Global ETD Search

1	An Educational Program for Nurses on Therapeutic Misconception in the Oncology Setting Magnanelli, Debra 01 January 2015 (has links) A key component of informed consent to participate in research is the understanding that research is not the same as treatment and that scientific goals have priority over therapeutic ones. However, studies have found many research participants do not understand these important differences between research and treatment, a phenomenon termed therapeutic misconception (TM). The problem addressed in this project was research nurses' lack of education regarding the existence and concepts of TM, and their struggles to assess and address research participants' TM of clinical trials. Matutina's conceptual model of TM was used to guide this project. The purpose of this project was to develop an educational program that prepares registered nurses to assess clinical trials participants for TM and correct any misunderstandings. The educational program included concepts related to TM, guidance on recognizing TM, strategies to correct participant misunderstanding, and assessments of nurses' understanding of related concepts and strategies. The products of this project include the program with an implementation plan and an evaluation plan that outlines short- intermediate- and long- term plans for evaluating effectiveness of this program. For both short and intermediate-term evaluation, outcomes will be measured using a pre and post survey. The long-term evaluation of the educational program was designed as a study to measure TM among research participants comparing data before and after nurses receive TM education. Refining the standard education of TM for registered nurses can serve both to improve protection of trial participants and to clarify the informed consent process, ultimately contributing to a more informed population of clinical trials participants. clinical trial education nursing oncology therapeutic misconception Education Nursing Oncology
2	Therapeutic misunderstanding among future clinicians and researchers; Attitudes towards increased exposure to clinical research ethics in undergraduate medical education a pilot study Gregorio, Matthew Stephen 24 September 2015 (has links) Background: Therapeutic misunderstanding (TMU) and its three facets: therapeutic misconception, therapeutic misestimation, and therapeutic optimism have been identified as major challenges to the ethical conduct of clinical research and obtaining informed consent from research participants. However, the prevalence of TMU among clinicians and researchers has not been explored. Since most physicians will be exposed to clinical research over the course of their career, the understanding of clinical research procedures is important. In this study we attempted to determine the prevalence of TMU among medical students: future clinicians. Methods: Twenty-two BUSM undergraduate medical students took part in a two-part, survey evaluating the prevalence of therapeutic misunderstanding using "The Therapeutic Misunderstanding Scale". The attitudes of the students towards increasing the exposure to clinical research topics through the medical school curriculum were also determined. Results: The majority of the medical students exhibited therapeutic misunderstanding, particularly in the area of therapeutic misconception. In particular, the misunderstanding the difference between evidence-based clinical care versus hypothesis driven clinical research was exhibited. Although there was strong agreement that education in clinical research and clinical research ethics was important, the participants though increases of clinical research topics in the curriculum was not needed. Conclusions: The increased prevalence of TMU among future physicians underscores the need to teach clinical research and research ethics. Further research on a larger sample needed to validate the findings. Medical ethics Clinical research Medical education Medical ethics Medical students Therapeutic misconception Therapeutic misunderstanding
3	Platonic Craft and Medical Ethics Bader, Daniel 14 February 2011 (has links) Platonic Craft and Medical Ethics examines the Platonic theory of craft and shows its application to different ethical problems in medicine, both ancient and modern. I begin by elucidating the Platonic use of the term “craft” or “technē”, using especially the paradigmatic craft of medicine, and explicate a number of important principles inherent in his use of the term. I then show how Plato’s framework of crafts can be applied to two ancient debates. First, I show how Plato’s understanding of crafts is used in discussing the definition of medicine, and how he deals with the issue of “bivalence”, that medicine seems to be capable of generating disease as well as curing it. I follow this discussion into Aristotle, who, though he has a different interpretation of bivalence, has a solution in many ways similar to Plato’s. Second, I discuss the relevance of knowledge to persuasion and freedom. Rhetors like Gorgias challenge the traditional connections of persuasion to freedom and force to slavery by characterizing persuasion as a type of force. Plato addresses this be dividing persuasion between sorcerous and didactic persuasion, and sets knowledge as the new criterion for freedom. Finally, I discuss three modern issues in medical ethics using a Platonic understanding of crafts: paternalism, conclusions in meta-analyses and therapeutic misconceptions in research ethics. In discussing paternalism, I argue that tools with multiple excellences, like the body, should not be evaluated independently of the uses to which the patient intends to put them. In discussing meta-analyses, I show how the division of crafts into goal-oriented and causal parts in the Phaedrus exposes the confusion inherent in saying that practical conclusions can follow directly from statistical results. Finally, I argue that authors like Franklin G. Miller and Howard Brody fail to recognize the hierarchical relationship between medical research and medicine when they argue that medical research ethics should be autonomous from medical ethics per se. Plato Medical Ethics Aristotle Techne Craft Rhetoric Contraries Predication Autonomy Paternalism Research Ethics Therapeutic Misconception Meta-Analysis Gorgias Laws Euthydemus Eleutheria Episteme Hippocrates Persuasion Bia Peitho Health Disease Measurement Metaphysics Phaedrus Privation Franklin G. Miller Education Informed Consent Freedom Lysias Hippias Minor Philebus Statesman Sophist Charmides Republic Protagoras Kolakeia Flattery Arche Essence Definition Suppliant Maidens Heraclidae Philoctetes Slavery Competition 0422
4	Platonic Craft and Medical Ethics Bader, Daniel 14 February 2011 (has links) Platonic Craft and Medical Ethics examines the Platonic theory of craft and shows its application to different ethical problems in medicine, both ancient and modern. I begin by elucidating the Platonic use of the term “craft” or “technē”, using especially the paradigmatic craft of medicine, and explicate a number of important principles inherent in his use of the term. I then show how Plato’s framework of crafts can be applied to two ancient debates. First, I show how Plato’s understanding of crafts is used in discussing the definition of medicine, and how he deals with the issue of “bivalence”, that medicine seems to be capable of generating disease as well as curing it. I follow this discussion into Aristotle, who, though he has a different interpretation of bivalence, has a solution in many ways similar to Plato’s. Second, I discuss the relevance of knowledge to persuasion and freedom. Rhetors like Gorgias challenge the traditional connections of persuasion to freedom and force to slavery by characterizing persuasion as a type of force. Plato addresses this be dividing persuasion between sorcerous and didactic persuasion, and sets knowledge as the new criterion for freedom. Finally, I discuss three modern issues in medical ethics using a Platonic understanding of crafts: paternalism, conclusions in meta-analyses and therapeutic misconceptions in research ethics. In discussing paternalism, I argue that tools with multiple excellences, like the body, should not be evaluated independently of the uses to which the patient intends to put them. In discussing meta-analyses, I show how the division of crafts into goal-oriented and causal parts in the Phaedrus exposes the confusion inherent in saying that practical conclusions can follow directly from statistical results. Finally, I argue that authors like Franklin G. Miller and Howard Brody fail to recognize the hierarchical relationship between medical research and medicine when they argue that medical research ethics should be autonomous from medical ethics per se. Plato Medical Ethics Aristotle Techne Craft Rhetoric Contraries Predication Autonomy Paternalism Research Ethics Therapeutic Misconception Meta-Analysis Gorgias Laws Euthydemus Eleutheria Episteme Hippocrates Persuasion Bia Peitho Health Disease Measurement Metaphysics Phaedrus Privation Franklin G. Miller Education Informed Consent Freedom Lysias Hippias Minor Philebus Statesman Sophist Charmides Republic Protagoras Kolakeia Flattery Arche Essence Definition Suppliant Maidens Heraclidae Philoctetes Slavery Competition 0422

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