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Pesquisa : K01.752.566.479.168 [Categoria DeCS]
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[PMID]:29219287
[Au] Autor:Wirth SR
[Ti] Título:Data Scrutiny: Focus on training and compliance to reduce risk of fraud.
[So] Source:JEMS;42(4):16-7, 2017 04.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/ética
Serviços Médicos de Emergência/legislação & jurisprudência
Ética Institucional/educação
Fraude/ética
Fraude/legislação & jurisprudência
Medicaid/legislação & jurisprudência
Medicare/legislação & jurisprudência
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Fidelidade a Diretrizes
Seres Humanos
Responsabilidade Legal
Medicaid/economia
Medicare/economia
Política Organizacional
Patient Protection and Affordable Care Act
Política
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE


  2 / 2937 MEDLINE  
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[PMID]:28765437
[Au] Autor:Lyon L; Itaya LE; Hoover T; Booth MT; Nadershahi N
[Ad] Endereço:Dr. Lyon is Chair, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Itaya is Group Practice Leader, Department of Dental Practice, Arthur A. Dugoni School of Dentistry, University of the Pacific; Dr. Hoover is Vice Chair, Department of Dental Practi
[Ti] Título:Humanism in Dental Education: A Comparison of Theory, Intention, and Stakeholder Perceptions at a North American Dental School.
[So] Source:J Dent Educ;81(8):929-936, 2017 Aug.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In today's dental education environment, a humanistic culture is an expectation for all U.S. dental schools, codified in 2013 by its inclusion in the Commission on Dental Accreditation's standards for accreditation. The University of the Pacific Arthur A. Dugoni School of Dentistry has made an active commitment to humanism since the mid-1970s. The aim of this study was to determine how well the school's students and faculty and staff members perceived the school was living up to its formal aspirational values and who was benefitting from the humanistic culture. Using an electronic survey, data were collected from a total of 195 students, faculty members, and staff members in 2014. Respondents were 15% of the 492 full- and part-time faculty members; 9% of the total student population of 540; and 29% of 255 staff members. In the responses, humanism was described as manifest by attributes such as caring, understanding, respect, and compassion. Although the findings confirmed the value of a humanistic culture, some portions of the school's formal definition and goals, such as good work ethic, professional responsibility, high ethical standards, increasing independence, and attainment of competence, appeared less frequently in responses. Authentic assessment of institutional culture proved challenging. Focus groups offered additional ways to assess how effectively the school lives its core value of humanism. There was recognition that more varied, robust methods were needed to assess institutional alignment with stated goals for a humanistic learning environment.
[Mh] Termos MeSH primário: Educação em Odontologia/ética
Humanismo
Faculdades de Odontologia/ética
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Currículo
Ética Institucional
Docentes de Odontologia/psicologia
Seres Humanos
Percepção
Estudantes de Odontologia/psicologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.044


  3 / 2937 MEDLINE  
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[PMID]:28603156
[Au] Autor:Cole AM; Baldwin LM; Keppel GA; Kuwana E; Mollis BL; Wilfond BS
[Ti] Título:Conflicts of Interest and Distribution of Resources to Community Partners: An Organizational Ethics Dilemma.
[So] Source:Prog Community Health Partnersh;11(1):99-106, 2017.
[Is] ISSN:1557-0541
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Conflicts of interest can arise when faculty and staff administer programs that distribute research funds, training opportunities, and other resources across academic and community partners. We describe the ethical concerns encountered by a Clinical Translational Science Award (CTSA) program in administering its community-focused pilot grant program and how its Research Bioethics Consultation service helped to address them.Ethical Concerns: CTSA program faculty and staff identified ethical concerns in several areas, including appropriateness of including Regional Research Collaborations (RRC) faculty as principal or co-investigators on applications, determining how much help RRC faculty and staff should provide to prospective applicants, and creating a fair and effective application review process. DISCUSSION: The CTSA program identified common goals and values for its community-focused pilot grant program, and resolved the conflicts of interest with the new pilot grant policies. This approach could generalize to conflicts of interest that arise in other academic-community partnerships.
[Mh] Termos MeSH primário: Relações Comunidade-Instituição
Conflito de Interesses
Ética Institucional
Ética em Pesquisa
Apoio à Pesquisa como Assunto
[Mh] Termos MeSH secundário: Pesquisa Participativa Baseada na Comunidade
Comportamento Cooperativo
Seres Humanos
Universidades/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171014
[Lr] Data última revisão:
171014
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.1353/cpr.2017.0013


  4 / 2937 MEDLINE  
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[PMID]:28428214
[Au] Autor:Berger D
[Ad] Endereço:Kalang, NSW, Australia.
[Ti] Título:Time for an overhaul at the World Medical Association.
[So] Source:BMJ;357:j1955, 2017 04 20.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Administrativo
Agências Internacionais/organização & administração
Má Conduta Profissional
Sociedades Médicas/organização & administração
[Mh] Termos MeSH secundário: Crime
Ética Institucional
Índia
Agências Internacionais/ética
Sociedades Médicas/ética
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1955


