2023
Ethics Along the Continuum of Research Involving Persons with Disorders of Consciousness
Lewis A, Young M, Rohaut B, Jox R, Claassen J, Creutzfeldt C, Illes J, Kirschen M, Trevick S, Fins J. Ethics Along the Continuum of Research Involving Persons with Disorders of Consciousness. Neurocritical Care 2023, 39: 565-577. PMID: 36977963, PMCID: PMC11023737, DOI: 10.1007/s12028-023-01708-2.Peer-Reviewed Original ResearchConceptsTranslation of researchDisclosure of resultsDisorders of consciousnessContinuum of researchEthical considerationsNeuropalliative careEthics Working GroupInterpretation of outcomesLegally authorized representativeCommunication of resultsComparison of risksStudy designCarePromote recoveryInvolved personsInclusion of minoritiesExclusion criteriaNeurocritical careWorking GroupPersonsInformal reviewOutcomesAwarenessParticipation rightsData protection
2020
Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care
Guidry-Grimes L, Savin K, Stramondo J, Reynolds J, Tsaplina M, Burke T, Ballantyne A, Kittay E, Stahl D, Scully J, Garland-Thomson R, Tarzian A, Dorfman D, Fins J. Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care. The Hastings Center Report 2020, 50: 28-32. PMID: 32596899, DOI: 10.1002/hast.1128.Peer-Reviewed Original ResearchConceptsCrisis standards of careDisability justiceCrisis standardsInclusion of disabled peopleJusticeRecognition justiceStandard of careEquitable processDisabled peopleDecision-makingInstitute of MedicineMovement demandsCrisisHealth careLawVision statementsProvider engagementFairnessCareCOVID-19InterestCrisis planningCommitmentDisaster situationsDisability
2018
Mediative Fluency and Futility Disputes
Knowlton S, Fins J. Mediative Fluency and Futility Disputes. Perspectives In Biology And Medicine 2018, 60: 373-382. PMID: 29375067, DOI: 10.1353/pbm.2018.0011.Peer-Reviewed Original Research
2017
Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury
Fins J. Mosaic Decisionmaking and Reemergent Agency after Severe Brain Injury. Cambridge Quarterly Of Healthcare Ethics 2017, 27: 163-174. PMID: 28918755, DOI: 10.1017/s0963180117000329.Peer-Reviewed Original ResearchImproving Communication With Surrogate Decision-Makers: A Pilot Initiative
Meltzer E, Shi Z, Suppes A, Hersh J, Orlander J, Calhoun A, Tung J, Logio L, Manna R, Bialer P, Acres C, Fins J. Improving Communication With Surrogate Decision-Makers: A Pilot Initiative. Journal Of Graduate Medical Education 2017, 9: 461-466. PMID: 28824759, PMCID: PMC5559241, DOI: 10.4300/jgme-d-17-00035.1.Peer-Reviewed Original ResearchConceptsObjective structured clinical examinationCommunication skillsPatient surrogatesPhysician communication skillsCommunication skills workshopSurrogate decision-makersStructured clinical examinationResidents' communication skillsParticipants' communication skillsExperiential learning workshopsPhysician stressPostworkshop scoresOSCE scoresWilcoxon signed rank testSelf-reported feelingsPoor communicationSimulated encountersSkills workshopMedical careDifficult conversationsImprove communicationFaculty facilitatorsMedical decisionsAssessment formPhysicians
2016
Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research
Fins J. Neuroethics and Disorders of Consciousness: Discerning Brain States in Clinical Practice and Research. The AMA Journal Of Ethic 2016, 18: 1182. PMID: 28009244, DOI: 10.1001/journalofethics.2016.18.12.ecas2-1612.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMinimally conscious stateEnd-of-life careConscious stateEnd-of-lifeEthical obligationNeuropalliative careDeep brain stimulationPatientsBrain statesClinicians' ethical obligationsClinical practiceCivil rightsConsciousnessScientific advancesDiagnostic discernmentClinical researchBrain stimulationResearch decisionsDisordersFunctional communicationInvestigate useCareNeuroethicsPainUnderstanding and Utilizing the Convening Power of Ethics Consultation
Fins J. Understanding and Utilizing the Convening Power of Ethics Consultation. The AMA Journal Of Ethic 2016, 18: 540. PMID: 27213886, DOI: 10.1001/journalofethics.2016.18.5.msoc2-1605.Peer-Reviewed Original Research
2011
Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury
