2023
Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics.
Dougherty R, Fins J. Toward a Social Bioethics Through Interpretivism: A Framework for Healthcare Ethics. Cambridge Quarterly Of Healthcare Ethics 2023, 33: 6-16. PMID: 37622652, DOI: 10.1017/s0963180123000452.Peer-Reviewed Original ResearchMeSH KeywordsBioethical IssuesBioethicsDecision MakingDelivery of Health CareEthical AnalysisEthical TheoryHumansConceptsHealthcare ethicsSocial bioethicsHealthcare ethics consultantsReasoning of individualsInterpretive social scienceSocial structureEthics consultationMoral reasoningBioethical issuesEthical issuesDecision-making participationBioethicsEthicsSocial sciencesSocial discourseEconomic systemAnalytical frameworkGlobal eventsInformation approachPervasive roleDelivery of healthcareEveryday practiceInterpretivismAuthorsSociology
2019
Mosaic Decisionmaking and Severe Brain Injury: Adding Another Piece to the Argument
Fins J. Mosaic Decisionmaking and Severe Brain Injury: Adding Another Piece to the Argument. Cambridge Quarterly Of Healthcare Ethics 2019, 28: 737-743. PMID: 31423964, DOI: 10.1017/s0963180119000677.Peer-Reviewed Original Research
2018
Family Portrait
Fins J. Family Portrait. Narrative Inquiry In Bioethics 2018, 8: 4-6. PMID: 29657165, DOI: 10.1353/nib.2018.0002.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 formPhysiciansPatient Reflections on Decision Making for Laryngeal Cancer Treatment
Shuman A, Larkin K, Thomas D, Palmer F, Fins J, Baxi S, Lee N, Shah J, Fagerlin A, Patel S. Patient Reflections on Decision Making for Laryngeal Cancer Treatment. Otolaryngology 2017, 156: 299-304. PMID: 28116989, PMCID: PMC5528848, DOI: 10.1177/0194599816683377.Peer-Reviewed Original ResearchConceptsPatients' reflectionsDecisional conflictVoice-related qualityReferral patternsReflections of patientsPatient-reported functional outcomesLaryngeal cancerFunctional outcomesTreatment decisionsTertiary care cancer centerInvolvement of surgeonsPatient prioritiesSingle-institution tertiary care cancer centerProvider inputDecisional regretPatient voiceManagement of laryngeal cancerOverall scoreGlobal scoreMedical oncologistsCancer CenterCancer treatment planningLaryngeal cancer treatmentRadiation oncologistsLaryngeal carcinoma
2016
The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems
Kellmeyer P, Cochrane T, Müller O, Mitchell C, Ball T, Fins J, Biller-Andorno N. The Effects of Closed-Loop Medical Devices on the Autonomy and Accountability of Persons and Systems. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 623-633. PMID: 27634714, DOI: 10.1017/s0963180116000359.Peer-Reviewed Original ResearchMeSH KeywordsBrain-Computer InterfacesDecision MakingEthics, MedicalHumansInformed ConsentMoralsParalysisPersonal AutonomyResearch SubjectsConceptsClosed-loop medical devicesRepresentatives of patient advocacy groupsMedical lawLegal accountabilityLegal frameworkDecisionmaking capacityRestoring communication abilitiesPersonal autonomyMedical ethicsPatient autonomyMedical devicesAdvocacy groupsAutonomyMedical neuroscienceTask ForceAccountsPatient advocacy groupsPersonsLawConsentComputer scienceRefusalDecisionmakingEthicsAgenciesOrgan Transplantation for Individuals with Neurodevelopmental Disorders
