Literature Review

All posts tagged with “Ethics.”



Are you an organ donor? Here are some rule changes you may want to know

10/30/26 at 03:00 AM

Are you an organ donor? Here are some rule changes you may want to know WLIS-FM, Public Broadcasting System | National Public Radio, New York, NY; by Rob Stein; 10/28/26 The U.S. organ transplant system is making a controversial change to a long-standing rule that was designed to protect potential donors. The revision aims to boost donations and reduce errors. But critics worry that the move may endanger patient care. Under the change, the Organ Procurement and Transplantation Network, which runs the transplant system, will relax a strict firewall between the doctors and nurses trying to save patients in the hospital and the transplantation team standing by to procure patients’ organs. 

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Do industry payments influence end-of-life cancer care?

10/26/26 at 03:00 AM

Do industry payments influence end-of-life cancer care? Medscape; by Megan Brooks; 10/23/26 Patients treated by oncologists who receive personal payments from drug manufacturers are more likely to receive aggressive end-of-life care, a large Medicare study found. ... The analysis raises questions about whether financial relationships between oncologists and drug manufacturers may contribute to potentially burdensome care near the end-of-life, although the observational study cannot establish causation. The possibility that industry relationships may influence treatment decisions near the end-of-life is “profoundly upsetting, but not at all surprising,” Kerin Adelson, MD, of The University of Texas MD Anderson Cancer Center, commented during the session.

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People who choose to end their lives

10/22/26 at 03:00 AM

People who choose to end their lives Global Issues | Inter Press Service, Portland, OR; opinion by Joseph Chamie; 10/20/26 People who choose to end their lives through voluntary assisted dying typically face terminal, incurable, or debilitating conditions that cause severe physical or psychological suffering. Research on requests for medical assistance in dying and euthanasia shows that most individuals seeking these options have advanced, irreversible illnesses or incurable, debilitating conditions that cause severe suffering or diminish their autonomy, dignity, or the ability to engage in meaningful activities. Despite becoming legally permitted in an increasing number of countries, voluntary assisted dying remains controversial. The debate centers on a fundamental tension between respecting personal autonomy and relieving suffering, on the one hand, and protecting human life, on the other.

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Child-specific bioethics: Review of pediatric palliative care ethics guidelines

10/22/26 at 02:00 AM

Child-specific bioethics: Review of pediatric palliative care ethics guidelines Nursing Ethics; by Christina Lamb and Dimitra V. Pouliopoulou; 10/17/26 ... Care for dying children needs to be consistently grounded in child philosophies. Recommendation: Expanding access to pediatric palliative care requires ethics education research toward pediatric-specific pedagogies and bioethics frameworks to support consistent, ethically robust, holistic, and child-centered care to improve access across clinical, international and interdisciplinary settings. This review study provides a comprehensive ethical analysis of ethical frameworks guiding pediatric palliative care with a focus on end-of-life care. We identified a lack of pediatric specific bioethics originating in pediatric theory and research informing and supporting pediatric palliative care delivery.Guest Editor's Note by Judy Zeringue: This international scholarly research article from the Nursing Ethics Journal reveals the need for a pediatric-specific bioethics framework to guide the care of dying children. This framework should be focused specifically on the unique needs of pediatrics, not taken from the same framework applied to adults at the end of life. A focus on pediatric specific ethics education and research is needed to optimize and provide consistent support in pediatric palliative care including care at the end of life. This ethically robust approach must be promoted to help close the gap to guide the care of dying children everywhere.

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Deep sourcing and sensitive multimedia reporting provide a rare, intimate look at medically assisted dying

10/05/26 at 03:00 AM

Deep sourcing and sensitive multimedia reporting provide a rare, intimate look at medically assisted dying The Associated Press (AP); by Luis Andres Henao, Laura Bargfeld and Javier Arciga; 10/2/26As medically assisted death expands across the United States, AP delivered a deeply sourced and humane examination of the legal, moral and religious questions surrounding the contentious issue, told through people confronting those questions in their own lives. Global Religion reporter Luis Andres Henao examined state laws, court challenges and the history of medical aid in dying since the first U.S. law took effect in 1997. He interviewed doctors, bioethicists, faith leaders and legal experts, while seeking out voices on both sides of the debate. ... Together, the text, the photographs by Henao and the videos by Bargfeld and Arciga created an intimate, respectful package that made complicated questions of faith, disability rights, medical ethics and personal choice accessible through the experiences of those most directly affected.

