Written by Tariq Mahmood
Published in Vol 3 Issue 2, 2023
Medical ethics education has traditionally received limited emphasis in India’s undergraduate medical programs. The National Medical Commission’s recent formal integration of medical ethics into the new competency-based medical education (CBME) curriculum is therefore a commendable step. However, a key group of stakeholders—the teachers—has largely been overlooked in this process. This study aimed to explore the perspectives of physiology faculty in Delhi regarding the implementation of ethics t
Written by Hassan Ali
Published in Vol 3 Issue 2, 2023
During the early stages of the COVID-19 pandemic, many healthcare services unrelated to the virus were temporarily halted. In April 2020, the Department of Health in England directed that these services should be reinstated alongside ongoing pandemic management. This process of “resetting” healthcare created a novel context in which it became crucial to examine how ethical principles informed—and should guide—the incorporation of infection control into everyday clinical practice. This paper draw
Written by Jaspreet Kaur
Published in Vol 3 Issue 2, 2023
Within debates on mental health ethics, it is typically taken for granted that coercive interventions can be warranted when individuals with psychiatric conditions pose a risk to themselves or to others. Such actions are usually defended only when specific moral requirements—such as the proportionality of the intervention to the anticipated harm—are met. In this article, we argue that this widely accepted evaluative approach is insufficient in contexts where individuals with mental illness are e
Written by Pimchanok Rattanapong
Published in Vol 3 Issue 2, 2023
Ethical conduct among healthcare professionals is a fundamental aspect of delivering quality health services. This study aimed to investigate the relationship between professional ethics and commitment, and how these factors are associated with medical students’ respect for patient rights. This study employed a cross-sectional descriptive design to examine students from midwifery, nursing, and emergency medicine programs at Ilam University of Medical Sciences. Participants were chosen through a
Written by Jing Liu
Published in Vol 3 Issue 2, 2023
Ambulance clinicians frequently face ethical challenges when caring for patients with impaired decision-making capacity, requiring them to assess the patient’s ability to make decisions while balancing ethical principles. The development of ethical competence appears to be increasingly crucial for clinicians to navigate these complex dilemmas effectively. Ethics rounds are a structured approach aimed at fostering ethical competence among healthcare professionals. Although commonly implemented in
Written by Suhaila Osman
Published in Vol 3 Issue 2, 2023
Since 2019, medical ethics education, along with training in attitude and communication skills, has been integrated into the standard MBBS curriculum in India to foster a more empathetic and communicative approach among doctors toward patients. To optimise this educational module for future learners, it is essential to evaluate its effectiveness through real-world case-based learning. We chose three clinical cases and organised online debates in small groups of second-year MBBS students. Followi
Written by Esmee P. G. M. Jenniskens
Published in Vol 3 Issue 2, 2023
In 2002, the Netherlands introduced legislation that made euthanasia and assisted suicide (EAS) lawful. Under this law, patients may request EAS for either physical or mental health problems if very strict criteria are fulfilled. Even so, doctors are not required to take part. Because general practitioners (GPs) handle the vast majority of these requests, they play a key role in deciding whether to accept applications from both patient groups. While EAS for people with physical illnesses has bec
Written by Olivia Kituuka
Published in Vol 3 Issue 2, 2023
Healthcare providers working in poorly equipped emergency departments within low-income countries frequently encounter difficulties when trying to secure informed consent from incapacitated individuals or their family members. These situations are usually marked by severe time pressure and occur in highly crowded conditions. For this reason, the current study set out to examine the actual informed consent procedures followed by medical professionals during emergency surgical interventions in two
Written by Victor Montaut
Published in Vol 3 Issue 2, 2023
Deciding to limit treatment (TLD) is a complicated process influenced by patients’ other medical conditions and cultural considerations. We hypothesized that delirium is associated with the issuance of TLD orders in hospitalized patients. To determine whether the proportion of patients with at least one TLD order differs between those who have delirium and those who do not, to identify which factors are linked to TLD orders, and to investigate how TLD and delirium relate to the 90-day chance of
Written by David Geddes
Published in Vol 3 Issue 2, 2023
The controversy around legalizing assisted dying remains highly intricate and involves many different layers, provoking passionate and contrasting views from everyone concerned. Recently, the Scottish Parliament held an early vote on this topic and decided to move forward with the proposed law. Capturing the opinions of medical students – who will soon become practicing doctors – is vital when assessing fresh medico-legal proposals related to assisted dying in Scotland. The purpose of this study
Written by Sajad Yarahmadi
Published in Vol 3 Issue 2, 2023
One of the most significant difficulties in healthcare environments stems from the ongoing clash between statutory obligations and the core values of care ethics. These situations frequently trigger moral distress, burnout, and a serious disruption in healthcare workers’ professional roles. The current study set out to explore and describe the key aspects and effects of such conflicts, specifically within hospital-based nursing practice. The study used thematic synthesis to integrate findings fr
Written by Clàudia Pallisé Perelló
Published in Vol 3 Issue 2, 2023
During major global health emergencies, speeding up clinical trials for new drugs and vaccines helps deliver solutions more quickly, yet it also creates notable difficulties in research ethics and scientific integrity. It is essential to identify and address these difficulties to safeguard the well-being of those participating in studies and uphold fairness and credibility in scientific work. The current study examines the specific research ethics and integrity issues that arise when clinical tr
Written by Floor Vinckers
Published in Vol 3 Issue 2, 2023
This study set out to review the current scientific literature on moral distress among healthcare professionals in long-term care environments, specifically highlighting key contributing factors and the various methods used to manage it. This scoping review was conducted according to the methodological steps outlined by Arksey and O’Malley (2005) and follows the PRISMA-ScR reporting standards. The research questions were first reframed using the PICO model (population, intervention, comparison,
Written by Ling Lang Huang
Published in Vol 3 Issue 2, 2023
In cases of medically futile care, clinical choices frequently turn into deeply complex ethical and existential dilemmas. Physicians and patients must navigate the difficult balance between extending life and maintaining its meaningful quality. Traditional shared decision-making (SDM) models primarily focus on evidence-based rationality but often fail to address the deeper ontological aspects of patients’ lived realities. The present study employs interpretative phenomenological analysis (IPA) t