Overby K, Fins J. Organ Transplantation for Individuals with Neurodevelopmental Disorders. Cambridge Quarterly Of Healthcare Ethics 2016, 25: 272-281. PMID: 26957452, DOI: 10.1017/s0963180115000572.Peer-Reviewed Original ResearchConceptsPhysician referralRegional Transplant CenterHealthcare professionalsHealthcare systemHeart-lung transplantationNeurodevelopmental disordersFunctional impairmentWaiting listHealthcareProvision of accommodationMedical managementMedical needOrgan transplantationTransplant centersDown syndromeNational levelTransplantationOvert discriminationIndividualsAccess problemsReferralPhysiciansProfessionalsContemporary challengesDisorders
2015
Withdrawal of Life-Sustaining Treatment
Hinderer K, Friedmann E, Fins J. Withdrawal of Life-Sustaining Treatment. Dimensions Of Critical Care Nursing 2015, 34: 91-99. PMID: 25650494, DOI: 10.1097/dcc.0000000000000097.Peer-Reviewed Original ResearchConceptsEOL decisionsEnd-of-lifeCritical care nursesMechanical ventilation withdrawalCare nursesFamilies of critically ill patientsVentilator withdrawalImproving EOL careAdvance care planningPatient-proxy pairsWithdrawal of life-sustaining therapySecondary analysis of dataWithdrawal of mechanical ventilationLife-sustaining therapyEOL careCare planningPatient-directedResponses to questionsDisease trajectoryProxies' decisionsModification of directionSecondary analysisImprove patientAnalysis of dataNurses
2014
The Ethical Imperative to Think about Thinking
Stark M, Fins J. The Ethical Imperative to Think about Thinking. Cambridge Quarterly Of Healthcare Ethics 2014, 23: 386-396. PMID: 25033249, DOI: 10.1017/s0963180114000061.Peer-Reviewed Original ResearchMeSH KeywordsAwarenessDecision MakingDiagnostic ErrorsEducation, MedicalEthics, MedicalHumansJudgmentPatient SafetyThinkingConceptsMedication errorsMedical ethics literaturePatient safetyEthics literatureEthical imperativesMedical educationBody of scholarshipPrevent errorsProfessional obligationsMedical judgmentInsufficient progressProfessional dutiesSelf-reflectionProfessionalsCognitive sourceThinkingThinking errorsCritical thinkingEthicsNonmaleficenceBeneficenceMounting concernJusticeObligationsImprove critical thinking skillsBeyond Consent in Research
Bell E, Racine E, Chiasson P, Dufourcq-Brana M, Dunn L, Fins J, Ford P, Glannon W, Lipsman N, Macdonald M, Mathews D, McAndrews M. Beyond Consent in Research. Cambridge Quarterly Of Healthcare Ethics 2014, 23: 361-368. PMID: 24865371, DOI: 10.1017/s0963180113000984.Peer-Reviewed Original ResearchThe Authors Reply
Stark M, Fins J. The Authors Reply. The Hastings Center Report 2014, 44: 4-4. PMID: 24634034, DOI: 10.1002/hast.274.Peer-Reviewed Original ResearchDNR and ECMO: a paradox worth exploring.
Meltzer E, Ivascu N, Fins J. DNR and ECMO: a paradox worth exploring. The Journal Of Clinical Ethics 2014, 25: 13-9. PMID: 24779313, DOI: 10.1086/jce201425102.Peer-Reviewed Original ResearchConceptsDo-not-resuscitateDifficult end-of-life decisionsDo-not-resuscitate discussionsEnd-of-life decisionsDo-not-resuscitate ordersHeart-lung bypass machineExtracorporeal membrane oxygenationVA-ECMOStepping-stoneCardiac failurePulmonary dysfunctionCardiopulmonary failureMembrane oxygenationSurgical proceduresBypass machineChest compressionsDiscussionOperating roomConfusionPatientsContext
2013
On the lingua franca of clinical ethics.