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Adrian woman accused of killing sister skips preliminary hearing, heads to trial court

10/01/26 at 03:00 AM

Adrian woman accused of killing sister skips preliminary hearing, heads to trial court WTOL 11 - CBS, Toledo, OH; by Melissa Andrews; 9/30/26 The Adrian woman accused of killing her sister, a hospice patient, waived her right to a preliminary examination Wednesday and will now face arraignment in Lenawee County Circuit Court. ... According to a probable cause affidavit filed by Adrian Police, Frances Stewart was a cancer patient with autism who was receiving in-home hospice care at her Adrian residence. Investigators allege Virginia Stewart gave her sister an overdose of morphine while she was unconscious in bed and then removed her oxygen mask. Police said Fran Stewart died within about 15 minutes. The affidavit states two witnesses told investigators Stewart instructed them to "look away" or they could become "implicated."

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A Florida social worker stole $68,000 from an Alzheimer’s patient, state says

09/29/26 at 03:00 AM

A Florida social worker stole $68,000 from an Alzheimer’s patient, state says The Miami Herald | The Lawton Constitution; by David J. Neal; 9/28/26 What was in a social worker’s wallet? A Capital One card on which she made almost $100,000 worth of payments, West Palm Beach police say, by ripping off an Alzheimer’s patient and a dying patient under her care. In Palm Beach County court, Port St. Lucie’s Megan Bernat pleaded not guilty to criminal charges of exploitation of an elderly person and money laundering in the case involving the deceased patient. ... Professionally, Bernat didn’t bother to answer a Florida Department of Health administrative complaint detailing the charges in the Alzheimer patient’s case. So, the Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling revoked her license on Wednesday.

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Central Mass. man guilty of stealing patients’ opioid pills

09/25/26 at 03:00 AM

Central Mass. man guilty of stealing patients’ opioid pills Mass Live; by Mike Grimala; 9/24/26 A man who worked at a Central Massachusetts hospice facility pleaded guilty to stealing patients’ opioids and taking them himself. Andrew Milgrim, a 41-year-old Gardner resident, pleaded guilty Wednesday to one count of tampering with a consumer product, according to the U.S. Attorney’s Office.  From 2024 to 2025, Milgrim diverted Oxycodone from patients at a hospice and memory care provider in Leominster, prosecutors said. Instead of dispensing Oxycodone pills that were prescribed to dementia patients, Milgrim consumed the pills himself.

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Sen. Baldwin demands investigation into veteran care failures at Tomah VA

09/22/26 at 03:00 AM

Sen. Baldwin demands investigation into veteran care failures at Tomah VAWXOW-19 ABC, Tomah, WI; by Terry Bell; 9/21/26 U.S. Sen. Tammy Baldwin is calling for an immediate investigation into serious allegations about the failure to care for veterans and unacceptable conditions at the Tomah VA Medical Center. Baldwin is asking Department of Veterans Affairs Secretary Doug Collins to conduct a full review of staffing levels, provider coverage, medication delays, hospice care and patient safety at the Tomah VA Hospital. She's also requesting the VA Office of the Inspector General conduct an independent investigation. Baldwin's office heard from several Tomah VA employees who outlined severe lapses in patient care at the hospital. The allegations include inadequate staffing contributing to falls, injuries, food choking incidents and other adverse patient outcomes. [View recent incident:  Former VA nurse charged with intentionally abusing hospice patient]

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Every nurse is an advocate

09/16/26 at 03:00 AM

Every nurse is an advocate ONS | Voice; by Brenda Van Sambeek; 9/15/26 ... Advocacy happens when we raise a safety concern, help a patient overcome barriers to treatment, mentor a new colleague, or suggest a better way to deliver care. Most nurses advocate regularly; we simply may not think of those actions as advocacy.Why Nurses Needs a Seat at the Table ...

