Éthique en santé
Description
Veille informationnelle portant sur l’éthique en santé et la bioéthique
Sujets couverts
Pratique en éthique clinique
Consentement aux soins et aptitude
Confidentialité
Allocation de ressources
Transplantation
Début de la vie
Objectif de soins (directives médicales anticipés, testament vivant, niveau d'intervention, etc.)
Soins de fin de vie (soins palliatif, AMM)
IA
Médecine de précision et génétique
Lignes directrices
Avis éthiques
Délibération éthique
Sources
PubMed
CINAHL
Embase
PSycINFO
Fréquence
Mensuelle
Bibliothécaire responsable
Romy Otayek
romy.otayek.chum@ssss.gouv.qc.ca
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Challenging Face-to-Face Communication in Clinical Ethics: Autism as an Illustrative Case
Le 21 août 2026
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Ethical and Emotional Dilemmas in the Medical Decision-Making Process Among Family Members of Intensive Care Patients: A Qualitative Study
Le 18 août 2026
Nurs Crit Care. 2026 Sep;31(5):e70630. doi: 10.1111/nicc.70630. ABSTRACT BACKGROUND: Intensive care units (ICUs) constitute a highly challenging environment for patients' relatives due to critical illnesses and uncertain prognoses, creating significant ethical and emotional strain. Family members…
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The Relationship Between Nurses' Ethical Behaviours for Protecting Patients' Rights and Patient-Centred Care Competencies: A Cross-Sectional Study
Le 18 août 2026
Nurs Open. 2026 Aug;13(8):e70744. doi: 10.1002/nop2.70744. ABSTRACT AIM: To determine the association between nurses' ethical behaviours for protecting patients' rights and their competencies in delivering patient-centred care. DESIGN: A cross-sectional, descriptive, and correlational design was…
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Implementing socially assistive robots in geriatric care: a qualitative study of caregivers' practical and moral experiences
Le 18 août 2026
Arch Gerontol Geriatr. 2026 Jul 28;150:106368. doi: 10.1016/j.archger.2026.106368. Online ahead of print. ABSTRACT BACKGROUND: Socially assistive robots (SARs) are increasingly introduced into geriatric care as a potential solution to workforce shortages and growing demands. However, their…
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The PAMSS Model: Ethical decision-making on companion animal presence in nursing practice
Le 6 juillet 2026
Nurs Outlook. 2026 Jun 27;74(4):102840. doi: 10.1016/j.outlook.2026.102840. Online ahead of print. ABSTRACT BACKGROUND: Requests for the presence of patients' own companion animals during healthcare institutionalization are increasingly encountered in nursing practice, yet remain insufficiently…
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Ethical Challenges in the Delivery of Family-Centered Nursing Care
Le 6 juillet 2026
J Fam Nurs. 2026 Jun 28:10748407261459951. doi: 10.1177/10748407261459951. Online ahead of print. ABSTRACT PURPOSE: We aimed to explore the ethical challenges encountered by nurses when providing family-centered care. METHODS: Thematic analysis was conducted using data from 82 semi-structured…
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Predictors in the Clinic: Predicting Patient Choice and Preference
Le 21 août 2026
J Med Philos. 2026 Aug 20:jhag025. doi: 10.1093/jmp/jhag025. Online ahead of print. ABSTRACT It has been proposed that technical systems that estimate patient choices and preferences should guide treatment when patients are incapacitated. However, the ethical debate about such Patient Preference…
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Modelling Consent and Data Use Conditions in a Health Data Donation Space
Le 6 juillet 2026
Stud Health Technol Inform. 2026 Jun 29;338:343-347. doi: 10.3233/SHTI260860. ABSTRACT Consent is essential in health data donation because it defines the conditions under which donated data may be used. This raises the question of how consent and data use conditions can be represented in a…
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Assisted dying and autonomy as an end in itself: a response to Donaldson
Le 6 juillet 2026