  5 / 2937 MEDLINE  
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[PMID]:28347897
[Au] Autor:Castlen JP; Cote DJ; Moojen WA; Robe PA; Balak N; Brennum J; Ammirati M; Mathiesen T; Broekman MLD; World Federation of Neurosurgical Societies Ethics Committee and European Association of Neurosurgical Societies Ethico-Legal Committee
[Ad] Endereço:Cushing Neurosurgical Outcomes Center, Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
[Ti] Título:The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice.
[So] Source:World Neurosurg;102:420-424, 2017 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Medicine is rapidly changing, both in the level of collective medical knowledge and in how it is being delivered. The increased presence of administrators in hospitals helps to facilitate these changes and ease administrative workloads on physicians; however, tensions sometimes form between physicians and administrators. ANALYSIS: This situation is based on perceptions from both sides that physicians obstruct cost-saving measures and administrators put profits before patients. In reality, increasing patient populations and changes in health care are necessitating action by hospitals to prevent excessive spending as health care systems become larger and more difficult to manage. Recognizing the cause of changes in health care, which do not always originate with physicians and administrators, along with implementing changes in hospitals such as increased physician leadership, could help to ease tensions and promote a more collaborative atmosphere. Ethically, there is a need to preserve physician autonomy, which is a tenet of medical professionalism, and a need to rein in spending costs and ensure that patients receive the best possible care. CONCLUSION: Physicians and administrators both need to have a well-developed personal ethic to achieve these goals. Physicians need be allowed to retain relative autonomy over their practices as they support and participate in administrator-led efforts toward distributive justice.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Ética Médica
Médicos
[Mh] Termos MeSH secundário: Ética Institucional
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE


  6 / 2937 MEDLINE  
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[PMID]:26275966
[Au] Autor:Sandman L; Molander U; Benkel I
[Ad] Endereço:University of Borås, Sweden; Linköping University, Sweden.
[Ti] Título:Developing organisational ethics in palliative care.
[So] Source:Nurs Ethics;24(2):138-150, 2017 Mar.
[Is] ISSN:1477-0989
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Palliative carers constantly face ethical problems. There is lack of organised support for the carers to handle these ethical problems in a consistent way. Within organisational ethics, we find models for moral deliberation and for developing organisational culture; however, they are not combined in a structured way to support carers' everyday work. RESEARCH OBJECTIVE: The aim of this study was to describe ethical problems faced by palliative carers and develop an adapted organisational set of values to support the handling of these problems. RESEARCH DESIGN: Ethical problems were mapped out using focus groups and content analysis. The organisational culture were developed using normative analysis and focus group methodology within a participatory action research approach. Main participants and research context: A total of 15 registered nurses and 10 assistant nurses at a palliative unit (with 19 patient beds) at a major University Hospital in Sweden. Ethical considerations: The study followed standard ethics guidelines concerning informed consent and confidentiality. FINDINGS: We found six categories of ethical problems (with the main focus on problems relating to the patient's loved ones) and five categories of organisational obstacles. Based on these findings, we developed a set of values in three levels: a general level, an explanatory level and a level of action strategies. DISCUSSION: The ethical problems found corresponded to problems in other studies with a notable exception, the large focus on patient loved ones. The three-level set of values is a way to handle risks of formulating abstract values not providing guidance in concrete care voiced in other studies. CONCLUSION: Developing a three-level set of values adapted to the specific ethical problems in a concrete care setting is a first step towards a better handling of ethical problems.
[Mh] Termos MeSH primário: Ética Institucional
Ética em Enfermagem
Cultura Organizacional
Cuidados Paliativos/ética
Relações Profissional-Paciente
[Mh] Termos MeSH secundário: Adulto
Idoso
Atitude do Pessoal de Saúde
Cuidadores
Feminino
Grupos Focais
Hospitais Universitários
Seres Humanos
Masculino
Meia-Idade
Desenvolvimento de Programas/métodos
Pesquisa Qualitativa
Suécia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:150816
[St] Status:MEDLINE
[do] DOI:10.1177/0969733015595542


