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The Unique Nature of Clinical Ethics in Allied Health Pediatrics: Implications for Ethics Education


Ethics education is recognized as an integral component of health professionals’ education and has been occurring in various guises in the curricula of health professional training in many countries since at least the 1970s. However, there are a number of different aims and approaches adopted by individual educators, programs, and, importantly, different health professions that may be characterized according to strands or trends in ethics education.

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1. Goldie, J. Review of ethics curricula in undergraduate medical education. Medical Education 2000;34:108–19.

2. Delany, C, Gillam, L, Mcdougall, R. Ethics in clinical education. In: Delany, C, Molloy, L, eds. Clinical Education in the Health Professions. New York: Elsevier; 2009:173–86.

3. Edwards, I, Delany, C. Ethical reasoning. In: Higgs, J, Jones, M, Loftus, S, Christensen, N, eds. Clinical Reasoning in the Health Professions. Boston: Elsevier; 2008:279–89; Street, K, Ashcroft, R, Henderson, J, Campbell, AV. The decision making process regarding the withdrawal or withholding of potential life-saving treatments in a children’s hospital. Journal of Medical Ethics 2000;26(5):346–52; Kenny, B, Lincoln, M, Balandin, S. A dynamic model of ethical reasoning in speech pathology. Journal of Medical Ethics 2007;33:508–13.

4. Oakley, J. A virtue ethics approach. In: Kuhse, H, Singer, P, eds. A Companion to Bioethics. Oxford: Blackwell; 2001.

5. Nelson, L. Professional responsibility and advocacy for access to rehabilitation services: A case study in lymphedema services in Vermont. In: Purtilo, R, Jensen, G, Royeen, C, eds. Educating for Moral Action. Philadelphia: E.A. Davis Company; 2005.

6. Campbell, A, Chin, J, Voo, T. How can we know that ethics education produces ethical doctors? Medical Teacher 2007;29(5):431–6.

7. Doane, G, Pauly, B, Brown, H, McPherson, G. Exploring the heart of ethical nursing practice: Implications for ethics education. Nursing Ethics 2004;11(3):240–53.

8. Hefferman, P, Heilig, S. Giving “moral distress” a voice: Ethical concerns among neonatal intensive care unit personnel. Cambridge Quarterly of Healthcare Ethics 1999;8:173–8; Graham, RN. Ward ethics. Dilemmas for medical students and doctors in training. Journal of Medical Ethics 2002;28(5):332–3.

9. Carpenter, C. Moral distress in physical therapy practice. Physiotherapy Theory and Practice 2010;26(2):69–78; Barnitt, R. Ethical dilemmas in occupational therapy and physical therapy: A survey of practitioners in the UK National Health Service. Journal of Medical Ethics 1998;24(3):193–9.

10. Hafferty, FW, Franks, R. The hidden curriculum, ethics teaching and the structure of medical education. Academic Medicine 1994;69(11):861–71.

11. Stirrat, G, Johnston, C, Gillon, R, Boyd, K. Medical ethics and law for doctors of tomorrow: The 1998 Concensus Statement updated. Journal of Medical Ethics 2010;36:55–60.

12. See note 10, Hafferty, Franks 1994:864.

13. Flett, PJ, Stoffell, BF. Ethical issues in paediatric rehabilitation. Journal of Paediatric Child Health 2003;39(3):219–23; Gillam, L. End of life decision-making in paediatrics. Journal of Paediatrics & Child Health 2008;44:389–91.

14. Stewart, C. Allied health professions, professionalism, ethics and law. In: Kennedy, R, ed. Allied Health Professionals and the Law. Sydney: The Federation Press; 2008:24–38.

15. Gibson, B, Darrah, J, Cameron, D, Hashemi, G, Kinsnorth, S, Lepage, C, et al. . Revisiting therapy assumptions in children’s rehabilitation: Clinical and research implications. Disability and Rehabilitation 2009;31(17):1446–53.

16. Reilly, S, Douglas, J, Oates, J. Evidence Based Practice in Speech Pathology. London: Whurr Publishers; 2004.

17. Duckett, S. Next steps in health workforce reform. Australian Economic Review 2006;39(3):318–22.

18. Yan, J, Gilbert, J, Hoffman, S. 2007 Announcement, WHO study group on interprofessional education and collaborative practice. Journal of Interprofessional Care 2007;21(6):588–9.

19. Kenny, D, Adamson, B. Medicine and the health professions: Issues of dominance, autonomy and authority. Australian Health Review 1992;15(3):319–34.

20. Whitehead, C. The doctor dilemma in interprofessional education and care: How and why will physicians collaborate? Medical Education 2007;41:1010–6.

21. Koch, T. Disability and difference: Balancing social and physical constructions. Journal of Medical Ethics 2001;27:370–6.

22. Inwald, D. The best interests test at the end of life on PICU: A plea for a family centred approach. Archives of Disease in Childhood 2008;93(3):248–50.

23. Ells, C. Lessons about autonomy from the experience of disability. Social Theory and Practice 2001;27(4):599–615.

24. See note 15, Gibson et al. 2009:1446–53.

25. See note 15, Gibson et al. 2009:1448.

26. See note 15, Gibson et al. 2009:1446–53.

27. Flett, P. Rehabilitation of spasticity and related problems in childhood cerebral palsy. Journal of Paediatrics & Child Health 2003;39(1):6–14; Iles, N, Lowton, K. What is the perceived nature of parental care and support for young people with cystic fibrosis as they enter adult health services? Health and Social Care 2010;18(1):21–9.

