BMC Medical Ethics

Article	Citations
Patient perspectives on advance euthanasia directives in Huntington’s disease. A qualitative interview study	112
Understanding clinical ethics situations: a co-created repertoire of practices	69
Personal health monitoring in the armed forces – scouting the ethical dimension	66
Establishing a clinical ethics support service: lessons from the first 18 months of a new Australian service – a case study	64
The face of the other in the clinic: reframing patient impoliteness through phenomenological ethics in provider-patient communication	57
A scoping review of human genetic resources management policies and databases in high- and middle-low-income countries	56
Management discussion of laws and regulations on human genetic resources in China: a scoping review	53
What are the views of Quebec and Ontario citizens on the tiebreaker criteria for prioritizing access to adult critical care in the extreme context of a COVID-19 pandemic?	47
Incognito standardized patients for studying healthcare stigma: partial deception and other ethical challenges	47
Development and validation of a tool to assess researchers’ knowledge of human subjects’ rights and their attitudes toward research ethics education in Saudi Arabia	46
The ethics of simplification: balancing patient autonomy, comprehension, and accuracy in AI-generated radiology reports	46
How patients experience respect in healthcare: findings from a qualitative study among multicultural women living with HIV	46
Return of health research findings in Nigeria-perspective of potential research participants	44
Community engagement conduct for genetics and genomics research: a qualitative study of the experiences and perspectives of key stakeholders in Uganda	43
Key ethical issues encountered during COVID-19 research: a thematic analysis of perspectives from South African research ethics committees	41
Increasing physician participation as subjects in scientific and quality improvement research	41
Ethical considerations for biobanking and use of genomics data in Africa: a narrative review	34
Differing needs for Advance Care Planning in the Veterans Health Administration: use of latent class analysis to identify subgroups to enhance Advance Care Planning via Group Visits for veterans	34
A qualitative study of professionals’ perspectives on the ethics of medically-delivered safer injection education for people who inject drugs	34
Medical staff’s sense of awareness of informed consent for adolescent cancer patients and the need for decision-making support practiced from the perspective of trauma-informed approach	33
Opportunities for a national genomic data governance framework in Australia: a systematic review	33
Awareness, attitudes, and educational needs regarding the life-sustaining treatment decision-making act in Korea among healthcare providers and medical students: a comparative analysis	32
Behind the scenes of research ethics committee oversight: a qualitative research study with committee chairs in the Middle East and North Africa region	32
Promoting trans patient autonomy in surgical preparation for phalloplasty and metoidioplasty: results from a community-based cross-sectional survey and implications for preoperative assessments	31
Objections to assisted dying within institutions: systemic solutions for rapprochement	30

Putting patients first: when home-based care staff prioritise loyalty to patients above the system and themselves. An ethnographic study	29
Ethical use of artificial intelligence to prevent sudden cardiac death: an interview study of patient perspectives	28
From chaos to symbiosis: exploring adaptive co-evolution strategies for generative AI and research integrity systems	27
Uncertain futures and unsolicited findings in pediatric genomic sequencing: guidelines for return of results in cases of developmental delay	25
The last human touch: why AI doesn’t belong in life’s defining moments	25
“Everything has been tried and his heart can’t recover…”: A Descriptive Review of “Do Everything!” in the Archive of Ontario Consent and Capacity Board	25
Legal and ethical conflicts in hospital settings: thematic synthesis of qualitative studies focused on nursing practice	25
Correction to: Mapping trust relationships in organ donation and transplantation: a conceptual model	24
Readability of health research informed consent forms: case of the National Health Research Ethics Committee in Tanzania	23
The search for the principle of justice for infertile couples: characterization of the brazilian population and bioethical discussion	22
The dual role dilemma of liver transplantation health care professionals	22
Measuring moral distress in health professionals using the MMD-HP-SPA scale	22
The impact on patients of objections by institutions to assisted dying: a qualitative study of family caregivers’ perceptions	22
Exploring knowledge and attitudes toward electronic informed consent among clinical trial participants in China: a cross-sectional study	22
Professional and academic profile of the Brazilian research ethics committees	21
Ethical perspectives of Brazilian community pharmacists: a pilot study	21
Ethics rounds in the ambulance service: a qualitative evaluation	20
Family roles in informed consent from the perspective of young Chinese doctors: a questionnaire study	19
Descriptions of risks and benefits of HIV vaccine trials in low-and middle-income countries (LMICs): an integrative review	19
Ownership of individual-level health data, data sharing, and data governance	19
Investigating ethical considerations in the communication network of married women undergone hysterectomy: instrumentation of a questionnaire	18
Should AI allocate livers for transplant? Public attitudes and ethical considerations	18
Clinical ethics consultations: a scoping review of reported outcomes	18
How to deal with the criterion of severe mental distress for late termination of pregnancy? A scoping literature review and a content analysis of clinical ethics consultations	17
Moral approval of xenotransplantation in Egypt: associations with religion, attitudes towards animals and demographic factors	17
A quantitative study of nurses perception to advance directive in selected private and public secondary healthcare facilities in Ibadan, Nigeria	17
A qualitative focus group study on legal experts’ views regarding euthanasia requests based on an advance euthanasia directive	17
Physicians’ legal knowledge of informed consent and confidentiality. A cross-sectional study	17
Ethical analysis of the European normative framework on fertility preservation	17
Implicit ethical choices in ultra-rare therapy development: researchers’ perspectives on patient selection and communication, therapy value, and accessibility	16
Differences between doctors of medicine and dental medicine in the perception of professionalism on social networking sites: the development of the e-professionalism assessment compatibility index (eP	15
Patient autonomy in inpatient medical rehabilitation in Germany—study protocol of a multicenter cross-sectional study	15
Age and grit in prioritising intensive care: - a mixed-methods approach of normative challenges	15
Patient-centered empirical research on ethically relevant psychosocial and cultural aspects of cochlear, glaucoma and cardiovascular implants – a scoping review	15
Ethical concerns when recruiting children with cancer for research: Swedish healthcare professionals’ perceptions and experiences	14
Biases in bioethics: a narrative review	14
The ethics of research involving biobanking specimens from Kenyan children and adolescents living with HIV: discrepancies between individual perceptions and policy considerations	14
Ethical considerations and concerns in the implementation of AI in pharmacy practice: a cross-sectional study	14
Understanding drug exceptional access programs (DEAPs) in Canada, and their associated social and political issues	14
How prehospital emergency personnel manage ethical challenges: the importance of confidence, trust, and safety	14
The use of bioethical decision-making framework in the ICU of a public Brazilian hospital: a retrospective observational case series	14
Cardiac organoids do not warrant additional moral scrutiny	13
Exploring ethical dilemmas in the care of pregnant women in Ghana: a case of “maternal-foetal conflicts in a peri-urban hospital in Ghana”	13
When advance directives clash with family consent: designing an operational framework for end-of-life decision-making in China and Korea	13
Decision-making and institutional support for ECMO and ventilator allocation during the COVID-19 pandemic: a nationwide cross-sectional survey of designated physicians at Japan’s advanced critical car	13
Willingness toward post-mortem body donation to science at a Mexican university: an exploratory survey	13
High-reward, high-risk technologies? An ethical and legal account of AI development in healthcare	13
Analysis of ethical considerations of COVID‑19 vaccination: lessons for future	13
Correction: Ethics of HIV cure research: an unfinished agenda	13
‘Guidance should have been there 15 years ago’ research stakeholders’ perspectives on ancillary care in the global south: a case study of Malawi	12