  7 / 2937 MEDLINE  
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[PMID]:26260440
[Au] Autor:Abou Hashish EA
[Ad] Endereço:Alexandria University, Egypt.
[Ti] Título:Relationship between ethical work climate and nurses' perception of organizational support, commitment, job satisfaction and turnover intent.
[So] Source:Nurs Ethics;24(2):151-166, 2017 Mar.
[Is] ISSN:1477-0989
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Healthcare organizations are now challenged to retain nurses' generation and understand why they are leaving their nursing career prematurely. Acquiring knowledge about the effect of ethical work climate and level of perceived organizational support can help organizational leaders to deal effectively with dysfunctional behaviors and make a difference in enhancing nurses' dedication, commitment, satisfaction, and loyalty to their organization. PURPOSE: This study aims to determine the relationship between ethical work climate, and perceived organizational support and nurses' organizational commitment, job satisfaction, and turnover intention. METHODS: A descriptive correlational research design was conducted in all inpatient care units at three major hospitals affiliated to different health sectors at Alexandria governorate. All nurses working in these previous hospitals were included in the study (N = 500). Ethical Climate Questionnaire, Survey of Perceived Organizational Support, Organizational Commitment Questionnaire, Index of Job Satisfaction, and Intention to Turnover scale were used to measure study variables. Ethical considerations: Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria University. Privacy and confidentiality of data were maintained and assured by obtaining subjects' informed consent to participate in the research before data collection. FINDINGS: The result revealed positive significant correlations between nurses' perception of overall ethical work climate and each of perceived organizational support, commitment, as well as their job satisfaction. However, negative significant correlations were found between nurses' turnover intention and each of these variables. Also, approximately 33% of the explained variance of turnover intention is accounted by ethical work climate, organizational support, organizational commitment, and job satisfaction, and these variables independently contributed significantly in the prediction of turnover intention. RECOMMENDATION: Strategies to foster and enhance ethical and supportive work climates as well as job-related benefits are considered significant factors in increasing nurses' commitment and satisfaction and decreasing their turnover intention.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Ética Institucional
Satisfação no Emprego
Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos
Cultura Organizacional
Reorganização de Recursos Humanos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Análise de Variância
Seres Humanos
Meia-Idade
Lealdade ao Trabalho
Análise de Regressão
Estatística como Assunto
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:150812
[St] Status:MEDLINE
[do] DOI:10.1177/0969733015594667


  8 / 2937 MEDLINE  
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[PMID]:25270505
[Au] Autor:Mahieu L; Anckaert L; Gastmans C
[Ad] Endereço:Centre for Biomedical Ethics and Law, KU Leuven, Kapucijnenvoer 35/3, Box 7001, 3000, Louvain, Belgium. lieslot.mahieu@med.kuleuven.be.
[Ti] Título:Intimacy and Sexuality in Institutionalized Dementia Care: Clinical-Ethical Considerations.
[So] Source:Health Care Anal;25(1):52-71, 2017 Mar.
[Is] ISSN:1573-3394
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Intimacy and sexuality expressed by nursing home residents with dementia remains an ethically sensitive issue for care facilities, nursing staff and family members. Dealing with residents' sexual longings and behaviour is extremely difficult, putting a burden on the caregivers as well as on the residents themselves and their relatives. The parties in question often do not know how to react when residents express themselves sexually. The overall aim of this article is to provide a number of clinical-ethical considerations addressing the following question: 'How can expressions of intimacy and sexuality by residents with dementia be dealt with in an ethically responsible way?' The considerations formulated are based on two cornerstones: (1) the current literature on older peoples' experiences regarding intimacy and sexuality after the onset of dementia, and (2) an anthropological-ethical framework addressing four fundamental pillars of human existence namely the decentred self, human embodiment, being-in-the-world and being-with-others. The resulting considerations are oriented toward the individual sphere, the partnership sphere, and the institutional sphere. The continuous interaction between these spheres leads to orientations that both empower the residents in question and respect the complex network of relationships that surrounds them.
[Mh] Termos MeSH primário: Demência/psicologia
Institucionalização
Casas de Saúde/ética
Sexualidade/ética
[Mh] Termos MeSH secundário: Antropologia
Ética Institucional
Seres Humanos
Comportamento Sexual/ética
Comportamento Sexual/psicologia
Sexualidade/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:141002
[St] Status:MEDLINE
[do] DOI:10.1007/s10728-014-0287-2


  9 / 2937 MEDLINE  
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[PMID]:27834266
[Au] Autor:Pandya S; Nagral S; Nundy S
[Ad] Endereço:Jaslok Hospital, Mumbai, India.
[Ti] Título:World Medical Association's tainted president, Ketan Desai.
[So] Source:BMJ;355:i5867, 2016 Nov 10.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Administrativo
Crime
Má Conduta Profissional
Sociedades Médicas
[Mh] Termos MeSH secundário: Educação Médica
Ética Institucional
Seres Humanos
Índia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i5867


  10 / 2937 MEDLINE  
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[PMID]:27669138
[Au] Autor:Berlinger N; Dietz E
[Ad] Endereço:Research scholar at the Hastings Center in Garrison, New York.
[Ti] Título:Time-out: The Professional and Organizational Ethics of Speaking Up in the OR.
[So] Source:AMA J Ethics;18(9):925-32, 2016 Sep 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Participation in patient safety is one concrete expression of a foundational principle of medical ethics: do no harm. Being an ethical professional requires taking action to prevent harm to patients in health care environments. Checklists and time-outs have become common patient safety tools in the US and other nations. While their use can support ethical practice, recent research has revealed their limitations and has underscored the importance of interpersonal collaboration in developing and using these patient safety tools. This article summarizes key research and discusses the professional and organizational ethics of patient safety, using the surgical time-out as a case study.
[Mh] Termos MeSH primário: Códigos de Ética
Comportamento Cooperativo
Ética Institucional
Relações Interprofissionais
Salas Cirúrgicas
Segurança do Paciente
Profissionalismo
[Mh] Termos MeSH secundário: Lista de Checagem
Comunicação
Tomada de Decisões
Ética Clínica
Seres Humanos
Time Out na Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160927
[St] Status:MEDLINE



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