J Med Ethics. 2026 Jul 3:jme-2026-112287. doi: 10.1136/jme-2026-112287. Online ahead of print. ABSTRACT Braun has recently argued in this journal that an autonomy-based approach to assisted dying avoids the expressivist objection, namely that limiting access to assisted dying to those with…
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Informed consent or institutional ritual? Ethical challenges in overburdened public hospitals
Le 25 mai 2026
Trop Doct. 2026 May 21:494755261453715. doi: 10.1177/00494755261453715. Online ahead of print. ABSTRACT Informed consent is a foundational doctrine in contemporary bioethics, rooted in respect for patient autonomy, bodily integrity, and the moral legitimacy of clinical intervention. Its modern…
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Synthetic Medical Data vs. The Four Principles: Ethical Trade-Offs and Zombie Data
Le 21 août 2026
Health Care Anal. 2026 Aug 20. doi: 10.1007/s10728-026-00596-9. Online ahead of print. ABSTRACT Rapid advances in AI for medical applications are accompanied by an increasing demand for vast datasets. Privacy constraints - legal restrictions such as GDPR, as well as more general ethical concerns -…
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Data After Death: Post-Mortem Ethics of Burn Patient Records and Images
Le 6 juillet 2026
J Burn Care Res. 2026 Jun 13:irag097. doi: 10.1093/jbcr/irag097. Online ahead of print. ABSTRACT Burn care frequently relies on extensive documentation, including graphic photographic images and detailed clinical records. While these materials are essential for diagnosis, treatment planning, and…
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Patient safety as an ethical interface: alignment between staff safety culture, speaking up climate and inpatient perceptions in Romania: a cross-sectional multi-informant survey
Le 6 juillet 2026
BMC Health Serv Res. 2026 Jun 29. doi: 10.1186/s12913-026-15056-2. Online ahead of print. ABSTRACT BACKGROUND: Patient safety emerges where clinical risk governance intersects with ethical duties of non-maleficence, respect for autonomy, and institutional accountability. Safety culture surveys and…
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Ethical considerations of social media use for surgeons
Le 6 juillet 2026
Surg Endosc. 2026 May;40(5):3587-3595. doi: 10.1007/s00464-026-12770-0. Epub 2026 Apr 13. ABSTRACT BACKGROUND: Social media has become an increasingly prevalent platform for exchanging health information, facilitating professional networking, promoting education, and fostering public engagement…
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When ethics is not enough: institutional governance of critical care allocation under crisis conditions
Le 6 juillet 2026
Acute Crit Care. 2026 May;41(2):213-225. doi: 10.4266/acc.001872. Epub 2026 May 28. ABSTRACT Ethical principles such as maximizing benefit, fairness, and procedural justice are frequently invoked in discussions on critical care resource allocation during public health emergencies. The coronavirus…
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Financial influences and the primacy of patient welfare - an empirical and ethical analysis in German cancer medicine
Le 25 mai 2026
BMC Med Ethics. 2026 May 6;27(1):100. doi: 10.1186/s12910-026-01450-2. ABSTRACT BACKGROUND: Little is known about how financial influences affect medical decision-making and may challenge the primacy principle of patient welfare. First qualitative results in cancer medicine identified specific…
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Global Consultation for Clinical Xenotransplantation: International Xenotransplantation Association Consensus and Communiqué Update
Le 18 août 2026
Xenotransplantation. 2026 Jul-Aug;33(4):e70157. doi: 10.1111/xen.70157. ABSTRACT Xenotransplantation has entered a phase of accelerated clinical translation, necessitating renewed international consensus on governance, ethics, safety, and regulatory oversight. In September 2025, the International…
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Emergent ethics of xenotransplantation: findings from a survey on public attitudes toward animal to human organ transplantation in the UK
