This Symposium Essay focuses on the relationship between managers’ duty of care and self-handicapping, or constructing obstacles to performance with the goal of influencing subsequent explanations about outcomes. Conventional explanations for failures of caretaking by managers have focused on motives (greed) and incentives (agency costs). These accounts of manager behavior have led some modern ...

Clinical scenario You have just started in post with a single-handed GP. You like the work, the patient group and all the staff you work with. After a while, however, you begin to feel just a little uneasy following a number of remarks from patients: “The doctor did not listen”, “I am not sure why the doctor prescribed this” and “I’d like a second opinion”. You have also noticed in passing on a...

background: care of brain dead donors is complex, critical, and sensitive and has a direct and positive impact on the end result of organ and tissue transplantation process. this study describes the nurses’ experiences of care of brain dead donors in intensive care units (icu). materials and methods: this research was performed by phenomenological method that is a qualitative approach. purposiv...

kant’s ethical theory is one the most important theories in philosophy of ethics, which has always attracted the attention of the commentators and critics. although it has many positive points, there are some objections to this theory just as to any other human theory. in this article, it is attempted to point out the critiques that seem to have been leveled against kant’s ethics. some of these...

In an era of rapidly rising health care costs, physicians and policymakers are searching for new and effective ways to contain health care spending without sacrificing the quality of services provided. These proposals are increasingly articulated in terms of an ethical duty of stewardship. The duty of stewardship in medicine, however, is not at present well understood, and it is frequently conf...

Accessibility of hospital emergency services has been an issue of increasing concern and was recently brought into public focus in Ontario by the tragic death of Joshua Fleuelling, whose ambulance was redirected from the nearest hospital. As will be reviewed, the limited case law has identified a legal duty for physicians and hospitals to provide treatment to people in need of emergency care, a...

the recently approved Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements including new Standards for Resident Supervision and Duty Hours will take effect July, 2011. These new requirements revise the initial regulations implemented by the ACGME in 2003 and respond in part to recommendations set forth by the Institute of Medicine (IOM) in 2008. The changes a...

BACKGROUND The Swedish resident duty hour limit is regulated by Swedish and European legal frameworks. With a maximum average of 40 working hours per week, the Swedish duty hour regulation is one of the most restrictive in the world. At the same time, the effects of resident duty hour limits have been neither debated nor researched in the Swedish context. As a result, little is known about the ...

Background and Objectives: The religious needs of hospitalized patients are reportedly not appropriately met. The purpose of this study was to explain the experiences of nurses about the barriers to providing religious care for hospitalized patients. Methods: This qualitative study was conducted on 21 nurses working in a hospital affiliated with Qom University of Medical Sciences, Qom, Iran, i...