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Grand jury: Gracedale nurse's 'demons' attack on hospice patient as 911 calls went unanswered

09/14/26 at 03:00 AM

Nurse accused of ‘exorcism’ as nursing home resident’s 911 calls went unanswered for 34 minutes Yahoo!News; Olivia Richman; 9/12/26 A resident at a Pennsylvania nursing home called 911 at 2:53 a.m. and reported that a nurse was trying to kill people. Four calls and more than half an hour later, police finally reached the room. ... The grand jury report says the agency licensed practical nurse, Octavia Lasha Robinson, was standing over a hospice resident identified as E.B. when officers arrived on June 23, 2025. Robinson had her fingers pressed into the resident's mouth, while blood was visible on the resident's clothing and bedding and on items scattered around the room. The episode was described by witnesses as an attempt to drive demons from the resident. The report says Robinson repeatedly spoke about demonic possession as police took her into custody.

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Former VA nurse charged with intentionally abusing hospice patient

09/11/26 at 03:00 AM

Former VA nurse charged with intentionally abusing hospice patient News 8 Now, La Crosse/Toma, WI; by Sam Shilts; 9/10/26 A former registered nurse at the Tomah Veterans Affairs Medical Center faces a felony charge after prosecutors say she intentionally removed oxygen from a dying hospice patient, causing him great bodily harm. Beth Marie Holtz, 53, of New Berlin, was charged Wednesday in Monroe County court with intentionally abusing a patient causing great bodily harm. An arrest warrant was issued the same day. According to the criminal complaint, the incident occurred Aug. 17, 2025, involving a 75-year-old patient who had been admitted to hospice with pulmonary fibrosis and had a medical order for continuous oxygen supply.

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Sisters have doubts about cremated remains: ‘Where is my mama?’

08/31/26 at 03:00 AM

Sisters have doubts about cremated remains: ‘Where is my mama?’ ChicagoPublicMedia, Chicago, IL; by Cindy Hernandez; 8/28/26 Franquella and Marshawna Campbell hired Planet Green Cremations after their mother died earlier this year, only to later discover that the business was owned by Clark and Johanna Morgan, who are under investigation for improperly storing human remains. ... When sisters Franquella and Marshawna Campbell learned that the man who had picked up their mother’s body from hospice had been accused of mishandling human remains, they turned to the urn sitting on the table in their mother’s living room. They opened it and began to question everything. “Where is my mama?” Franquella Campbell, 40, asked over and over. 

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Nonreporting of race and ethnicity in medical research harms us all

08/27/26 at 03:00 AM

Nonreporting of race and ethnicity in medical research harms us all JAMA Internal Medicine | Editorial | Health Equity; by Sharon K. Inouye, MD, MPH, Jerard Kneifati-Hayek, MD, MS, Annette Flanagin, RN, MA, Kirsten Bibbins-Domingo, PhD, MD, MAS; Raegan W. Durant, MD, MPH; 8/24/26 At JAMA Internal Medicine, we have become increasingly aware that some US researchers are unable to report on race or ethnicity as demographic variables to describe their sample or to conduct stratified analyses by these variables. In some cases, we have been informed that based on 3 recent US federal executive orders, the stewards of federal databases, such as those responsible for distributing data from the Centers for Medicaid and Medicare Services (CMS), are unable to release any race or ethnicity data for research purposes. The restrictions may be particularly prohibitive when study investigators are US federal employees. We have been informed of similar concerns occurring at other biomedical journals. Editor's Note: This theme recurs throughout our American history. Stark examples repeatedly emerged when I was researching and writing my recent e-book: A History of Care: 250 Years of Need, Service and Hope.

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Ethics of artificial intelligence prognostication in palliative care: perspectives from a national survey of palliative care physicians

08/25/26 at 03:00 AM

Ethics of artificial intelligence prognostication in palliative care: perspectives from a national survey of palliative care physicians BMJ Supportive Palliative Care; by Ahmed Y Alasmar, Lauren Gunn-Sandell, Stacy M Fischer, Regina M Fink, Elizabeth Juarez-Colunga, Eric G Campbell, Matthew DeCamp; 8/2-/26, online ahead of print ... Although global consensus is emerging about the importance of ethical principles for artificial intelligence (AI), such as respecting autonomous choice, promoting patient well-being, reducing bias, trust, and more, little is known about how palliative care physicians perceive these issues. This study aims to improve understanding of palliative care physicians' perspectives about the ethics of AI-based prognostication. Conclusion: Palliative care physicians see the potential of AI-based prognostication to improve palliative care and also express ethical concerns. Implementation of AI requires context-specific ethical guidance responsive to palliative care, where relationships and communication are paramount.

