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Asian Journal of Ethics in Health and Medicine

Volume 4, Issue 2 (2024)

Perceptions of Students and Faculty on Medical Ethics Education at Two Kenyan Universities
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Views: 243
Written by Ahmad Fauzi   Published in Vol 4 Issue 2, 2024
Medical or clinical ethics offers essential guidance to healthcare professionals and is ideally incorporated into medical education. Its instruction has become increasingly important due to rapid advancements in medical science and the diverse cultural and socioeconomic contexts in which medicine is practiced. This study aimed to explore how clinical/medical ethics is taught at two medical schools in Kenya through focus group discussions with undergraduate students and key informant interviews w

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Ethical Considerations in Health Monitoring within the Armed Forces: A Dutch Case Study during the COVID-19 Pandemic
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Views: 352
Written by Tenzin Dorji   Published in Vol 4 Issue 2, 2024
Personal health monitoring (PHM) is rapidly evolving across multiple domains, including military contexts. Addressing the ethical aspects of PHM is crucial to ensure its responsible deployment and use among armed forces personnel. Most studies on PHM ethics have focused on civilian populations, leaving a gap in understanding the unique ethical challenges within military environments, where tasks, hierarchy, and operational conditions differ. This case study explores the perspectives and values o

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Assessment of Adherence to the Code of Ethics and Related Determinants Among Healthcare Professionals in Public Hospitals of Central Gondar Zone, Northwest Ethiopia, 2021: A Mixed-Methods Study
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Views: 244
Written by Dao Thi Lan   Published in Vol 4 Issue 2, 2024
Ethics examines the principles that distinguish right from wrong in human conduct, and in healthcare, ethical practice is a core part of daily professional activities. Ensuring consistent and standardized ethical behavior among healthcare workers is essential. This study aimed to investigate the adherence to the code of ethics and the factors influencing it among health professionals in public hospitals of Central Gondar Zone, Northwest Ethiopia, in 2021. A cross-sectional study using a mixed-me

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Putting Real-Time Ethical Practices into Action to Enhance Ethical Attentiveness in Malawi’s Agriculture–Nutrition–Health Studies
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Views: 272
Written by Rashmi Kulkarni   Published in Vol 4 Issue 2, 2024
Large, collaborative research programs at the intersection of agriculture, nutrition, and health (ANH) often involve human participants and necessitate ethical oversight. Due to the complexity of these studies, ethical challenges may arise not only before fieldwork but throughout the research process, requiring flexible, embedded mechanisms to detect, assess, and manage ethical issues in real time. Drawing on the concept of ‘ethics in practice,’ this study introduces a novel “real-time research

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A Qualitative Investigation into How the COVID-19 Crisis Shaped Ethical Challenges and Situational Vulnerability in Mental Health Care
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Views: 285
Written by Liu Fang   Published in Vol 4 Issue 2, 2024
During the COVID-19 pandemic, individuals receiving mental healthcare were frequently portrayed as especially at risk, yet what this vulnerability entails—and what ethical duties follow—depends heavily on how vulnerability is conceptualized. Traditional perspectives associate vulnerability with characteristics attributed to certain social groups, whereas situational and dynamic frameworks emphasize how institutional and societal arrangements create vulnerable positions. Despite this, the lived c

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Illness Severity and Moral Obligation: A Philosophical Inquiry into Intensive Care for the Oldest Patients
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Views: 149
Written by Gabriele Leonie Schwarz   Published in Vol 4 Issue 2, 2024
Intensive care for extremely elderly patients is expanding rapidly because of population aging and a trend toward more aggressive therapies. Yet, such care often delivers only marginal benefits for the oldest individuals, many of whom end up dying after lengthy periods of organ support. Taking a clinical perspective, this study examines the forces driving the growing use of critical care in advanced age, even though its potential drawbacks for patients, families, clinicians, and society are wide

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Perceived Futility and Its Drivers in End-of-Life Care: A Study of Healthcare Providers
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Views: 253
Written by Samira Beiranvand   Published in Vol 4 Issue 2, 2024
The concept of medical futility has created complex dilemmas for healthcare teams. Recognizing these dilemmas can help manage challenging situations more effectively and enable better planning. This study aimed to examine how care providers perceive futile care and the factors contributing to it for patients in the final stages of life. This was an analytical-descriptive study conducted in Dezful, Iran, in 2022. It involved 308 care providers, including physicians, nurses, and medical and nursin

