Constructing a systematic review for argument-based clinical ethics literature: The example of concealed medications
Constructing a systematic review for argument-based clinical ethics literature: The example of concealed medications
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DOI：
10.1080/03605310601152206
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发表时间：
2007-01-01
影响因子：
1.6
通讯作者：
Chervenak, Frank A.
中科院分区：
文献类型：
--
作者：
McCullough, Laurence B.;Coverdale, John H.;Chervenak, Frank A.
临床伦理学文献因缺乏临床医学文献中常见的一种重要的学术流派：系统评价而引人注目。因此，临床伦理学领域缺乏旨在减少潜在偏见的综述文章的内部纠正效果。这篇文章开创了《医学与哲学》杂志一年一度的《临床伦理学》杂志关于系统评价的一个新栏目。使用最新的基于争论的规范伦理学的明确标准，我们提供了一个系统的文献回顾关于隐蔽药物治疗精神障碍的文献。完成了四个步骤：1.确定一个焦点问题；2.使用与焦点问题相关的关键词进行文献搜索；3.评估所确定的论文的论证方法的充分性；以及4.确定每篇论文中得出的结论，以及它们是否适用于重点问题。我们确定了七篇论文，并对它们进行了评估。虽然没有一篇论文完全符合以论证为基础的伦理标准，但它们确实为使用隐蔽药物提供了理由，重要的是要求这种做法在明确的组织政策中负责，以防止滥用精神病或痴呆症患者。
The clinical ethics literature is striking for the absence (of an important genre of scholarship that is common to the literature of clinical medicine: systematic reviews. As a consequence, the field of clinical ethics lacks the internal, corrective effect of review articles that are designed to reduce potential bias. This article inaugurates a new section of the annual "Clinical Ethics" issue of the journal of Medicine and Philososophy on systematic reviews. Using recent v articulated standards for argument-based normative ethics, we provide a systematic review of the literature on concealed medication for the management of pychiatric disorders. Four steps are completed:1. identify a focused question;2. conduct a literature search using key terms relevant to the focused question;3. assess the adequacy of the argument-based methods of the papers identified; and4. identify conclusions drawn in each paper and whether they apply to the focused question.We identified seven papers and provide an assessment of them. While none of the papers fully meet the standards of argument-based ethics, they did provide rationales for the use of concealed medications, with the important requirement such a practice be accountable in explicit organizational policy to prevent abuse of patients with mental illness or dementia.