Bardin J, Fins J, Katz D, Hersh J, Heier L, Tabelow K, Dyke J, Ballon D, Schiff N, Voss H. Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury. Brain 2011, 134: 769-782. PMID: 21354974, PMCID: PMC3044833, DOI: 10.1093/brain/awr005.Peer-Reviewed Original ResearchConceptsBrain-injured subjectsBlood oxygen level-dependent responsesBrain-injured patientsCognitive functionFunctional magnetic resonance imaging assessmentsEvaluation of cognitive functionFunctional neuroimaging methodsOvert behavioral responsesSeverely brain-injured patientsNeuroimaging methodsBrain functionBehavioral responsesBrain injuryMagnetic resonance imaging-based methodMotor functionControl groupBrainMagnetic resonance imaging assessmentSubjectsClinical useImaging assessmentResponse
2008
Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective
Pieracci F, Ullery B, Eachempati S, Nilson E, Hydo L, Barie P, Fins J. Prospective Analysis of Life-Sustaining Therapy Discussions in the Surgical Intensive Care Unit: A Housestaff Perspective. Journal Of The American College Of Surgeons 2008, 207: 468-476. PMID: 18926447, DOI: 10.1016/j.jamcollsurg.2008.05.001.Peer-Reviewed Original ResearchConceptsEnd-of-life care planningEnd-of-lifeLack of decision-making capacityCare planningDecision-making capacityEnd-of-life careLikelihood of enactmentSurgical ICUPatient surrogatesHousestaffStandardized questionnaireSurgical intensive care unitClinical deteriorationIntensive care unitProspective dataCare unitProspective analysisPatientsICUAgeCareAcuityDisparitiesQuestionnairePlanningIslam and Informed Consent: Notes from Doha
DEL POZO P, FINS J. Islam and Informed Consent: Notes from Doha. Cambridge Quarterly Of Healthcare Ethics 2008, 17: 273-279. PMID: 18495067, DOI: 10.1017/s096318010808033x.Peer-Reviewed Original Research
2006
Viewpoint: power and communication: why simulation training ought to be complemented by experiential and humanist learning.
Hanna M, Fins J. Viewpoint: power and communication: why simulation training ought to be complemented by experiential and humanist learning. Academic Medicine 2006, 81: 265-70. PMID: 16501273, DOI: 10.1097/00001888-200603000-00016.Peer-Reviewed Original Research
2004
Informing the Patient-Proxy Covenant: An Educational Approach for Advance Care Planning
Maltby B, Fins J. Informing the Patient-Proxy Covenant: An Educational Approach for Advance Care Planning. Journal Of Palliative Medicine 2004, 7: 351-355. PMID: 15130216, DOI: 10.1089/109662104773709512.Peer-Reviewed Original Research
2001
Communication in intensive care settings: The challenge of futility disputes
Fins J, Solomon M. Communication in intensive care settings: The challenge of futility disputes. Critical Care Medicine 2001, 29: n10-n15. PMID: 11228567, DOI: 10.1097/00003246-200102001-00003.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAttitude of Health PersonnelAttitude to DeathCommunicationConflict, PsychologicalCritical CareDecision MakingFamilyFemaleHealth PersonnelHumansInformed ConsentMedical FutilityOrganizational CulturePatient Care TeamProfessional-Family RelationsPrognosisQuality of LifeSocial SupportTeachingTotal Quality ManagementTruth Disclosure
1997
Clinical pragmatism: a method of moral problem solving.
Fins J, Bacchetta M, Miller F. Clinical pragmatism: a method of moral problem solving. Kennedy Institute Of Ethics Journal 1997, 7: 129-45. PMID: 11654986, DOI: 10.1353/ken.1997.0013.Peer-Reviewed Original ResearchMeSH KeywordsCatholicismChronic DiseaseClergyCommunicationConsensusDecision MakingDementiaDiagnosisEmotionsEthical AnalysisEthical TheoryEthicsEthics, ClinicalEthics, MedicalEuthanasia, PassiveFamilyHumansLife Support CareMarriageMental CompetencyMethodsPatient CarePatient Care PlanningPhilosophyPhysiciansPrinciple-Based EthicsProfessional-Family RelationsResuscitation OrdersSocial ValuesSpousesAdvance Directives and SUPPORT
Fins J. Advance Directives and SUPPORT. Journal Of The American Geriatrics Society 1997, 45: 519-520. PMID: 9100724, DOI: 10.1111/j.1532-5415.1997.tb05181.x.Peer-Reviewed Original Research
1995
Across the divide: Religious objections to brain death
Fins J. Across the divide: Religious objections to brain death. Journal Of Religion And Health 1995, 34: 33-40. PMID: 11652895, DOI: 10.1007/bf02248636.Peer-Reviewed Original Research
1991
Sources of Concern about the Patient Self-Determination Act
Wolf S, Boyle P, Callahan D, Fins J, Jennings B, Nelson J, Barondess J, Brock D, Dresser R, Emanuel L, Johnson S, Lantos J, Mason D, Mezey M, Orentlicher D, Rouse F. Sources of Concern about the Patient Self-Determination Act. New England Journal Of Medicine 1991, 325: 1666-1671. PMID: 1944466, DOI: 10.1056/nejm199112053252334.Peer-Reviewed Original Research