Ética na decisão terapêutica em condições de prematuridade extrema [Ethics in therapeutic decisions in extreme prematurity conditions] 15
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• Qualitative study, critical review of literature |
• Uncertain prognosis of infants born extremely premature and ethical considerations regarding autonomy and therapeutic decisions |
• The increasing technological advancement in health care and the need for humane intervention - as a (bio)ethics imperative – in the routine of neonatal units |
• Artificial maintenance of vital functions in the context of lack of reasonable recovery expectations |
Implantação de comitês de bioética em hospitais universitários brasileiros: dificuldades e viabilidades [Bioethics committees deployment in Brazilian university hospitals: problems and viabilities] 16
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• Qualitative study, case report |
• Contextualisation of the development and proposal of bioethics committees in Brazil |
• Scenario: hospital complex of a Brazilian public university |
• Little understanding by health professionals regarding the basic (bio)ethical knowledge and ability to deal with moral issues in clinical and care environments |
Modelos de tomada de decisão em bioética clínica: apontamentos para abordagem computacional [Decision-making models in clinical bioethics: notes for a computational approach] 17
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• Qualitative study, literature review |
• Rise of the applicability of computer systems in clinical practice |
• Presentation of artificial neural networks as computer support to decision-making in clinical (bio)ethics |
Tomada de decisão em bioética clínica: casuística e deliberação moral [Decision-making in clinical bioethics: casuistry and moral deliberation] 18
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• Qualitative study, update article |
• Presentation and discussion of two procedures for decision-making in clinical (bio)ethics: casuistry and moral deliberation by Diego Gracia |
Conflitos éticos na comunicação de más notícias em oncologia [Ethical conflicts in the communication of bad news in oncology] 19
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• Qualitative and exploratory study with semi-structured interviews |
• Difficulties experienced by oncologists in the process of communicating bad news |
• Participants: 15 clinical oncologists and surgeons |
• Ethical problems arising from tensions between paternalism and respect for patient autonomy |
• Scenario: Municipality of Rio de Janeiro |
Cuidados paliativos em pacientes com HIV: princípios da bioética adotados por enfermeiros [Palliative care of patients with HIV: bioethical principles adopted by nurses] 20
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• Qualitative and exploratory study |
• Appreciation of the principles of respect for autonomy, beneficence, non-maleficence and justice in the practice of palliative care for patients with HIV |
• Participants: 12 nurses |
• Application of structured form and thematic categorical analysis (Bardin) |
• Physicians’ difficulty to safely decide when to offer palliative care and the perpetuation of a long process of dysthanasia of patients with HIV |
• Scenario: Infectious diseases clinic and specialised medical service from a public hospital in the city of João Pessoa / State of Paraiba |
Bioética clínica e sua prática [Clinical bioethics and its practice] 21
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• Qualitative study, update article |
• Debate on methodological tools that aid in clinical practice and better decision-making |
• Presentation of methods for decision-making in clinical (bio)ethics based on the proposals of Diego Gracia, Albert Jonsen and James Drane |
Acerca da bioética da beira do leito [About bedside bioethics] 22
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• Qualitative study • Scenario: university hospital in the municipality of São Paulo |
• Doctor-patient relationships and the ethics of interaction at the bedside as challenges |
• (Bio)ethics at the bedside as a comparative examination of multiple consequences of assistance and success in the reconciliation and sharing of clinical decisions |
Bioética e nutrição em cuidados paliativos oncológicos em adultos [Bioethics and nutrition in cancer palliative care for adults] 23
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• Qualitative study, literature review |
• The importance of nutritional treatment in the palliative care of cancer patients |
• Describes the (bio)ethical dilemma between palliative care and nutrition in cancer patients |
The principle of respect for autonomy: concordant with the experience of oncology physicians and molecular biologist in their daily work? 24
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• Qualitative, empirical study |
• (Bio)ethical reflection of a principlist character |
• Phenomenological hermeneutic approach with methods of moral philosophy, through semi-structured interviews |
• Vulnerability and external constraint of circumstances experienced as factors that influence patients to consent to any form of treatment |
• Participants: 12 Danish oncologists and molecular biologists |
• Circumstances in which the principle of respect for autonomy is not respected and oncologists and molecular biologists decide to include or not patients in treatment |
Bioética clínica: contribuições para a tomada de decisões em unidades de terapia intensiva neonatais [Clinical bioethics: contributions to decision-making in neonatal intensive care units] 25
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Qualitative study, update article |
• Decision-making for neonatal ICU admission based on the principle of distributive justice |
• Dilemma of NICUs professionals in relation to decision-making regarding who and how should be benefit with available public resources |
O médico frente ao diagnóstico e prognóstico do câncer avançado [The physician in the face of the diagnosis and prognosis of advanced cancer] 26
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• Quantitative, empirical, study using a multiple-choice questionnaire |
• Not providing information of the diagnosis of severe terminal illness as a form of medical paternalism. |
• Participants: 38 medical specialists working with oncology |
• (Bio)ethical conflicts involving beneficence and respect for the autonomy of the patient experienced in medical practice |
• Scenario: Hospital de Base do Distrito Federal [Brasilia Base Hospital] |
From cure to palliation: concept, decision and acceptance 27
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• Qualitative empirical, study, with a questionnaire • Participants: Swedish 1,672 medical professionals and nurses from 10 different specialties, chosen at random |
• Different perceptions of professionals regarding transition concepts between curative treatments and palliative care, and the respective influence of these distinctions in care strategies |
• Disagreements between professionals on the team regarding the decision-making concerning the interruption of curative treatment and the start of palliative care |
• Ethical reflection and analysis on the principles of virtue ethics, professional deontology, consequentialism and casuistry |
Informed consent and refusal of treatment: challenges for emergency physicians 28
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• Qualitative study, update article |
• Informed consent as a legal right and morally recommended process that enabled patients to be able to participate in the decision process regarding their care |
• (Bio)ethics and the four skills cited as fundamental to sharing the medical decision-making process |