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[PMID]:28470161
[Au] Autor:Ko IS; Choi SY; Kim JS
[Ad] Endereço:College of Nursing, Yonsei University, Seoul, Korea.
[Ti] Título:[Evolutionary Concept Analysis of Spirituality].
[So] Source:J Korean Acad Nurs;47(2):242-256, 2017 Apr.
[Is] ISSN:2093-758X
[Cp] País de publicação:Korea (South)
[La] Idioma:kor
[Ab] Resumo:PURPOSE: This study was done to clarify attributes, antecedents, and consequences of spirituality. METHODS: Rodgers's evolutionary concept analysis was used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine, counseling & psychology, social welfare, and nursing. RESULTS: Spirituality was found to consist of two dimensions and eight attributes: 1) vertical dimension: 'intimacy and connectedness with God' and 'holy life and belief', 2) horizontal dimension: 'self-transcendence', 'meaning and purpose in life', 'self-integration', and 'self-creativity' in relationship with self, 'connectedness' and 'trust' in relationship with others·neighbors·nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequences of spirituality were positive and negative. Being positive included 'life centered on God' in vertical dimension, and among horizontal dimension 'joy', 'hope', 'wellness', 'inner peace', and 'self-actualization' in relationship with self, 'doing in love' and 'extended life toward neighbors and the world' in relationship with others·neighbors·nature. Being negative was defined as having 'guilt', 'inner conflict', 'loneliness', and 'spiritual distress'. Facilitators of spirituality were stressful life events and experiences. CONCLUSION: Spirituality is a multidimensional concept. Unchangeable attributes of spirituality are 'connectedness with God', 'self-transcendence', 'meaning of life' and 'connectedness with others·nature'. Unchangeable consequences of spirituality are 'joy' and 'hope'. The findings suggest that the dimensional framework of spirituality can be used to assess the current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.
[Mh] Termos MeSH primário: Espiritualidade
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Seres Humanos
Princípios Morais
Qualidade de Vida
Autoeficácia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.4040/jkan.2017.47.2.242


  2 / 12464 MEDLINE  
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[PMID]:28453790
[Au] Autor:Manning JM
[Ad] Endereço:Faculty of Law, University of Auckland, Auckland, New Zealand.
[Ti] Título:Does the Law on Compensation for Research-Related Injury in the UK, Australia, and New Zealand Meet Ethical Requirements?
[So] Source:Med Law Rev;25(3):397-427, 2017 Aug 01.
[Is] ISSN:1464-3790
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Despite a consensus that society owes an ethical obligation to compensate for research-related injury, and that no-fault is the best ethical response, an assessment of the compensation arrangements in place in the UK, Australia and New Zealand shows that in general compensation arrangements fall below this ethical expectation. Most subjects rely on ex gratia payment or an unenforceable assurance of payment in the event of injury. It is also likely that, given significant deficiencies in participant information about compensation arrangements in place for trials recommended by the supervisory ethics agencies in each jurisdiction, subjects only find out about their financial exposure in the event of injury. Industry-drafted guidelines governing compensation in commercially sponsored trials do not protect subjects' interests, but operate primarily to protect the interests of industry. The article considers potential solutions to the ethical deficiency of the compensation arrangements, and argues that the ethical corollary of the fact that society is the ultimate beneficiary of its members' participation in clinical research, is that society as a whole should bear the cost of participant injuries, through establishment of a central no-fault compensation fund financed either by the state or those directly involved in biomedical research.
[Mh] Termos MeSH primário: Compensação e Reparação/ética
Sujeitos da Pesquisa
[Mh] Termos MeSH secundário: Austrália
Seres Humanos
Consentimento Livre e Esclarecido
Princípios Morais
Nova Zelândia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/medlaw/fwx019


  3 / 12464 MEDLINE  
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[PMID]:29384345
[Au] Autor:Wardrope A
[Ti] Título:Autonomy as Ideology: Towards an Autonomy Worthy of Respect.
[So] Source:New Bioeth;21(1):56-70, 2015.
[Is] ISSN:2050-2885
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Recent criticism of the role of respect for autonomy in bioethics has focused on that principle's status as 'dogma' or 'ideology'. I suggest that lying beneath many applications of respect for autonomy in medical ethics are some influential dogmas ­ propositions accepted, not as explicit premises or as a consequence of reasoned argument, but simply because moral problems are so frequently framed in such terms. Furthermore, I will argue that rejecting these dogmas is vital to secure and protect an autonomy worthy of respect. The concept of autonomy that is widely applied in clinical ethics emphasises decision-making competence, at the expense of considering the authenticity of those decisions. Respect for such autonomy is interpreted in largely synchronic and individual terms ­ concerned with the isolated decisions of individual agents ­ and thus neglects the diachronic and social dimensions of many moral dilemmas arising in the health care context. I will examine how these unwritten rules lead to an impoverished understanding of respect and a systematic neglect in bioethics of certain kinds of ethical consideration, and draw on insights from feminist and communitarian work on autonomy to sketch an alternative approach to understanding respect, modelled on the norms of respectful conversation ­ a respect that is firstly concerned with engaging with the another as a potential giver and bearer or reasons, and working with them to promote both individual and social flourishing.
[Mh] Termos MeSH primário: Bioética
Autonomia Pessoal
[Mh] Termos MeSH secundário: Tomada de Decisões
Ética Médica
Seres Humanos
Princípios Morais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