Le 6 juillet 2026
J Med Ethics. 2026 Jun 10:jme-2025-111602. doi: 10.1136/jme-2025-111602. Online ahead of print. ABSTRACT The world's first clinical trial to assess the safety and efficacy of xenotransplantation (XT), in which kidneys from genetically modified pigs are transplanted into human recipients, is…
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Surrogacy from a reproductive rights and justice perspective: a narrative review
Le 18 août 2026
Reprod Fertil. 2026 Jul 1;7(3):RAF250124. doi: 10.1530/RAF-25-0124. ABSTRACT ABSTRACT: Surrogacy is a form of assisted reproductive technology in which a woman carries a child on behalf of an individual or couple and relinquishes the child following birth. Since its emergence in its contemporary…
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Patient autonomy and the right to refuse medical intervention: Medical and legal aspects
Le 6 juillet 2026
Wiad Lek. 2026;79(5):1127-1133. doi: 10.36740/WLek/220843. ABSTRACT OBJECTIVE: Aim: To examine the right to refuse medical treatment and resuscitation as a component of somatic rights, to analyze comparative legal frameworks in the USA, EU member states and Ukraine, and to identify criteria for…
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Emancipatory Theory of Compassion in Action: Power, the Unspeakable, and Compassionate Resistance in Nursing Ethics
Le 26 mai 2026
Nurs Inq. 2026 Jul;33(3):e70107. doi: 10.1111/nin.70107. ABSTRACT Decisions about limiting directives and Do Not Resuscitate orders in perianesthesia settings raise enduring ethical questions about power, responsibility, and compassion in clinical practice. This article advances the emancipatory…
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Dermatologic Surgery in Elderly Patients with Limited Life Expectancy: Ethical Considerations
Le 25 mai 2026
Clin Dermatol. 2026 May 22:S0738-081X(26)00131-8. doi: 10.1016/j.clindermatol.2026.05.005. Online ahead of print. ABSTRACT An aging population has introduced increased complexity into dermatologic care, particularly among older adults with significant comorbidities, functional dependence, cognitive…
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La mort et le mourir dans le Québec du XXIème siècle. Réflexion des membres du CNEV
Le 21 août 2026
Une anecdote, chez une amie médecin. Un jour, quelqu’un a cogné à sa porte, un homme de 70 ans, récemment éprouvé par un deuil. Il allait la voir car il avait soudain réalisé qu’il n’a jamais pensé à ce que serait une « bonne mort » pour lui. Si cette anecdote devait dire quelque chose, ce serait…
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Is the Request for Medical Assistance in Dying the Quintessential Example of Shared Decision-Making? Ethical, Medical and Historical Issues in a Heated Debate in France
Le 21 août 2026
HEC Forum. 2026 Aug 20. doi: 10.1007/s10730-026-09605-9. Online ahead of print. ABSTRACT Shared decision-making (SDM) is a structured negotiation process, that seeks to strike a balance between the physician and the patient. This deliberative model, in which the expertise, values and preferences of…
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Deactivation of Cardiac Devices at the End of Life: Clinical and Ethical Challenges
Le 18 août 2026
Curr Heart Fail Rep. 2026 Aug 13;23(1):40. doi: 10.1007/s11897-026-00772-x. ABSTRACT PURPOSE OF REVIEW: Device deactivation in patients with heart failure is an increasingly relevant clinical and ethical challenge as the use of cardiovascular implantable electronic devices expands. RECENT FINDINGS:…
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Ethical and Emotional Dilemmas in the Medical Decision-Making Process Among Family Members of Intensive Care Patients: A Qualitative Study
Le 18 août 2026
Nurs Crit Care. 2026 Sep;31(5):e70630. doi: 10.1111/nicc.70630. ABSTRACT BACKGROUND: Intensive care units (ICUs) constitute a highly challenging environment for patients' relatives due to critical illnesses and uncertain prognoses, creating significant ethical and emotional strain. Family members…
