Medical Ethics Advisor
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Emergency Nurses Face Barriers to Serious Illness Conversations
Emergency nurses view lack of privacy, concerns about delayed patient throughput, and perceived difficulty as barriers to having serious illness conversations with patients in the emergency department (ED) setting, a recent study found.
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Brief Intervention Reduces Nurses’ Compassion Fatigue
A group of researchers evaluated how a brief mindfulness-based intervention affected compassion fatigue during the COVID-19 pandemic.
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Ethical Guidance for Clinicians Facing Oncology Drug Shortages
Drug shortages have been a challenging problem for many years, but they have become even more prevalent in recent years as a result of supply chain challenges and regulatory changes.
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Evolving Attitudes on Ethics of Adolescent Self-Consent
Ethical considerations regarding adolescent self-consent in healthcare decisions
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Ethicists Want to Improve Consults — But More (and Better) Data Are Needed
Quality improvement is uniquely challenging in the ethics field because of lack of time, lack of resources, and, to some extent, the nature of clinical ethics itself.
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Ethics Education Is Inconsistent, But Students Are Interested
Ethics instruction still varies widely at medical schools in terms of the content taught and the amount of time allocated.
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Fraudulent ‘Participants’ Are Ethical Concern — Even in Qualitative Studies
Researchers need to be vigilant in identifying suspicious responses in study samples.
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Difficult Cases, Unclear Boundaries Put Ethicists at Risk for Burnout
Many ethicists play an important role in addressing burnout at their organizations — by identifying moral distress, connecting clinicians with resources, or holding debriefings after difficult cases. Yet ethicists themselves are experiencing burnout.
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Higher Mortality for Neurosurgery Patients with Pre-Existing DNRs
Neurosurgeons at University of Rochester Medicine observed that patients with pre-existing do-not-resuscitate (DNR) orders receiving cranial neurosurgery tended to have poor outcomes. To see if their clinical observations were reflected in actual data, the neurosurgeons analyzed 30,384 patients who underwent cranial neurosurgery in 2018-2020.
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Audio Assistance Improves Minorities’ Willingness to Participate in Research
Audio-assisted informed consent forms significantly improved the willingness of a sample of primarily African American patients to participate in a mock clinical trial.