  4 / 12464 MEDLINE  
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[PMID]:29384343
[Au] Autor:Campbell T
[Ti] Título:Voicing Unease: Care Ethics in the Professionalization of Social Care.
[So] Source:New Bioeth;21(1):33-45, 2015.
[Is] ISSN:2050-2885
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In her work on moral reasoning, Carol Gilligan identifies two distinct models which she terms the 'voice of care' and the 'voice of justice'. The 'voice of justice' informs a professional practice grounded in fairness and objectivity and is principally concerned with rights and obligations. It can motivate the drive for legislation and codes of ethics that provide clear rules and regulations to govern social care practice. In contrast, the 'voice of care' prioritises relationships, requiring practitioners to pay attention to the particularity of each moral situation. As a result, the demand to commit to upholding universal principles and rights cannot be met. This paper explores the nature of the conflict between the moral voice of care and justice, applying insights from these diverging voices to deepen our understanding of the kind of professionalization appropriate in social care.
[Mh] Termos MeSH primário: Justiça Social
[Mh] Termos MeSH secundário: Princípios Morais
Competência Profissional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


  5 / 12464 MEDLINE  
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[PMID]:27775721
[Au] Autor:Garrett N; Lazzaro SC; Ariely D; Sharot T
[Ad] Endereço:Affective Brain Lab, Department of Experimental Psychology, University College London, London, UK.
[Ti] Título:The brain adapts to dishonesty.
[So] Source:Nat Neurosci;19(12):1727-1732, 2016 12.
[Is] ISSN:1546-1726
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Dishonesty is an integral part of our social world, influencing domains ranging from finance and politics to personal relationships. Anecdotally, digressions from a moral code are often described as a series of small breaches that grow over time. Here we provide empirical evidence for a gradual escalation of self-serving dishonesty and reveal a neural mechanism supporting it. Behaviorally, we show that the extent to which participants engage in self-serving dishonesty increases with repetition. Using functional MRI, we show that signal reduction in the amygdala is sensitive to the history of dishonest behavior, consistent with adaptation. Critically, the extent of reduced amygdala sensitivity to dishonesty on a present decision relative to the previous one predicts the magnitude of escalation of self-serving dishonesty on the next decision. The findings uncover a biological mechanism that supports a 'slippery slope': what begins as small acts of dishonesty can escalate into larger transgressions.
[Mh] Termos MeSH primário: Adaptação Biológica/fisiologia
Comportamento/fisiologia
Encéfalo/fisiologia
Tomada de Decisões/fisiologia
Princípios Morais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161108
[St] Status:MEDLINE
[do] DOI:10.1038/nn.4426


  6 / 12464 MEDLINE  
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[PMID]:29364985
[Au] Autor:Crone DL; Bode S; Murawski C; Laham SM
[Ad] Endereço:Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
[Ti] Título:The Socio-Moral Image Database (SMID): A novel stimulus set for the study of social, moral and affective processes.
[So] Source:PLoS One;13(1):e0190954, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A major obstacle for the design of rigorous, reproducible studies in moral psychology is the lack of suitable stimulus sets. Here, we present the Socio-Moral Image Database (SMID), the largest standardized moral stimulus set assembled to date, containing 2,941 freely available photographic images, representing a wide range of morally (and affectively) positive, negative and neutral content. The SMID was validated with over 820,525 individual judgments from 2,716 participants, with normative ratings currently available for all images on affective valence and arousal, moral wrongness, and relevance to each of the five moral values posited by Moral Foundations Theory. We present a thorough analysis of the SMID regarding (1) inter-rater consensus, (2) rating precision, and (3) breadth and variability of moral content. Additionally, we provide recommendations for use aimed at efficient study design and reproducibility, and outline planned extensions to the database. We anticipate that the SMID will serve as a useful resource for psychological, neuroscientific and computational (e.g., natural language processing or computer vision) investigations of social, moral and affective processes. The SMID images, along with associated normative data and additional resources are available at https://osf.io/2rqad/.
[Mh] Termos MeSH primário: Afeto
Bases de Dados Factuais
Princípios Morais
Fatores Sociológicos
[Mh] Termos MeSH secundário: Seres Humanos
Fotografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; VALIDATION STUDIES
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190954