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Facilitating Decision Making at End of Life: How Physicians' Experiences Can Inform the Work of Clinical Ethicists
Le 18 août 2026
AJOB Empir Bioeth. 2026 Aug 18:1-8. doi: 10.1080/23294515.2026.2718057. Online ahead of print. ABSTRACT BACKGROUND: End-of-life treatment decisions can be morally complex and may lead to contention. Clinical ethicists are often consulted to address uncertainty or conflict during end-of-life…
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A national palliative care law in Spain: a matter of equity and public health
Le 6 juillet 2026
Gac Sanit. 2026 Jul 3;40:102625. doi: 10.1016/j.gaceta.2026.102625. Online ahead of print. ABSTRACT Spain has made relevant progress in the planning, visibility and organisation of palliative care, but territorial inequalities, differences in access and still insufficient guarantees for patients…
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Ethical Considerations and End-of-Life Care in Donor and Transplant Critical Care
Le 6 juillet 2026
J Intensive Care Med. 2026 Jun 30:8850666261465291. doi: 10.1177/08850666261465291. Online ahead of print. ABSTRACT Advances in organ transplantation and mechanical circulatory support technologies have deepened the ethical complexity of care for critically ill patients across the donation…
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Reflections on moral injury and the MAiD for mental illness debate in Canada
Le 25 mai 2026
Int Rev Psychiatry. 2026 May 24:1-9. doi: 10.1080/09540261.2026.2672615. Online ahead of print. ABSTRACT In Canada, the legalization of medical assistance in dying where mental illness is the sole underlying medical condition (MAiD MI-SUMC) has prompted much national debate. Within the medical…
Voir aussi la veille en Intelligence artificielle
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What If AI Could Be a Bioethics Scholar?
Le 21 août 2026
Twenty years ago, I wrote the first essay published in Hastings Bioethics Forum. At that time, online publications were new and many people were suspicious of them. My essay reflected on the reliability of the internet for scholars: Would the links to their publications remain? “The other day I…
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Three Maxims for Ethical AI in Health Care: The Denominator Problem, Human Accountability, and Data Stratification
Le 21 août 2026
Volume 26, Issue 8 , August 2026, Page 90-93 .
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Ethics of artificial intelligence prognostication in palliative care: perspectives from a national survey of palliative care physicians
Le 21 août 2026
BMJ Support Palliat Care. 2026 Aug 20:spcare-2026-006358. doi: 10.1136/spcare-2026-006358. Online ahead of print. ABSTRACT OBJECTIVES: Artificial intelligence (AI) tools have the potential to transform access to and delivery of palliative care globally-an urgent unmet need-in part by early…
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How digital medicine redefines the landscape of care: Ethical and legal consequences in the case of psychiatry
Le 18 août 2026
Digit Health. 2026 Aug 12;12:20552076261478845. doi: 10.1177/20552076261478845. eCollection 2026 Jan-Dec. ABSTRACT Care is central to medical practice. However, care is currently being re-defined due to the computational logic that is central to digital medicine. For those with serious mental…
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Ethical, legal, and regulatory challenges in AI-based healthcare tools
Le 6 juillet 2026
Presse Med. 2026 Jun 29:104372. doi: 10.1016/j.lpm.2026.104372. Online ahead of print. ABSTRACT Artificial intelligence (AI) is increasingly integrated into healthcare systems, offering transformative opportunities in diagnostics, treatment personalization, predictive analytics, and workflow…
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Exploring the application of Artificial Intelligence in palliative care and its practical, technical and ethical considerations: a scoping review
Le 6 juillet 2026
