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Related Concept Videos

Ethics and Bioethics01:22

Ethics and Bioethics

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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Ethical Issues01:27

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Ethical Dilemmas I01:17

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Ethical Dilemmas II01:30

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Nursing Ethical Principles I01:22

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Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
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Related Experiment Video

Updated: Feb 24, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
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Evidence-based medicine: why clinical ethicists should be concerned.

Ann E Mills1, Edward M Spencer

  • 1Center for Biomedical Ethics, University of Virginia, P.O. Box 800758, Charlottesville, VA 22908-0758, USA. amh2r@virginia.edu

HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
|December 23, 2003
PubMed
Summary

Evidence-based medicine (EBM) implementation faces challenges due to healthcare cost pressures, favoring rigid systems over adaptive ones. Clinical ethicists must understand these systems to advocate for patient values within EBM.

Keywords:
Health Care and Public Health

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Area of Science:

  • Healthcare Systems
  • Medical Ethics
  • Evidence-Based Practice

Background:

  • Evidence-based medicine (EBM) integrates research evidence, clinical expertise, and patient values.
  • Healthcare organizations face financial constraints and pressure to adopt standardized EBM protocols.
  • This trend favors rigid systems, potentially limiting decision-making flexibility.

Purpose of the Study:

  • To explore the impact of rigid EBM systems on clinical ethics.
  • To highlight the need for clinical ethicists to understand healthcare system operations.
  • To advocate for maintaining patient values and preferences within standardized EBM.

Main Methods:

  • Conceptual analysis of EBM principles and healthcare system design.
  • Examination of the tension between system rigidity and clinical decision-making flexibility.
  • Discussion of the evolving role of clinical ethicists in standardized healthcare environments.

Main Results:

  • Rigid EBM systems, driven by cost-efficiency, are likely to become the norm.
  • System rigidity may reduce flexibility in patient care decisions.
  • Clinical ethicists require new knowledge of system operations to remain effective.

Conclusions:

  • Clinical ethicists must understand healthcare system values, goals, and operations to maintain credibility.
  • Advocacy for greater flexibility and patient-centered care is crucial, even within rigid EBM frameworks.
  • Adapting to system demands while championing patient values is essential for ethical practice in EBM.