Fins J. On the lingua franca of clinical ethics. The Journal Of Clinical Ethics 2013, 24: 323-31. PMID: 24597419, DOI: 10.1086/jce201324402.Peer-Reviewed Original ResearchMeSH KeywordsDecision MakingEthical TheoryEthics, ClinicalHistory, 19th CenturyHistory, 20th CenturyHistory, 21st CenturyHumansInterdisciplinary CommunicationMedical FutilityPalliative CarePeriodicals as TopicPersonal AutonomyPractice Patterns, Physicians'Resuscitation OrdersTerminal CareTerminology as TopicWithholding TreatmentConceptsClinical ethicsJournal of Clinical EthicsLanguage of bioethicsLingua francaClinical ethicistsEthical analysisEthical reasonsEthicsLinguistic amalgamationCritical methodBioethicsAuthor commentsPalliative medicineWeak compositionEthicistsLanguageArgumentsPragmaticsAuthorsFoundingAnniversaryScienceDiscourseDecision makingInterdisciplinarityThe Authors Reply
Stark M, Fins J. The Authors Reply. The Hastings Center Report 2013, 43: 6-6. PMID: 24249464, DOI: 10.1002/hast.223.Peer-Reviewed Original ResearchConceptsNot beingEngineering Medical Decisions
Stark M, Fins J. Engineering Medical Decisions. Cambridge Quarterly Of Healthcare Ethics 2013, 22: 373-381. PMID: 23916394, DOI: 10.1017/s0963180113000224.Peer-Reviewed Original ResearchSurrogate expectations in severe brain injury
Suppes A, Fins J. Surrogate expectations in severe brain injury. Brain Injury 2013, 27: 1141-1147. PMID: 23895513, PMCID: PMC5454804, DOI: 10.3109/02699052.2013.804201.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdvance Care PlanningAdvance DirectivesBrain InjuriesCaregiversChildComaDecision MakingFamilyFemaleGriefHumansIntensive Care UnitsMaleMiddle AgedNew YorkPersistent Vegetative StatePhysician's RoleProfessional-Family RelationsPrognosisProxySeverity of Illness IndexStress, PsychologicalConceptsSource of injuryExpectations of recoveryPsychosocial featuresDecision-making expectationsQuantitative questionnaireImprove treatment of patientsFamily membersPatient recoveryTreatment of patientsPatient diagnosisRelated factorsDOC patientsBrain injuryPatientsImproved treatmentInjuryCurrent diagnosisExpectationsQuestionnaireDiagnosisCliniciansBrainSurveyFactorsWhat's Not Being Shared in Shared Decision‐Making?
Stark M, Fins J. What's Not Being Shared in Shared Decision‐Making? The Hastings Center Report 2013, 43: 13-16. PMID: 23842917, DOI: 10.1002/hast.188.Peer-Reviewed Original ResearchMeSH KeywordsCost ControlDecision MakingHealth PolicyHumansInsurance CarriersPatient ParticipationPatient-Centered CareConceptsGoals of patient carePatient preferencesHealth care deliveryCare deliveryHealth carePatient carePatient choiceDecision aidMedical decisionsCost containmentMedical interventionsCost curvesDecision-making programCareNot beingHealthTreatment optionsTreatment-specificProgramDecision-makingPatientsPhysiciansPreferencesInterventionDecisionClinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical careDisorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity
Fins J. Disorders of Consciousness and Disordered Care: Families, Caregivers, and Narratives of Necessity. Archives Of Physical Medicine And Rehabilitation 2013, 94: 1934-1939. PMID: 23770277, DOI: 10.1016/j.apmr.2012.12.028.Peer-Reviewed Original ResearchConceptsAmerican health care systemAcute care needsSurrogate decision makersHealth care systemDisorders of consciousnessAffordable Care ActDecision-making capacityCare needsSevere disorders of consciousnessCare decisionsOngoing careCare systemReimbursement frameworkCare ActReimbursement strategiesCareMedical necessityCivil rightsMedical infrastructureRehabilitationEthical challengesReimbursementSevere disordersCaregiversPatients