Medical Ethics

Article Medical Ethics

Publishing in potentially predatory journals: Do universities adopt university leaders' dishonest behavior?

Daria Gerashchenko

Summary: This study examines whether universities tend to increase publications in potentially predatory journals after a leader with such a record assumes office. The findings show that the share of publications in potentially predatory journals tends to increase if a leader with such publications enters the office, especially if the university is research-oriented.

ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY (2023)

Review Medical Ethics

Factors influencing the promotion and implementation of research integrity in research performing and research funding organizations: A scoping review

Rea Roje, Andrea Reyes Elizondo, Wolfgang Kaltenbrunner, Ivan Buljan, Ana Marusic

Summary: Promoting and implementing research integrity is the responsibility of multiple stakeholders in the research community. This research conducted a scoping review to analyze factors that impact the promotion and implementation of research integrity. The study found that efforts should be made at individual, institutional, and systemic levels to foster and promote research integrity practices.

ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY (2023)

Article Medical Ethics

Should informed consent and information related to patient recruitment in clinical trials be available to the reader of scientific articles? A case study in dentistry

Clovis Mariano Faggion

Summary: This study investigated the reporting of informed consent and patient recruitment information in clinical studies, particularly focusing on randomized clinical trials (RCTs) on root coverage procedures. The findings revealed a severe underreporting of informed consent and patient recruitment information in the published articles, suggesting a potential issue of selective outcome reporting.

ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY (2023)

Article Medical Ethics

Perceptions of publication pressure among Hungarian researchers: Differences across career stage, gender, and scientific field

Anna Catharina Vieira Armond, Peter Kakuk

Summary: This study aims to assess the perceived publication pressure among researchers in Hungary and its relationship with career stage, scientific field, and gender. The results showed no significant disciplinary differences in perceived publication pressure, but PhD students perceived a greater lack of resources compared to postdocs and professors. Female researchers also reported greater stress than male researchers, highlighting the need for improved mentoring and gender equality measures in academia.

ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY (2023)

Article Ethics

Assessing the performance of ChatGPT in bioethics: a large language model's moral compass in medicine

Jamie Chen, Angelo Cadiente, Lora J. Kasselman, Bryan Pilkington

Summary: This study evaluated the accuracy of ChatGPT-3.5 in answering bioethics questions and found that it had an accuracy of 59.6%. It performed well on topics related to death and patient-physician relationships, but poorly on questions about informed consent. Certain specialties and bioethical categories were underrepresented, and the errors made were mainly content and application errors.

JOURNAL OF MEDICAL ETHICS (2023)

Article Ethics

Objections to assisted dying within institutions: systemic solutions for rapprochement

Carmelle Peisah, Adrianna Sheppard, Kelvin C. Y. Leung

Summary: This article discusses how a recent study on the impact of institutional objections to assisted dying informed the implementation of Voluntary Assisted Dying (VAD) in an Australian public health setting. The study found that institutional objections can harm patients and caregivers, and provides systematic strategies to support VAD implementation. The article highlights the importance of considering the diverse views of healthcare professionals and addressing ethical tensions, while ensuring the integration of VAD into practice in a safe and compliant manner.

BMC MEDICAL ETHICS (2023)

Article Ethics

What is fair? Ethical analysis of triage criteria and disability rights during the COVID-19 pandemic and the German legislation

Elena Ana Francesca Goettert

Summary: This essay discusses the ethical challenges and dilemmas in allocating scarce medical resources during the COVID-19 pandemic, focusing on the German legislative process. It contrasts utilitarian and rights-based principles and presents three suggested approaches: the lottery principle, the first come first served principle, and the probability to survive principle. The potential discrimination against people with disability in the utilitarian probability to survive principle is highlighted, and ways to mitigate this concern are suggested. The essay concludes that a balanced approach between utilitarian and rights-based concerns is needed to resolve the triage dilemma.

JOURNAL OF MEDICAL ETHICS (2023)

Article Ethics

Caring as the unacknowledged matrix of evidence-based nursing

Victoria Min-Yi Wang, Brian Baigrie

Summary: This article discusses evidence-based nursing (EBN) and critically evaluates its framework, addressing concerns that EBN neglects the caring elements of nursing practice. Drawing on care ethics, the article highlights the importance of caring and argues that nursing practices can be understood through feminist care ethics and/or virtue ethics lenses. The article shows that caring is a crucial aspect that cannot be overlooked in the EBN framework.

JOURNAL OF MEDICAL ETHICS (2023)

Article Ethics

The Evolution of Forensic Genomics: Regulating Massively Parallel Sequencing

Marcus Smith, Seumas Miller

Summary: This article discusses the implications of using massively parallel sequencing (MPS) in forensic genomics and highlights the ethical concerns associated with it. The authors argue that individuals have a collective moral responsibility to submit their DNA to law enforcement agencies for the greater good of society, but also emphasize the need for legislation to regulate the use of this technology and ensure the protection of individuals' moral rights.

JOURNAL OF BIOETHICAL INQUIRY (2023)

Article Ethics

Navigating parental requests: considering the relational potential standard in paediatric end-of-life care in the paediatric intensive care unit

Jenny Kingsley, Jonna Clark, Mithya Lewis-Newby, Denise Marie Dudzinski, Douglas Diekema

Summary: This paper discusses the medical decision-making issues surrounding a child's death in the paediatric intensive care unit (PICU), focusing on the ethical duty of clinicians towards the child. However, the paper argues that clinicians should also consider their duty towards the patient's family and proposes the relational potential standard as an additional ethical framework to guide decision-making.