BMC Palliat Care. 2026 Jun 29. doi: 10.1186/s12904-026-02191-0. Online ahead of print. ABSTRACT BACKGROUND: Palliative care improves the quality of life of people living with life-limiting conditions and their families; however, global access remains constrained by workforce shortages and late…
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Physician views on ethically challenging clinical scenarios: a society for reproductive endocrinology and infertility member survey
Le 21 août 2026
J Assist Reprod Genet. 2026 Aug 19. doi: 10.1007/s10815-026-04009-7. Online ahead of print. ABSTRACT PURPOSE: The goal of this study was to examine Reproductive Endocrinology and Infertility (REI) physicians' views regarding ethically challenging clinical scenarios. METHODS: This national, cross…
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Ethical and social implications of implementing polygenic embryo screening into clinical care: A scoping review
Le 18 août 2026
Genet Med Open. 2026 May 27;4:104405. doi: 10.1016/j.gimo.2026.104405. eCollection 2026. ABSTRACT PURPOSE: Polygenic embryo screening (PES), or preimplantation genetic testing for polygenic conditions/traits, is an emerging application of polygenic risk scores within in vitro fertilization…
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When Risk is Framed as Certainty: Ethical Concerns in Preimplantation Genetic Testing for Polygenic Disorders (PGT-P) Communication
Le 18 août 2026
J Obstet Gynaecol Can. 2026 Jul 30:103480. doi: 10.1016/j.jogc.2026.103480. Online ahead of print. ABSTRACT Preimplantation Genetic Testing for Polygenic Disorders (PGT-P) emerged as a novel application of reproductive genetics. Through polygenic risk scores (PRS), proponents of PGT-P claim to…
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Protecting the health of donor-conceived offspring
Le 6 juillet 2026
Fam Cancer. 2026 Jun 11;25(2):62. doi: 10.1007/s10689-026-00576-x. ABSTRACT Genetic screening of gamete donors bears critical importance for protecting donor-conceived offspring. This case report describes a woman in her forties who discovered through genealogical testing that she carries a Lynch…
Québec
Comité d'éthique, Transplant Québec
Comité national d'éthique sur le vieillissement (CNEV), Québec
Comité d'éthique en santé publique (CESP), Institut national de santé publique du Québec (INSPQ)
Commission d'éthique en science et en technologie (CEST)
Institut d'éthique appliquée (IDEA), Université Laval
Unité de recherche en éthique pragmatique de la santé, Institut de recherches cliniques de Montréal
Canada
International
Outils d'analyse et de délibération éthique
Outil de délibération éthique (Accès réservé pour les membres du CHU de Québec-Université Laval) - Bureau d'éthique appliquée, CHU de Québec - Université Laval
Méthode des scénarios de Hubert Doucet - rapporté par l'Espace de réflexion éthique région centre (France)
Ethical decision-making workbook - Island Health, Colombie-Britannique
CURA method, a clinical ethics support instrument for palliative care - BMC Medical Ethics
A framework for ethical decision-making - Markkula Center for Applied Ethics
GREAT framework - Center for Clinical Ethics (CCE), Unity Health Toronto
Grille de délibération de George-A. Legault - rapporté par le Secrétariat du Conseil du Trésor (page 13)
4-box method developed by Albert R. Jonsen et al. - rapporté par le Department of bioethics and humanities (University of Washington)
Grille d'analyse de cas en éthique de Guy Durand et Céline Crowe - rapporté par Virginie Harris (Annexe 1, page 65)
Grilles d'analyse en éthique clinique et en éthique organisationnelle - Santé Île-du-Prince-Édouard
Approche en 3 temps - Outil de délibération éthique. Grille - Faculté de médecine de l'Université de Montréal
IDEA : Ethical decision-making framework - Trillium Health Partners
Outil pratique pour l'analyse éthique en santé publique - COMITÉ D'ÉTHIQUE EN SANTÉ PUBLIQUE DE L'INSPQ
Cadre pour la réflexion et la prise de décisions fondées sur l'éthique en santé publique - Agence de la santé publique du Canada
4-quadrant approach in research ethics and integrity - rapporté par The embassy of good science
7-steps method in research ethics and integrity - Rapporté par The embassy of good science