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The perception of ethical dilemmas in clinical practice.

The empirical diagnosis presented in this paper is based on interviews with nurse practitioners and physicians designed to elicit their perceptions on the nature and role of ethical dilemmas in clinical practice. Having selected five of these perceptions or views which were common and significant, the philosophical therapy offered consists in, first, a general discussion of ethical dilemmas and, second, a critical analysis of each of the five views with the aim of pointing out confusions and errors, the recognition of which can be of applied and practical help in the clinical setting.

Attitude of Health Personnel↗

Noblesse oblige.

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Aged↗

[Ethical aspects of biological sample banks].

Numerous activities in the domain of epidemiology require the constitution or the use of biological sample banks. Such biobanks raise ethical issues. A number of recommendations are applicable to this field, in France and elsewhere. Major principles applicable to biobanks include the respect of person's autonomy, the respect of human body, the respect of confidentiality. These principles are translated into practices through the following procedures: relevant information to the persons regarding their sample management prior to informed consent, opinion of an independent ethics committee, actual implementation of conditions for protecting samples and data. However, although those principles may appear quite simple and obvious, in the context of a largely international practice of research and given the large variety of biobanks, it is not always obvious for researchers to find their way. The attitudes vary between countries, there are numerous texts for various types of biobanks, the same texts raise different interpretations in different institutions, there are new ethical opinions expressed, and mainly the novelty of questions raised by the uses of samples that are possible today, especially in genetics, and were not foreseeable at the time of sampling make the field difficult in practice. This article reviews the types of biobanks, the relevant ethical issues. It also underlines the still unclear or ambiguous situations using some examples of practical situations.

Bioethical Issues↗

Ethical dilemmas.

Dilemma is the name we reserve for some of the hardest cases and issues in ethics. Ethical dilemmas arise from fundamental conflicts among ethical beliefs, duties, principles, and theories. This article discusses some of the morally disturbing dilemmas in nursing practice.

Attitude of Health Personnel↗

Medical ethics--a Christian view.

All ethics has a religious dimension. This paper considers how specific Christian insights concerning death, suffering, human nature and human creatureliness can help to expose more fully the moral issues at stake in some of the dilemmas faced by doctors. It ends by acknowledging the crushing burden of decision-making which rests on many in the medical profession, and indicates the importance of religious resources in dealing with this.

Bioethical Issues↗

Biology, ethics, and public policy: deliberations at an unstable intersection.

Biology, ethics, and politics intersect in many public policy issues. The unique features of the meeting point in each case are affected by changes in scientific and technological knowledge, moral analysis in a pluralistic society, and political relations. No one of the three can be ignored without repercussions. This essay, however, concentrates on ethics. The ethical dimension must allow for genuine differences in fundamental moral stance, which always persist alongside scientific developments. Two scientific/medical issues with considerable ethical and political implications are discussed: (1) application of human embryonic stem cell research in regenerative medicine and (2) neuroscientific reductionism in the context of behavioral research and moral responsibility. Public advisory committees and other governmental structures for pursuing public policy should not rely merely on cost-benefit analysis to form policy, as if it were uniquely objective, but should also recognize the necessity of considering science and ethics together as two separate yet complementary foundations of policy. Minimizing the distinctness of the biological and ethical dimensions will make any conclusions unstable and their later implementation more difficult.

Animals↗

The prodigal and his brother: impartiality and the equal consideration of interests.

At the heart of Peter Singer's utilitarianism is the impartial weighing of the interests of those affected by our actions. Singer calls this the Principle of Equal Consideration of Interests. This paper argues that Singer's Principle does not accord with our moral intuitions and the logic of our moral thinking. It discusses the Principle in the context of the parable of the Prodigal Son and his Brother--a parable that raises the issue of impartiality in a particularly challenging way. What the parable shows is, first, that our moral thinking often turns on judgements of fairness that are prior to any impartial weighing of interests; and, second, that impartial fairness itself is sometimes transcended by compassionate love. Both of these points have important implications for bioethics.

Australia↗