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[PMID]:29281477
[Au] Autor:Lieberman JA
[Ad] Endereço:Columbia University College of Physicians and Surgeons, New York, NY jlieberman@columbia.edu.
[Ti] Título:Psychiatrists Diagnosing the President - Moral Imperative or Ethical Violation?
[So] Source:N Engl J Med;378(5):483-484, 2018 02 01.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Princípios Morais
Psiquiatria/ética
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMc1716751


  8 / 12464 MEDLINE  
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[PMID]:29280789
[Au] Autor:Holt FX
[Ad] Endereço:Francis X. Holt, PhD, RN Fruita, CO.
[Ti] Título:The Ethical Dimensions of Hospital Administration.
[So] Source:Am J Nurs;118(1):10, 2018 01.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Administração Hospitalar/ética
Recursos Humanos de Enfermagem no Hospital/ética
[Mh] Termos MeSH secundário: Seres Humanos
Satisfação no Emprego
Princípios Morais
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000529698.22945.60


  9 / 12464 MEDLINE  
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[PMID]:28452150
[Au] Autor:Rességuier A
[Ad] Endereço:PhD Candidate, Sciences Po, France, and Research Assistant, University of Oxford, United Kingdom.
[Ti] Título:The moral sense of humanitarian actors: an empirical exploration.
[So] Source:Disasters;42(1):62-80, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper examines humanitarianism's moral positioning above private and political interests to save lives and alleviate suffering. It does not aim to assess the legitimacy of this stance, but rather to probe the way in which humanitarian actors relate to this moral dimension in their everyday work. It investigates empirically humanitarian ethics from the perspective of humanitarian actors, drawing on interviews conducted in Beirut, Lebanon, in 2014. As it is exploratory, three key conceptual innovations were required. The first of these is the introduction of the tools developed to consider a neglected reality: humanitarian actors' 'moral sense' vis-à-vis the humanitarian sector's 'moral culture'. Second, the study shows how the sector's moral culture is structured around the notion of 'concern for persons in need'. Third, it analyses the way in which the sector and its actors handle the asymmetrical relationships encountered daily. Ultimately this paper seeks to valorise humanitarian actors' creativity in their common practices and explore potential challenges to it.
[Mh] Termos MeSH primário: Altruísmo
Princípios Morais
[Mh] Termos MeSH secundário: Pesquisa Empírica
Seres Humanos
Líbano
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12234


  10 / 12464 MEDLINE  
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[PMID]:27773527
[Au] Autor:Angelotta C; Weiss CJ; Angelotta JW; Friedman RA
[Ad] Endereço:Department of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: cara.angelotta@northwestern.edu.
[Ti] Título:A Moral or Medical Problem? The Relationship between Legal Penalties and Treatment Practices for Opioid Use Disorders in Pregnant Women.
[So] Source:Womens Health Issues;26(6):595-601, 2016 Nov - Dec.
[Is] ISSN:1878-4321
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The relationship between use of medication-assisted treatment (MAT) in pregnant women with opioid use disorders, the standard of care, and state laws that permit child abuse charges for illicit drug use during pregnancy has not been described. METHODS: Using publicly available data on substance abuse treatment in the United States, we describe patterns in the use of MAT for pregnant women with opioid use disorders in states with prenatal child abuse laws compared with states without such laws. A binary logistic regression analysis was conducted to predict the presence or absence of MAT in the treatment plan of pregnant women using the following independent variables: state prenatal child abuse law, referral source, geographical region, and Medicaid coverage of methadone. RESULTS: In 2012, there were 8,292 treatment episodes of pregnant women with a primary opioid use disorder in the United States for which data on MAT use were available. Among states with laws that permit child abuse charges for illicit drug use in pregnancy (18 states), MAT was used in 33.15% of treatment admissions compared with 51.33% of admissions in states without a law. The following levels of the independent variables have a greater effect on the lack of use of MAT in descending order of importance: criminal justice referral, other community referral, Southern region, Medicaid coverage, drug abuse care provider referral, unknown referral, other health care provider referral, and presence of state law that permits child abuse charges. CONCLUSION: Referral source, geographic region, Medicaid funding, and prenatal child abuse laws were associated with significantly lower rates of use of MAT.
[Mh] Termos MeSH primário: Maus-Tratos Infantis/legislação & jurisprudência
Princípios Morais
Transtornos Relacionados ao Uso de Opioides/terapia
Gestantes/psicologia
[Mh] Termos MeSH secundário: Adulto
Pré-Escolar
Feminino
Seres Humanos
Lactente
Medicaid
Transtornos Relacionados ao Uso de Opioides/psicologia
Gravidez
Complicações na Gravidez
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180124
[Lr] Data última revisão:
180124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE



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