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Browsing by Author "Hartsock, Jane"
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Item Bringing Clinical Organizational Ethics into Practice(2024-05) Swartwood, Brigitte Rene; Beckman, Emily; Haberski, Raymond; Hartsock, Jane; Helf, Paul R.; Meagher, AshleyThis dissertation consists of four papers that focus on the integration of clinical organizational ethics (COE) concepts into clinical practice. As defined by Miller and Hartsock, COE is a distinct area of ethics that addresses recurrent clinical ethics dilemmas. These dilemmas are issue-based and arise directly from patient care, yet these issues affect multiple patients. The resolution of these dilemmas are often revisions of procedures, policies, or practices.1 By analyzing specific organizational-level policies and practices, I attempt to ground these theoretical ideas by considering their impact on clinical outcomes. These four papers illustrate the integration of COE into practice in three ways: conceptually, empirically, and through recommendation of change in practice. "Victims of Violence, Hospital Policies, and Potential for Bias" and "Opioid Prescribing, Hidden Influences, and the Cultural Impact of Christianity" conceptually discuss a policy or practice affecting clinical care. "Victims ofViolence ... " investigates the implications of No Information Status policies and suggests that they may burden bedside staff while providing a false sense of safety and may exacerbate existing health disparities. "Opioid Prescribing ... " examines how Christian frameworks may be implicitly shaping clinicians' approaches to opioid prescribing within the setting of chronic nonmalignant pain management. "Evaluation of Security Emergency Responses: Racial Disparities in Activation" uses empirical evidence to discuss racial disparities in security emergency responses (SERs) within a hospital. This paper used a retrospective, descriptive cohort study to illustrate ethical implications of polices that exacerbate health disparities. Finally, "The Importance of Data Collection in SERs" proposes a framework for collecting data and addressing SER challenges within an organization. This improvement in hospital practices will provide opportunities to address some of the complex challenges surrounding SERs. Collectively, these papers aim to fill gaps in the literature, challenge implicit biases, and address specific challenges in clinical care using a Clinical Organizational Ethics framework.Item A Human Paradox: The Nazi Legacy of Pernkopf’s Atlas(2019) Hartsock, Jane; Beckman, Emily; Medical Humanities & Health Studies ProgramEduard Pernkopf’s Atlas of Topographical and Applied Human Anatomy is a four-volume anatomical atlas published between 1937 and 1963, and it is generally believed to be the most comprehensive, detailed, and accurate anatomy textbook ever created. However, a 1997 investigation into “Pernkopf’s Atlas,” raised troubling questions regarding the author’s connection to the Nazi regime and the still unresolved issue of whether its illustrations relied on Jewish or other political prisoners, including those executed in Nazi concentration camps. Following this investigation, the book was removed from both anatomy classrooms and library bookshelves. A debate has ensued over the book’s continued use, and justification for its use has focused on two issues: (1) there is no definitive proof the book includes illustrations of concentration camp prisoners or Jewish individuals in particular, and (2) there is no contemporary equivalent to this text. However, both points fail to address the central importance of the book, not simply as part of anatomy instruction, but also as a comprehensive historical narrative with important ethical implications. Having encountered a first edition copy, these authors were given a unique opportunity to engage with the text through the respective humanities lenses of history, ethics, and narrative. In doing so, an instructive and profound irony has surfaced: Nazis, including Pernkopf, viewed specific groups of people as less than human, giving rise to unthinkable atrocities perpetuated against them. However, these same individuals became the sources for the creation of the Atlas, which served as the model for primary instruction on the human form for more than half of the twentieth century. In this article, we recount the difficult and somewhat opaque provenance of this book, engage the ethical questions surrounding both its creation and its use, and ultimately propose a pedagogical methodology for its continued use in medical education.Item Navigating Minority and Gender Discrimination, Substance Use Disorder, Financial Distress, and Workplace Politics: Lessons for Work-Life Wellness in Academic Medicine: Part 2 of 3(University of Kansas Libraries, 2023-06-20) Ahmed, Rami; Hartwell, Jennifer L.; Farley, Heather; MacRae, Julia; Rogers, David A.; Lawrence, Elizabeth C.; Brazeau, Chantal Mlr; Park, Eliza M.; Cassidy, Anna; Hartsock, Jane; Holmes, Emily; Schroeder, Kristen; Barach, Paul; Emergency Medicine, School of MedicineItem Navigating Personal Health Crises, Imposter Syndrome, Sexual Harassment, Clinical Mistakes, and Leadership Challenges: Lessons for Work-Life Wellness in Academic Medicine: Part 3 of 3(University of Kansas Libraries, 2023-06-20) Barach, Paul; Ahmed, Rami; Agarwal, Gaurava; Olson, Kristine; Welch, Julie; Chernoby, Kimberly; Hein, Christine L.; Anand, Tanya; Joseph, Bellal; Rosenstein, Donald L.; Sotto-Santiago, Sylk; Hartsock, Jane; Holmes, Emily; Schroeder, Kristen; Hartwell, Jennifer L.; Medicine, School of MedicineItem Navigating Work-Life Integration, Legal Issues, Patient Safety: Lessons for Work-Life Wellness in Academic Medicine: Part 1 of 3(University of Kansas Libraries, 2023-06-20) Hartwell, Jennifer L.; Barach, Paul; Gunter, Tracy D.; Reed, Kyra; Kelker, Heather; Welch, Julie; Olson, Kristine; Harry, Elizabeth; Meltzer-Brody, Samantha; Quinn, Mariah; Ferrand, Jennifer; Kiely, Sharon C.; Hartsock, Jane; Holmes, Emily; Schroeder, Kristin; Ahmed, Rami; Psychiatry, School of MedicineItem Op/Ed: Marion County health agency's SCOTUS case could end protections for most vulnerable(The Indianapolis Star, 2022-11-06) Hartsock, Jane; Bosslet, Gabriel; Levine Daniel, JamieThe Health & Hospital Corp. (HHC) v. Talevski case arises out of allegations that Gorgi Talevski, a disabled person with dementia who resided at a long-term care facility owned by HHC, was kept in physical restraints in violation of a federal law ― the Federal Nursing Home Reform Act (FNHRA). HHC has responded not only that its use of restraints did not violate the FNHRA, but Talevski’s wife Ivanka (who is bringing the lawsuit on behalf of the estate of her now deceased husband) should not be able to sue at all. HHC goes so far as to argue the Supreme Court should overturn two existing rulings, which would mean that Talevski and other disabled patients would not be able to sue at all under the act. This request, if granted, would result in extraordinary damage to the rights, health and welfare of Hoosiers — and of all vulnerable Americans.