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901.
Engel JD Kane G Jones DL Lynn-McHale D Swartz M Durbin P Klingen D 《The Journal of medical humanities》1997,18(3):193-208
This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs. 相似文献
902.
Clinical pragmatism: a method of moral problem solving 总被引:3,自引:0,他引:3
This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed. 相似文献
903.
This paper examines ethical issues related to medical practices with children and adults who are members of a linguistic and cultural minority known as the DEAF-WORLD. Members of that culture characteristically have hearing parents and are treated by hearing professionals whose values, particularly concerning language, speech, and hearing, are typically quite different from their own. That disparity has long fueled a debate on several ethical issues, most recently the merits of cochlear implant surgery for DEAF children. We explore whether that surgery would be ethical if implants could deliver close to normal hearing for most implanted children, thereby diminishing the ranks of the DEAF-WORLD. The ethical implications of eugenic practices with the DEAF are explored, as are ethical quandaries in parental surrogacy for DEAF children, and their parallels in transracial adoption. 相似文献
904.
The Convention on Human Rights and Biomedicine developed by the Council of Europe, now undergoing ratification, is the first international treaty focused on bioethics. This article describes the background of the Convention's development and its general provisions and provides a comparison of its requirements with those of federal regulations governing research with human subjects. Although most provisions are comparable, there are significant differences in scope and applicability, for example, in the areas of compensation for injury, research participation by persons with limited capacity to consent, assisted reproduction, organ transplantation, and research in emergency situations. The Convention represents a milestone in international bioethics and protection of human rights that will probably be referred to with increasing frequency. 相似文献
905.
Mosier KL Skitka LJ Heers S Burdick M 《The International journal of aviation psychology》1997,8(1):47-63
Automated aids and decision support tools are rapidly becoming indispensable tools in high-technology cockpits and are assuming increasing control of"cognitive" flight tasks, such as calculating fuel-efficient routes, navigating, or detecting and diagnosing system malfunctions and abnormalities. This study was designed to investigate automation bias, a recently documented factor in the use of automated aids and decision support systems. The term refers to omission and commission errors resulting from the use of automated cues as a heuristic replacement for vigilant information seeking and processing. Glass-cockpit pilots flew flight scenarios involving automation events or opportunities for automation-related omission and commission errors. Although experimentally manipulated accountability demands did not significantly impact performance, post hoc analyses revealed that those pilots who reported an internalized perception of "accountability" for their performance and strategies of interaction with the automation were significantly more likely to double-check automated functioning against other cues and less likely to commit errors than those who did not share this perception. Pilots were also lilkely to erroneously "remember" the presence of expected cues when describing their decision-making processes. 相似文献
906.
Thirty-five current therapy clients, 47 former clients, and 42 college students with no therapy experience rated 27 items in terms of importance for inclusion in informed consent discussions. The current and former client samples rated information about inappropriate therapeutic techniques, confidentiality, and the risks of alternative treatments as most important, and information about the personal characteristics of the therapist and the therapist's degree as least important. The results of this study provide evidence for differential informed consent disclosure practices. 相似文献
907.
A person-perception study was conducted to examine the influence of intimacy and commitment on the acceptability of premarital sex and contraceptive preparedness. Ninety-six women rated a female target's personality and behavior after reading a diary entry describing a couple's initial sexual encounter. The nature of the couple's relationship and who provided the condom were manipulated between participants. Women inferred a committed relationship when intimacy was present. Women rated the target, and her behavior, as more acceptable when she had sex in a relationship with commitment. When she provided a condom, the target was perceived as less nice in the noncommitted than in the committed relationship. When her partner provided the condom, however, commitment level did not influence personality ratings. 相似文献
908.
6 15岁儿童对友谊特性的认知发展 总被引:10,自引:0,他引:10
研究目的:(1)考察我国儿童、青少年的友谊特性的认知发展规律和特点;(2)探讨儿童友谊特性的认知结构。研究采用结构访谈法,被试为来自北京市普通幼儿园、小学和中学的6岁、8岁、10岁、12岁和15岁儿童共100名(每个年龄组20名,男女各半)。结果发现:(1)6—15岁儿童对友谊特性的认知结构由5个维度组成,即:个人交流和冲突解决,榜样和竞争,互相欣赏,共同活动和互相帮助,亲密交往。(2)对6—15岁儿童,友谊特性中的5个维度的重要性次序为:共同活动和互相帮助,个人交流和冲突解决,榜样和竞争,互相欣赏,亲密交往。(3)从发展上来看,对友谊特性不同维度的认知发展趋势有很大年龄差异。6—8岁儿童只能认识到友谊特性中一些外在的、行为的特征;以后才能逐渐认识到那些内在的、情感性的特征。但是,原来那些外在的特征并没有随着儿童年龄的增长而被取代,而是与内在的、情感性的特性结合在一起,在认识中逐渐深化。(4)小学六年级儿童在共同活动和游戏上表现出性别差异(男生高于女生);而在冲突解决上,女生的认知水平高于男生。此外,初中三年级学生在互相欣赏方面,男生的认识水平高于女生 相似文献
909.
该文提出了计量测验效度的一种统一方法。首先,根据测量目标由测验编制者提出一组可能的线性拟合模型,拟合模型的集合称作“测量目标结构空间”。然后运用实证性因素分析对各个假设的拟合模型进行多方面的拟合良好性检验。若其中的某一假设模型能最优地拟合预测资料,则该模型中的公共因素的方差总贡献与观测变量的总方差的比就可定义为该测验的效度 相似文献
910.