JOURNAL OF MEDICAL ETHICS (2023)

Article Ethics

Ration health resources to save more statistical lives from cervical cancer death in Africa: Why are we allowing them to die?

Adolf Kofi Awua

Summary: Public health interventions in low- and middle-income countries face the challenge of limited resources and the difficulty of making ethical decisions. This article argues in favor of saving statistical lives by investing in prevention programs for cervical cancer in LMICs, considering the principles of justice in resource allocation. The dilemma of choosing between a national cancer prevention program or expanding cancer treatment facilities is discussed.

DEVELOPING WORLD BIOETHICS (2023)

Article Medical Ethics

Artificial Intelligence in medicine: reshaping the face of medical practice

Max Tretter, David Samhammer, Peter Dabrock

Summary: This study discusses the potential impact of implementing artificial intelligence on physician requirements, emphasizing the importance of interpersonal communication in medical practice. The research suggests that interactions between healthcare providers and patients will become increasingly important, posing challenges for the implementation of AI in healthcare practices.

ETHIK IN DER MEDIZIN (2023)

Article Ethics

Views on sharing mental health data for research purposes: qualitative analysis of interviews with people with mental illness

Emily Watson, Sue Fletcher-Watson, Elizabeth Joy Kirkham

Summary: Improving the sharing of mental health data can advance research and treatment, but it should be done in partnership with data providers. Despite research on public perspectives on data sharing, there is a lack of research on the views of people with mental illness.

BMC MEDICAL ETHICS (2023)

Letter Ethics

The Limitations of Ethical Review: the Protection-Inclusion Dilemma

Akira Akabayashi, Deborah Zion

ASIAN BIOETHICS REVIEW (2023)

Article Ethics

Unraveling Informality and Precarity: New Labor Law Strategies for the Global Reproduction Network of Cross-Border Surrogacy

Yingyi Luo

Summary: This paper provides an analysis of the global reproduction networks driving Asia's cross-border surrogacy industry, focusing on the unique features of informal surrogacy networks and the vulnerability of surrogate mothers within them. It also explores innovative labor law strategies to regulate the industry and highlights the importance of international collaboration in bridging regulatory gaps and accountability.

ASIAN BIOETHICS REVIEW (2023)

Review Ethics

Ethical Issues in Photovoice Studies involving Key Populations: A Scoping Review

Chong Guan Ng, Sing Qin Ting, Rumana Akhter Saifi, Adeeba Bt Kamarulzaman

Summary: Photovoice is a community-based research method that uses images and words to convey participants' needs, concerns, and desires. It is particularly valuable in studying marginalized communities facing health risks, disease transmission, and social and health disparities. This study investigates the ethical considerations in photovoice research projects through an extensive literature review. The analysis of 25 photovoice studies revealed various ethical concerns, including informed consent, participant safety and disclosure, privacy and confidentiality, misrepresentation, power dynamics, and compensation. The findings highlight the importance of addressing these ethical issues to uphold participants' rights and autonomy in photovoice research.

ASIAN BIOETHICS REVIEW (2023)

Article Ethics

Putting Epistemic Injustice to Work in Bioethics: Beyond Nonmaleficence

S. Wallaert, S. Segers

Summary: This article expands on Della Croce's ambition to interpret epistemic injustice as a specification of non-maleficence within the influential four-principle framework. While commendable, both Della Croce's attempt and our critique of it remain tentative. However, the article takes on the challenge to critically address two main points: broadening the analysis to include deliberations about hermeneutical injustice and exploring the potential moral responsibilities beyond the individual level.

JOURNAL OF BIOETHICAL INQUIRY (2023)

Article Ethics

Uncertain futures and unsolicited findings in pediatric genomic sequencing: guidelines for return of results in cases of developmental delay

Candice Cornelis, Wybo Dondorp, Ineke Bolt, Guido de Wert, Marieke van Summeren, Eva Brilstra, Nine Knoers, Annelien L. Bredenoord

Summary: This study examines the moral challenges faced by parents of children with developmental delay who undergo whole exome sequencing (WES). The study finds that parents often feel caught in a dilemma when deciding on unsolicited findings (UFs) related to the genetic testing before WES is conducted. The study proposes guidelines for a staged informed consent process and different guidelines for withholding/disclosing UF based on the level of confidence in the child's future autonomous capabilities.

BMC MEDICAL ETHICS (2023)

Article Ethics

Characteristics of Life-Sustaining Treatment Decisions: National Data Analysis in South Korea

Jiyeon Choi, Heejung Jeon, Ilhak Lee

Summary: This study analyzes national data from 2018 to 2020 to understand the characteristics of South Korea's end-of-life procedure in terms of decision-making approach and process. The study finds that age and disease type have a significant impact on life-sustaining treatment decisions, and the time from decision-making to implementation is short. Patients with circulatory or digestive diseases have lower rates of self-determination compared to those with neoplastic diseases.

ASIAN BIOETHICS REVIEW (2023)

Editorial Material Medical Ethics

New collaborative statement by bioethics journal editors on generative AI use

Lisa M. Rasmussen

ACCOUNTABILITY IN RESEARCH-ETHICS INTEGRITY AND POLICY (2023)