28. Arvedson, JC, Lefton-Greif, MA. Ethical and legal challenges in feeding and swallowing intervention for infants and children. Seminars in Speech and Language 2007;28(3):232–8.

29. Cuttler, L, Whittaker, JL, Kodish, ED. The overweight adolescent: Clinical and ethical issues in intensive treatments for pediatric obesity. Journal of Pediatrics 2005;146(4):559–64.

30. Edwards, E, O’Toole, M, Wallis, C. Sending children home on tracheostomy dependent ventilation: Pitfalls and outcomes. Archives of Disability Child 2004;89(3):251–5.

31. Kuster, P, Badr, L. Mental health of mothers caring for ventilator-assisted children at home. Issues in Mental Health Nursing 2006;27(8):817–35; Ryan, MM, Kilham, H, Jacobe, S, Tobin, B, Isaacs, D. Spinal muscular atrophy type 1: Is long-term mechanical ventilation ethical? Journal of Paediatrics & Child Health 2007;43(4):237–42.

32. Berg, AL, Ip, SC, Hurst, M, Herb, A. Cochlear implants in young children: Informed consent as a process and current practices. American Journal of Audiology 2007;16(1):13–28.

33. Karnieli-Miller, O, Adler, A, Merdler, L, Rosenfeld, L, Eidelman, S. Written notification of test results: Meanings, comprehension and implication on patients’ health behaviour. Patient Education and Counseling 2009;76:341–7.

34. Leong, B. The vegetative and minimally conscious states in children: Spasticity, muscle contracture and issues for physiotherapy treatment. Brain Injury 2002;16(3):217–30.

35. See note 13, Flett, Stoffell 2003.

36. Kerridge, I, Lowe, M, Stewart, C. Ethics and Law for the Health Professions. Annandale, NSW: Federation Press; 2009.

37. See note 20, Whitehead 2007.

38. See note 2, Delany et al. 2009; Winston, MD, Bahnaman, S. Preparation for ethical decision-making: An analysis of research in professional education. Library & Information Science Research 2008;30(3):222–30.

39. Edwards, I, Braunack-Mayer, A, Jones, M. Ethical reasoning as a clinical-reasoning strategy in physiotherapy. Physiotherapy 2005;91:229–36; Barnitt, R, Partridge, C. Ethical reasoning in physical therapy and occupational therapy. Physiotherapy Research International 1997;2(3):178–94; Hadsell, N. Ethical thinking in music therapy. Journal of Music Therapy 2001;38(2):165–7.

40. Swisher, LL. A retrospective analysis of ethics knowledge in physical therapy (1970–2000). Physical Therapy 2002;82(7):692–706.

41. Kennedy, R, ed. Allied Health Professionals and the Law. Sydney: The Federation Press; 2008.

42. Hedl, JJ, Glazer, H, Chan, FA. Improving the moral reasoning of allied health students. Journal of Allied Health 2005;34(2):121–2.

43. Kalvemark, S, Hoglund, A, Hansson, M, Westerholm, P, Arnetz, B. Living with conflicts—Ethical dilemmas and moral distress in the health care system. Social Science & Medicine 2004;58:1075–84.

44. Engel, KG, Rosenthal, M, Sutcliffe, KM. Residents’ responses to medical error: Coping, learning, and change. Academic Medicine 2006;81(1):86–93.

45. Jameton, A. Nursing Practice: The Ethical Issues. Englewood Cliffs, NJ: Prentice-Hall; 1984.

46. Ferrell, BR. Understanding the moral distress of nurses witnessing medically futile care. Oncology Nursing Forum 2006;33(5):922–30.

47. Poulis, I. Bioethics and physiotherapy. Journal of Medical Ethics 2007;33:435–6.

48. Doyal, L, Doyal, L. Moral and legal uncertainty within medicine: The role of clinical ethics committees. Postgraduate Medical Journal 2009;85:449–50.

49. Lave, J, Wenger, E. Situated Learning: Legitimate Peripheral Participation. Cambridge, UK: Cambridge University Press; 1991.

50. Miller, R. Children, Ethics, and Modern Medicine. Bloomington: Indiana University Press; 2003.

51. Mohrmann, M. Attending Children: A Doctor’s Education. Washington, DC: Georgetown University Press; 2005.

52. Godkin, M, Faith, K, Upshur, R, MacRae, S, Tracey, C. Project examining effectiveness in clinical ethics (PEECE): Phase 1—Descriptive analysis of nine clinical ethics services. Journal of Medical Ethics 2005;31(9):505–12.

53. Schofield, T. Gendered organisational dynamics. The elephant in the room for Australian health workforce policy and planning. Journal of Sociology 2009;45(4):1–18.

C.F. is supported by an NHMRC Australian Public Health Training Fellowship 519556 and the University of Melbourne (Centre for Applied Philosophy & Public Ethics).

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Cambridge Quarterly of Healthcare Ethics
  • ISSN: 0963-1801
  • EISSN: 1469-2147
  • URL: /core/journals/cambridge-quarterly-of-healthcare-ethics
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