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Reframing Surgical Readiness: Promoting Autonomy in Phalloplasty and Metoidioplasty Preparation
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Views: 385
Written by Leo L. Rutherford   Published in Vol 4 Issue 2, 2024
Many transgender and nonbinary individuals choose to undergo phalloplasty and/or metoidioplasty during their medical transition. In different surgical specialties, a wide range of supportive resources is commonly provided to help patients prepare for procedures. These typically include educational materials, workshops, peer support networks, and recommended lifestyle modifications. For gender-affirming surgeries in particular, patients are required to complete assessments that evaluate their rea

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Ethical Dilemmas and Clinical Decision-Making among Hospital Physicians during the COVID-19 Pandemic in the Czech Republic
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Views: 246
Written by Ilona Tietzova   Published in Vol 4 Issue 2, 2024
Throughout the COVID-19 pandemic, healthcare systems worldwide faced extraordinary challenges, primarily due to severe resource shortages and widespread concerns about substandard patient care. The primary objective of our research was to examine the viewpoints and firsthand experiences of inpatient physicians regarding healthcare delivery during the COVID-19 pandemic under conditions of limited resources. This study employed a detailed 24-item electronic survey titled “Reflections on the Provis

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Changing Attitudes toward Medical Assistance in Dying: A Comparative Survey of Doctors and Nurses at an Icelandic University Hospital, 1995–2021
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Views: 203
Written by Svanur Sigurbjörnsson   Published in Vol 4 Issue 2, 2024
A 2021 questionnaire explored the perspectives of physicians and nurses at Landspítali Iceland University Hospital (LIUH) regarding medical assistance in dying (MAID). The inquiry focused on their supporting arguments, the required eligibility standards, and preferred methods for carrying it out. Earlier investigations from 1995 and 2010 that targeted the same professional groups provided a basis for direct comparison. Questionnaires were dispatched to 357 physicians and 516 nurses employed at L

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Providing Life-Saving Care under Restraint: Nurses’ Experiences of Nasogastric Tube Feeding in Severe Anorexia Nervosa
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Views: 244
Written by Berit Støre Brinchmann   Published in Vol 4 Issue 2, 2024
Anorexia nervosa is a serious psychiatric condition with profound physical and mental effects. It frequently leads to hospital admission, and in extreme situations, patients may undergo involuntary treatment. One of the most demanding nursing responsibilities when caring for these individuals is performing nasogastric tube feeding while the patient is physically restrained. It is essential to identify and respond to the distinctive practical and ethical difficulties that nurses encounter when su

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Evaluating the CARE Intervention for Improving Ethical Confidence in Dementia Care Professionals
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Views: 171
Written by Frederik Schou-Juul   Published in Vol 4 Issue 2, 2024
Few programs specifically aim to raise healthcare professionals’ assurance when facing ethical dilemmas in dementia care, even though training initiatives have repeatedly demonstrated benefits for staff knowledge and self-efficacy. Still, mixed results reported in existing studies regarding the true value of these educational efforts emphasize the demand for more precise, purpose-built solutions. The CARE intervention was created expressly to build confidence in ethical decision-making and to cl

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Ethics, Law, and Practice in Medical Data Sharing: Empirical Evidence from Chinese Researchers
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Views: 247
Written by Xiaojie Li   Published in Vol 4 Issue 2, 2024
Policies encouraging the sharing of medical data have gained considerable momentum in China. However, the existing legal and ethical framework for using medical data in research remains predominantly restrictive rather than supportive. At present, the share of Chinese medical data utilized for scientific research still leaves substantial room for growth, revealing considerable untapped opportunities to advance medical knowledge and enhance healthcare results. Drawing on this foundation, the curr

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Informed Consent as a Structured Act: A New Framework for Understanding Data Authorization
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Views: 181
Written by Minerva C. Rivas Velarde   Published in Vol 4 Issue 2, 2024
Informed consent stands as one of the core principles when carrying out research with human subjects. Upon giving consent, research participants engage in an action in which they verbally state, document in writing, or otherwise provide an authorization allowing another party to undertake a specific action. This paper offers a novel interpretation of informed consent, viewing it as a compositional act. Such an approach diverges significantly from the traditional modular view of informed consent

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Reframing Ethics in Aesthetic Medicine: Foundations of Patient-Centered Care
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Views: 227
Written by Editta Buttura da Prato   Published in Vol 4 Issue 2, 2024
This paper explores several important dimensions of the interplay between aesthetic medicine (AM) and ethical considerations, and outlines a potential deontological framework to guide practice in line with prevailing standards. The status of AM has long remained contentious. It continues to lack well-defined practical and moral boundaries, including within scholarly environments, given that its primary goal is to refine personal appearance rather than treat illness. In the current landscape, add

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