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Deactivation of cardiac devices at the end of life: clinical and ethical challenges

08/14/26 at 03:00 AM

Deactivation of cardiac devices at the end of life: clinical and ethical challenges Current Heart Failure Reports; by Marie-Gabrielle Courtès, Fiona Ecarnot, Mathilde Giffard; 8/13/26 Device deactivation in patients with heart failure is an increasingly relevant clinical and ethical challenge as the use of cardiovascular implantable electronic devices expands. ... Deactivating implantable cardioverter defibrillators can prevent painful and unnecessary shocks at the end of life, which may otherwise prolong dying without improving quality of life. Multidisciplinary involvement, including palliative care consultation, is essential to support patient-centered decision-making and symptom management. This review synthesizes the latest evidence and consensus on device deactivation in heart failure, emphasizing the need for communication, initiated early in the disease course, as well as individualized care, and integration of patient preferences throughout the disease trajectory.Editor's Note: What Policies and Procedures does your organization have in place? What interdisciplinary education do you ensure for all IDG members regarding this challenge for patients, families, and legal representatives? This clinical and ethical challenges presents potentially horrific trauma for the patient and those present when the person is actively dying and dies. Clincial and legal knowledge, preparations, and communications, and documentation are crucial.

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Behind the scenes of AI-powered bereavement care

07/24/26 at 03:00 AM

Behind the scenes of AI-powered bereavement care Hospice News; by Holly Vossel; 7/21/26 Technology companies are exploring new ways of using artificial intelligence (AI) to strengthen bereavement support, but these evolutions have garnered concerns related to the ethical and emotional impacts. A few different types of AI platforms have developed in recent years that include services designed to allow families to access video or audio clips, photos and letters from a deceased loved one. Some AI technologies use these details to create a digital replica of the person for interaction. “First-person consent, given with capacity and ideally well before the end of life, is the only sound basis for AI,” Healy told Hospice News. “The ‘family agreed’ is not a substitute for the individual’s own consent to be reproduced. The ‘deepfake-style’ AI asset that could be used to impersonate someone. Editor's Note: The use of AI to develop ongoing impersonisations of the deceased person raises extreme ethical breaches and clinical concerns. 

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Medical aid in dying law would force Long Island Catholic nuns, ministries to 'abandon' their beliefs, Federal suit claims

07/23/26 at 03:00 AM

Medical aid in dying law would force Long Island Catholic nuns, ministries to 'abandon' their beliefs, Federal suit claimsNewsday; by Robert Brodsky; 7/21/26 A new [New York] state law that would allow life-ending medication to be made available to some terminally ill residents will force Catholic nuns and ministries, including several from Long Island, to "abandon their religious beliefs" or face fines, according to a federal lawsuit seeking to force changes to the law before it goes into effect next month. On Friday, four orders of Catholic nuns, including the Missionary Sisters of St. Benedict, which operates St. Joseph's Home for the Aged, an assisted living facility in Huntington, were joined by the Rockville Centre Diocese and the Catholic Health System of Long Island in filing the suit in New York's Northern District. 

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Ask the expert: Who are hospital ethics consultants?

07/22/26 at 03:00 AM

Ask the expert: Who are hospital ethics consultants? Michigan State University; by Zach Phelps and Dalin Clark; 7/21/26Hospitals are places of incredible hope and healing, but they are also where some of life’s toughest decisions are made. When families and medical teams find themselves at a crossroads with no obvious right answer, trained experts can quietly help evaluate the options. Hospital ethics consultants don’t perform surgery or prescribe medication. Instead, they wield a different kind of superpower: the rare ability to bring insight and clarity to moments of deep uncertainty. When the best path forward isn’t on a medical chart, these guides step up to support families and healthcare teams.

