Ethical decision-making about older adults and moral intensity: an international study of physicians
Through discourse with international groups of physicians, we conducted a cross-cultural analysis of the types of ethical dilemmas physicians face. Qualitative analysis was used to categorise the dilemmas into seven themes, which we compared among the physicians by country of practice. These themes...
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| Veröffentlicht in: | Journal of medical ethics 2008-04, Vol.34 (4), p.285-296 |
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| container_title | Journal of medical ethics |
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| creator | Malloy, D C Williams, J Hadjistavropoulos, T Krishnan, B Jeyaraj, M McCarthy, E F Murakami, M Paholpak, S Mafukidze, J Hillis, B |
| description | Through discourse with international groups of physicians, we conducted a cross-cultural analysis of the types of ethical dilemmas physicians face. Qualitative analysis was used to categorise the dilemmas into seven themes, which we compared among the physicians by country of practice. These themes were a-theoretically-driven and grounded heavily within the text. We then subjected the dilemmas to an analysis of moral intensity, which represents an important (albeit novel within healthcare research) theoretical perspective of ethical decision making. These constructs (ie, culture and moral intensity) represent salient determinants of ethical behaviour and our cross-cultural sample afforded us the opportunity to consider both the pragmatic aspects of culture, as they are perceived by physicians, as well as the theory-driven concept of moral intensity. By examining both culture and moral intensity, we hope to better elucidate the complexities of ethical decision-making determinants among physicians in their daily practice. Doing so may potentially have practical implications for ethics training of medical students and foreign physicians. |
| doi_str_mv | 10.1136/jme.2006.019273 |
| format | Article |
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Doing so may potentially have practical implications for ethics training of medical students and foreign physicians.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/jme.2006.019273</identifier><identifier>PMID: 18375683</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Institute of Medical Ethics</publisher><subject>Age Factors ; Aged ; Analysis ; Aristotelean ethics ; Attitude of Health Personnel ; Bioethics ; Cross-Cultural Comparison ; Culture ; Decision making ; Decision Making - ethics ; Deontological ethics ; Ethical aspects ; Ethical dilemmas ; Focus groups ; Health care industry ; Health Care Rationing - ethics ; Humans ; Medical ethics ; Medical students ; Morality ; Morals ; Older adults ; Patients ; Physician-Patient Relations ; Physicians ; Physicians - ethics ; Physicians - psychology ; Qualitative Research ; Research Ethics ; Social ethics ; Statistics as Topic</subject><ispartof>Journal of medical ethics, 2008-04, Vol.34 (4), p.285-296</ispartof><rights>2008 BMJ Publishing Group & Institute of Medical Ethics</rights><rights>Copyright 2008 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Copyright: 2008 2008 BMJ Publishing Group & Institute of Medical Ethics</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-3d49345425d671471f34a33a3f843c808ba9a3476e1ce02927d945e4fc5249463</citedby><cites>FETCH-LOGICAL-b456t-3d49345425d671471f34a33a3f843c808ba9a3476e1ce02927d945e4fc5249463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/34/4/285.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/34/4/285.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,777,781,800,3183,23552,27905,27906,57998,58231,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18375683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malloy, D C</creatorcontrib><creatorcontrib>Williams, J</creatorcontrib><creatorcontrib>Hadjistavropoulos, T</creatorcontrib><creatorcontrib>Krishnan, B</creatorcontrib><creatorcontrib>Jeyaraj, M</creatorcontrib><creatorcontrib>McCarthy, E F</creatorcontrib><creatorcontrib>Murakami, M</creatorcontrib><creatorcontrib>Paholpak, S</creatorcontrib><creatorcontrib>Mafukidze, J</creatorcontrib><creatorcontrib>Hillis, B</creatorcontrib><title>Ethical decision-making about older adults and moral intensity: an international study of physicians</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>Through discourse with international groups of physicians, we conducted a cross-cultural analysis of the types of ethical dilemmas physicians face. Qualitative analysis was