Articles Tagged With: capacity
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Some IRB Policies Unfairly Exclude People with Uncertain Decision-Making Capacity
Many IRB policies exclude individuals with impaired decision-making capacity, raising ethical and civil rights concerns. Researchers and ethicists advocate for inclusion, reassessment of capacity, and accommodations to ensure fair participation while balancing risk, consent, and autonomy.
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Psychiatric Patient Capacity Evaluations Likely Highlight Other Ethical Issues
Psychiatric capacity evaluations often involve hidden ethical challenges, such as treatment refusal, surrogate ambiguity, and racial bias. Ethicists assist in contextualizing decisions, preserving autonomy, and supporting providers in ethically fraught scenarios involving complex patient values.
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Decision-Making Capacity of Psychiatric Patients Is Ethically Complex
Clinicians often have difficulty assessing decision-making capacity in psychiatric patients. One reason is that capacity can fluctuate based on the patient’s condition or treatment.
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Ethicists Collaborate with Palliative Care Team
Connie M. Ulrich, PhD, MSN, RN, FAAN, and colleagues often observed close collaboration between ethicists and palliative care providers, but wanted to better understand the intersection between palliative care and ethics consultation. The researchers surveyed 86 pediatric palliative care clinicians at 70 children’s hospitals about why they requested ethics consults.
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Mental Health Issues Are Coming Up During Ethics Consults
Mental health issues are coming up more frequently during ethics consults, according to ethicists interviewed by Medical Ethics Advisor.
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Reproductive Health Providers Prepare for Increased Capacity
Before voters in Ireland overturned a constitutional abortion ban, people had to travel to England and other places to obtain a safe and legal abortion. Soon, a large proportion of pregnant Americans will face the same choice. -
Missed Nursing Care and Declining Patient Safety
While the immediate effect of the COVID-19 omicron variant on the healthcare workforce is the pressing issue, there were serious concerns about staff shortages and the effect of “missed nursing care” on patients well before the pandemic. -
Focus on Quintuple Aim to Address Workforce Burnout and Equity
If there is anything the COVID-19 crisis has shown healthcare leaders and case managers, it is the triple aim of focusing on improving population health, enhancing care experience, and reducing overall costs is not enough to improve value-based care. A quintuple aim of also prioritizing health equity and workforce wellness/burnout is needed. Both became crises during the pandemic. -
Discharge Waiting Room Gives Patients a Comfortable Place Between Bed and Home
A health system’s nurse case manager oversees a discharge waiting lobby that has helped shorten the time to discharge patients and frees beds for patients waiting in the ED. The discharge waiting lobby helps ease transitions during a difficult time for hospitals.
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More Patients Are Refusing Discharge
The COVID-19 pandemic caused unprecedented bottlenecks in moving patients through the care continuum. But more patients are simply refusing to be discharged from hospital beds.