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Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethics and Bioethics01:22

Ethics and Bioethics

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...
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Related Experiment Video

Updated: Jul 9, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
09:54

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

Published on: August 15, 2022

Physicians' influence over decisions to forego life support.

Allan Garland1, Alfred F Connors

  • 1Department of Medicine, University of Manitoba Faculty of Medicine, Winnepeg, Manitoba, Canada. agarland@hsc.mb.ca

Journal of Palliative Medicine
|December 22, 2007
PubMed
Summary

Physician identity significantly influences decisions to limit life support for critically ill patients in the intensive care unit (ICU). This study quantified the association, finding it stronger than patient factors.

Related Experiment Videos

Last Updated: Jul 9, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
09:54

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

Published on: August 15, 2022

Area of Science:

  • Critical Care Medicine
  • Medical Ethics
  • Health Services Research

Background:

  • Decisions regarding life support for critically ill patients are complex.
  • Understanding factors influencing these decisions is crucial for patient care and resource allocation.

Purpose of the Study:

  • To quantify the association between individual physicians and decisions to limit life support.
  • To determine if physician identity is a significant factor in life support limitations.

Main Methods:

  • Prospective, observational study in a medical intensive care unit (ICU).
  • Data collected from 2002-2005 on 1363 ICU admissions.
  • Multivariable Cox modeling used to assess associations, with physician identity represented by hazard ratios.

Main Results:

  • Decisions to limit life support occurred in 14.0% of admissions.
  • A 15-fold range in hazard ratios associated with individual intensivists was observed (p = 0.0003).
  • Physician identity was a stronger predictor than patient comorbidities or diagnosis.

Conclusions:

  • This study quantifies, for the first time, the association between individual physicians and life support limitation decisions.
  • Further research is necessary to explore the nature and implications of this physician-specific association.