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9Nursing Ethics: A Principle-Based ApproachBloomsbury Publishing. 2009.Struggling to understand ethics? Feeling lost when trying to handle moral dilemmas in professional practice? Worried about helping patients to make decisions in an ethical way? Nursing Ethics is an introductory text which enables you to consider, understand and tackle difficult moral problems. It takes a principle-based approach, which provides a practical and easy-to-apply framework for addressing ethical dilemmas. The book includes clear descriptions of moral theories and concepts and is packe…Read more
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105Three concepts of sufferingMedicine, Health Care and Philosophy 6 (1): 59-66. 2003.This paper has three main aims. The first is to provide a critical assessment of two rival concepts of suffering, that proposed by Cassell and that proposed in this journal by van Hooft. The second aim of the paper is to sketch a more plausible concept of suffering, one which derives from a Wittgensteinian view of linguistic meaning. This more plausible concept is labeled an âintuitive conceptâ. The third aim is to assess the prospects for scientific understanding of suffering
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18Rationing, randomising, and researching in health care provisionJournal of Medical Ethics 28 (1): 20-23. 2002.In this paper the need for valid evidence of the cost-effectiveness of treatments that have not been properly evaluated, yet are already available, albeit in short supply, are examined. Such treatments cannot be withdrawn, pending proper evaluation, nor can they be made more widely available until they have been shown to be cost-effective. As a solution to this impasse the argument put forward recently by Toroyan et al is discussed. They say that randomised controlled trials of such resources co…Read more
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46Research ethics committees and paternalismJournal of Medical Ethics 30 (1): 88-91. 2004.In this paper the authors argue that research ethics committees should not be paternalistic by rejecting research that poses risk to people competent to decide for themselves. However it is important they help to ensure valid consent is sought from potential recruits and protect vulnerable people who cannot look after their own best interests. The authors first describe the tragic deaths of Jesse Gelsinger and Ellen Roche. They then discuss the following claims to support their case: competent i…Read more
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74Can unequal be more fair? A response to Andrew AvinsJournal of Medical Ethics 26 (3): 179-182. 2000.In this paper, we respond to Andrew Avins's recent review of methods whose use he advocates in clinical trials, to make them more ethical. He recommends in particular, “unbalanced randomisation”. However, we argue that, before such a recommendation can be made, it is important to establish why unequal randomisation might offer ethical advantages over equal randomisation, other things being equal. It is important to make a pragmatic distinction between trials of treatments that are already routin…Read more
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55The impairment/disability distinction: a response to ShakespeareJournal of Medical Ethics 34 (1): 26-27. 2008.Tom Shakespeare’s important new book includes, among other topics, a persuasive critique of the social model of disability. A key component in his case against that model consists in an argument against the impairment/disability distinction as this is understood within the social model. The present paper focuses on the case Shakespeare makes against that distinction. Three arguments mounted by Shakespeare are summarised and responded to. It is argued that the responses adequately rebut Shakespea…Read more
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23Ethical concerns regarding guidelines for the conduct of clinical research on childrenJournal of Medical Ethics 31 (6): 351-354. 2005.In this article we examine ethical aspects of the involvement of children in clinical research, specifically those who are incapable of giving informed consent to participate. The topic is, of course, not a new one in medical ethics but there are some tensions in current guidelines that, in our view, need to be made explicit and which need to be responded to by the relevant official bodies. In particular, we focus on tensions between the World Medical Association Declaration of Helsinki, and the…Read more
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58Review of Disability Rights and Wrongs by Tom Shakespeare (review)Journal of Medical Ethics 34 (3): 222-222. 2008.Tom Shakepeare is an eminent, and somewhat controversial, contributor to disability studies. As he outlines, part of the explanation for his controversial status within that field stems from his engagement with disciplines outside it, including genetics and bioethics. For many in the field of disability studies, no genuine engagement should be sought with scholars in genetics or bioethics because—so the party line goes—these areas of study are inherently opposed to disability rights and otherwis…Read more
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35An argument against research on people with intellectual disabilitiesMedicine, Health Care and Philosophy 3 (1): 69-73. 2000.
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208Three versions of an ethics of careNursing Philosophy 10 (4): 231-240. 2009.The ethics of care still appeals to many in spite of penetrating criticisms of it which have been presented over the past 15 years or so. This paper tries to offer an explanation for this, and then to critically engage with three versions of an ethics of care. The explanation consists firstly in the close affinities between nursing and care. The three versions identified below are by Gilligan (1982 ), a second by Tronto (1993 ), and a third by Gastmans (2006 ), see also Little (1998 ). Each vers…Read more
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33The future of the disabled in liberal society: An ethical analysisNursing Philosophy 2 (3). 2001.
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39Toward a moral horizon, nursing ethics for leadership and practiceNursing Philosophy 6 (2). 2005.
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28Safeguarding children in clinical researchNursing Ethics 19 (4): 530-537. 2012.Current UK guidelines regarding clinical research on children permit research that is non-therapeutic from the perspective of that particular child. The guidelines permit research interventions that cause temporary pain, bruises or scars. It is argued here that such research conflicts with the Declaration of Helsinki according to which the interests of the research subject outweigh all other interests. Given this, in the context of clinical research, who is best placed to protect the child from …Read more
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44Review of Prenatal testing & disability rights, edited by Adrienne Asch and Erik Parens (review)Nursing Philosophy 3 (1). 2002.
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52Mark Risjord, Nursing knowledge, science, practice and philosophy: Wiley-Blackwell, Chichester, 2010, 264 pp., $55.99, ISBN: 978-1-405-18434-2Theoretical Medicine and Bioethics 32 (2): 129-131. 2011.
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15Moral realism in nursingNursing Philosophy 15 (2): 81-88. 2014.For more than 15 years Professor Per Nortvedt has been arguing the case for moral realism in nursing and the health‐care context more generally. His arguments focus on the clinical contexts of nursing and medicine and are supplemented by a series of persuasive examples. Following a description of moral realism, and the kinds of considerations that support it, criticisms of it are developed that seem persuasive. It is argued that our moral responses are explained by our beliefs as opposed to mora…Read more
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13Launch of the International Philosophy of Nursing Society (IPONS)Nursing Philosophy 5 (1): 91-92. 2004.
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32Is there a distinctive care ethics?Nursing Ethics 18 (2): 184-191. 2011.Is it true that an ethics of care offers something distinct from other approaches to ethical problems in nursing, especially principlism? In this article an attempt is made to clarify an ethics of care and then to argue that there need be no substantial difference between principlism and an ethics of care when the latter is considered in the context of nursing. The article begins by considering the question of how one could in fact differentiate moral theories. As is explained, this cannot be do…Read more
Areas of Interest
Meta-Ethics |
20th Century Philosophy |