used to categorise the dilemmas into seven themes, which we compared among the physicians by country of practice. These themes were a-theoretically-driven and grounded heavily within the text. We then subjected the dilemmas to an analysis of moral intensity, which represents an important (albeit novel within healthcare research) theoretical perspective of ethical decision making. These constructs (ie, culture and moral intensity) represent salient determinants of ethical behaviour and our cross-cultural sample afforded us the opportunity to consider both the pragmatic aspects of culture, as they are perceived by physicians, as well as the theory-driven concept of moral intensity. By examining both culture and moral intensity, we hope to better elucidate the complexities of ethical decision-making determinants among physicians in their daily practice. Doing so may potentially have practical implications for ethics training of medical students and foreign physicians.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Analysis</subject><subject>Aristotelean ethics</subject><subject>Attitude of Health Personnel</subject><subject>Bioethics</subject><subject>Cross-Cultural Comparison</subject><subject>Culture</subject><subject>Decision making</subject><subject>Decision Making - ethics</subject><subject>Deontological ethics</subject><subject>Ethical aspects</subject><subject>Ethical dilemmas</subject><subject>Focus groups</subject><subject>Health care industry</subject><subject>Health Care Rationing - ethics</subject><subject>Humans</subject><subject>Medical ethics</subject><subject>Medical students</subject><subject>Morality</subject><subject>Morals</subject><subject>Older adults</subject><subject>Patients</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Physicians - ethics</subject><subject>Physicians - psychology</subject><subject>Qualitative Research</subject><subject>Research Ethics</subject><subject>Social ethics</subject><subject>Statistics as Topic</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUtv1DAUhS0EokNhzQoUCYkFUqZ-xU7YVVF5qCO6KMzWcmxn6tSJp7YjMf8eDxm1Ehu8sez73XvP0QHgLYJrhAi7GEazxhCyNUQN5uQZWCHKSUlxxZ-DFSSQlayG8Ay8inGA-eC6eQnOUE14xWqyAvoq3VklXaGNstH6qRzlvZ12hez8nArvtAmF1LNLsZCTLkYfMmynZKZo0-Fz_vz7CpNMuTvXYpr1ofB9sb87RKusnOJr8KKXLpo3p_sc_Ppy9bP9Vm5uvn5vLzdlRyuWSqJpQ2iVxWvGsw_UEyoJkaSvKVE1rDvZSEI5M0gZiLNh3dDK0F5VmDaUkXPwcZm7D_5hNjGJ0UZlnJOT8XMUHFKKcU0y-OEfcPBztuCiQLxGkGPCcKbKhdpJZ4SdlM9GfyflnTM7I7L09kZc5gZaIUiO6y8WXgUfYzC92Ac7ynAQCIpjXCLHJY5xiSWu3PH-pGPuRqOf-FM-GXi3AENMPjzWMefHMeRJoo1Z2mNdhnvBeJ4hfmxbsbne3l7fNq3YZv7Twnfj8F91fwDI87Sa</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>Malloy, D C</creator><creator>Williams, J</creator><creator>Hadjistavropoulos, T</creator><creator>Krishnan, B</creator><creator>Jeyaraj, M</creator><creator>McCarthy, E F</creator><creator>Murakami, M</creator><creator>Paholpak, S</creator><creator>Mafukidze, J</creator><creator>Hillis, B</creator><general>BMJ Publishing Group Ltd and Institute of Medical Ethics</general><general>Institute of Medical Ethics and BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>Ethical decision-making about older adults and moral intensity: an international study of physicians</title><author>Malloy, D C ; Williams, J ; Hadjistavropoulos, T ; Krishnan, B ; Jeyaraj, M ; McCarthy, E F ; Murakami, M ; Paholpak, S ; Mafukidze, J ; Hillis, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-3d49345425d671471f34a33a3f843c808ba9a3476e1ce02927d945e4fc5249463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Analysis</topic><topic>Aristotelean ethics</topic><topic>Attitude of Health Personnel</topic><topic>Bioethics</topic><topic>Cross-Cultural Comparison</topic><topic>Culture</topic><topic>Decision making</topic><topic>Decision Making - 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| ispartof | Journal of medical ethics, 2008-04, Vol.34 (4), p.285-296 |
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| subjects | Age Factors Aged Analysis Aristotelean ethics Attitude of Health Personnel Bioethics Cross-Cultural Comparison Culture Decision making Decision Making - ethics Deontological ethics Ethical aspects Ethical dilemmas Focus groups Health care industry Health Care Rationing - ethics Humans Medical ethics Medical students Morality Morals Older adults Patients Physician-Patient Relations Physicians Physicians - ethics Physicians - psychology Qualitative Research Research Ethics Social ethics Statistics as Topic |
| title | Ethical decision-making about older adults and moral intensity: an international study of physicians |
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