing costs. <h3>Design, Setting, Participants</h3> A cross-sectional survey mailed 2012 3897 US physicians randomly selected from the AMA Masterfile. <h3>Main Outcomes Measures</h3> Enthusiasm for 17 cost-containment strategies agreement with an 11-measure cost-consciousness scale. <h3>Results</h3> total of...
A 1999-2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how have changed since 2000, we administered a 105-item survey to "best informants" in stratified random sample 600 general hospitals. This primary article details the methods for entire study, then focuses on 16 items from prior study. Compared with estimated number case consultations performed annually rose by 94% 68,000. The median consults per...
The primary goal of this study was to address the documented deficiencies in end-of-life care (EOLC) intensive unit settings by identifying key EOLC domains and related quality indicators for use through a consensus process. A second propose specific clinician organizational behaviors interventions that might be used improve these indicators.Participants were 36 members Robert Wood Johnson Foundation (RWJF) Critical Care End-of-Life Peer Workgroup 15 nurse-physician teams from units...
Background: Critically ill patients admitted to intensive care units (ICUs) are thought gain an added survival benefit from management by critical physicians, but evidence of this is scant. Objective: To examine the association between hospital mortality in critically and physicians. Design: Retrospective analysis a large, prospectively collected database patients. Setting: 123 ICUs 100 U.S. hospitals. Patients: 101 832 adults. Measurements: Through use random-effects logistic regression,...
Objective: To examine the stability of patients' choices for life-sustaining treatments. Design: A longitudinal cohort study. Setting: Primary care practices in central North Carolina. Patients: Medicare recipients (n = 2536). Intervention: Participants were asked about demographic characteristics, health status, well-being, depression, social support, use a living will, and desire treatments if they to become terminally ill. These questions repeated 2 years later 2073, 82% follow-up)....
One in five Americans dies following treatment an intensive care unit (ICU), and evidence indicates the need to improve end-of-life for ICU patients. We conducted this study elicit views experiences of directors regarding barriers optimal identify type, availability, perceived benefit specific strategies that may care.Self-administered mail survey.Six hundred units.A random, nationally representative sample nursing physician 600 adult ICUs United States.Mail survey.We asked participants...
<h3>To the Editor.—</h3> We are responding to several editorial comments by Dr Zweibel<sup>1</sup>about our study of patients' and families' preferences for medical intensive care.<sup>2</sup>First, she states that question research addresses was what extent quality-of-life judgments should be applied in decision making incompetent patients when no advance directive exists. In fact, we set out determine quality life predicts treatment preferences. found a poor predictor patient preference...
This study investigated the relationship between ethics education and training, use usefulness of resources, confidence in moral decisions, action/activism through a survey practicing nurses social workers from four United States (US) census regions.The sample (n = 1215) was primarily Caucasian (83%), female (85%), well educated (57% with master's degree). no at all reported by 14% participants (8% had education, versus 23% nurses), only 57% their professional educational program. Those both...
<b>Background:</b> Ethics support services are growing in Europe to help doctors dealing with ethical difficulties. Currently, insufficient attention has been focused on the experiences of who have faced difficulties these countries provide an evidence base for development services. <b>Methods:</b> A survey instrument was adapted explore types dilemma by European doctors, how they ranked difficulty dilemmas, their satisfaction resolution a recent ethically difficult case and would consider...
This Guidance for Priority Setting in Health Care (GPS-Health), initiated by the World Organization, offers a comprehensive map of equity criteria that are relevant to health care priority setting and should be considered addition cost-effectiveness analysis. The guidance, form checklist, is especially targeted at decision makers who set priorities national sub-national levels, those interpret findings from It also researchers conducting analysis improve reporting their results light these...
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Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although initial work on intersectionality addressed position black women relative both men white women, concept since been expanded address range identities. Here we consider how apply some theoretical tools provided by clinical context. We begin with brief discussion it might be useful then...