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Religious scripts for dying

07/21/26 at 03:00 AM

Religious scripts for dying The Christian Century; by Aaron Klink; 7/20/26 Travis Pickell explores the moral burden placed on those who face end-of-life medical decisions but lack communal support. Amid much conversation about end-of-life care—its methods, costs, and ethics—there is little sustained attention to the question of why this subject generates so much political and moral controversy. The blame is sometimes placed on advances in medical technologies (such as ventilators and artificial nutrition and hydration) or in treatments (such as kidney dialysis and aggressive chemotherapy). But the reality is more complicated, argues Travis Pickell in Burdened Agency - Christian Theology and End-of-Life Ethics. ... Pickell devotes much of the book to exploring various theological understandings of death and outlining the “scripts for dying” created by each theology. 

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Everyday ethics: Leave a legacy beyond material things

07/16/26 at 03:00 AM

Everyday ethics: Leave a legacy beyond material things Daily Times; by John C. Morgan; 7/15/26 Buildings and other structures don't last forever, but there are things we can do that will endure. Everyone wants to leave a legacy, something that outlasts themselves, whether a cause, offspring or project that embodies their future hopes. One of the more famous sentences left behind was graffiti from World War II, a doodle of a bald-headed man peering over a wall accompanied by the phrase “Kilroy Was Here.” It showed that American troops had been there. ... I’ve always found it hopeful, not morbid, to take walks through cemeteries to read the life stories of others. The few words inscribed on headstones represent the essentials, sometimes with an accompanying message the departed wants to leave others to remember. ...

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Former Skowhegan nonprofit director seeks early end to probation for thefts

07/09/26 at 03:00 AM

 Former Skowhegan nonprofit director seeks early end to probation for thefts CentralMaine.com, Skowhegan, ME; by Jake Freudber; 7/8/26 Jason Gayne has paid the $70,000 in restitution owed to the Skowhegan Regional Chamber of Commerce and the Hospice Volunteers of Somerset County. ... Gayne has completed hundreds of hours of community service, well beyond what he was ordered to do. He has focused on providing for his family. And he has never violated the conditions of his probation. ... Now Superior Court Chief Justice Robert E. Mullen will determine whether to approve Gayne’s request for an early end to his probation. Gayne’s request, if granted, would effectively shave two years from the term included in his sentence.

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After Nebraska sanctions and federal charges, Iowa nurse surrenders license

07/08/26 at 03:00 AM

After Nebraska sanctions and federal charges, Iowa nurse surrenders license Iowa Capital Dispatch; by Clark Kauffman; 7/7/26 Almost two years after the State of Nebraska revoked a nurse’s ability to practice there for posing a “significant risk to public safety,” Iowa’s Board of Nursing has agreed to accept the nurse’s surrender of her license to practice in Iowa. The decision by the Iowa board comes after Brandy Wicks, a registered nurse from Treynor, was accused of stealing patient medications from a hospital, a home-hospice program and at least two nursing homes, and after her indictment on 11 federal criminal charges.

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HMN 2026: How AI in nursing raises questions about safety, ethics, and human care

06/30/26 at 03:00 AM

HMN 2026: How AI in nursing raises questions about safety, ethics, and human care Health Medicine Network; by University of Pennsylvania, George Demiris et al; 6/26/26 As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care—or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in Nursing Outlook. The paper warns that while AI could reduce paperwork and improve patient monitoring, it also raises concerns about bias, accountability, patient privacy and whether hospitals may view some nursing functions as replaceable.

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A day in the life of a Mayo Clinic medical ethicist

06/26/26 at 03:00 AM

A day in the life of a Mayo Clinic medical ethicist Healthcare Brew; by Cassie McGrath; 6/24/26 How should doctors handle end-of-life care or use new medical innovations like genetic technologies? How can they ensure they’re fairly and equally providing healthcare? How can providers build trust with patients? These are just a few of the big questions medical ethicists study and advise on. Richard Sharp, a professor of biomedical ethics at Rochester, Minnesota-based Mayo Clinic, is one of these professionals. For decades, he has been a bridge between patients and providers as well as advocates and innovators to ensure medical practices are safe and fair.

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