The readiness of knowledge, attitude and confidence and associated factors of implementing living wills among healthcare professionals in Shenzhen: a cross-sectional study	12
Exploring health and disease concepts in healthcare practice: an empirical philosophy of medicine study	12
Performance of IRBs in China: a survey on IRB employees and researchers’ experiences and perceptions	12
Third-party refusal of medical treatment – a critical analysis of case report from Islamic ethical perspectives	12
Surrogate decision-making for people with disorders of consciousness: considering the control-preferences of informal caregivers before implementing multimodal testing	11
Activities of national bioethics committees during the COVID-19 pandemic: publication trends and future challenges	11
Participant and researcher understandings of research responsibilities in malawi: a comparative analysis	11
Managing community engagement in research in Uganda: insights from practices in HIV/AIDS research	11
The effects of artificial intelligence ethics awareness, digital literacy, and metacognition on nursing students’ attitudes toward artificial intelligence	11
Exploring the foundations and influences of nurses’moral courage: a scoping review	10
The voice of the profession: how the ethical demand is professionally refracted in the work of general practitioners	10
Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned	10
Increasing efficiency and well-being? a systematic review of the empirical claims of the double-benefit argument in socially assistive devices	10
Surgical consent, perception of the patients who underwent a surgical operation in the Kurdistan region, Iraq	10
Ethical challenges in the algorithmic era: a systematic rapid review of risk insights and governance pathways for nursing predictive analytics and early warning systems	10
Investigating impact of consulting midwives on maternal rights charter on perception of respectful maternity care and postpartum blues among postpartum women: a quasi-experimental study	10
Ethical challenges in aesthetic dentistry: a qualitative exploration	10
How does patient-centered hospital culture affect clinical physicians’ medical professional attitudes and behaviours in Chinese public hospitals: a cross-sectional study?	10
Healthcare practitioners as accomplices: a qualitative study of gender affirmation in a context of ambiguous regulation in Indonesia	10
Experience and perspectives of end-of-life care discussion and physician orders for life-sustaining treatment of Korea (POLST-K): a cross-sectional study	10
Questionable research practices of medical and dental faculty in Pakistan – a confession	10
Public attitudes towards genomic data sharing: results from a provincial online survey in Canada	10
Informed consent in genetic and genomic studies in Sub-Saharan Africa: a systematic review of bioethical issues	10
Ethical competence: the cornerstone of care in the cardiac operating room, a phenomenological study	10
Planning ahead for research participation: survey of public and professional stakeholders’ views about the acceptability and feasibility of advance research planning	10
“She was finally mine”: the moral experience of families in the context of trisomy 13 and 18– a scoping review with thematic analysis	10
Physicians’ moral distinctions between medical assistance in dying (MAiD) and withdrawing life-sustaining treatment in Canada: a qualitative descriptive study	9
Ethics and regulatory guidance to address the challenges encountered in research on rare diseases in a multinational dimension: the experience of a European funded programme	9
Ethical challenges in conducting research in low and middle income setting during public health emergencies: a qualitative evidence of a COVID-19 pandemic: the experience of Iran	9
Conscientious objection and barriers to abortion within a specific regional context - an expert interview study	9
Ethical perspectives of obstetricians and gynecologists on induced abortion and conscientious objection in Türkiye: a phenomenological study	9
Prevalence of defensive medicine behaviors, associated risk factors and its mitigation strategies among physicians in Gaza Strip, palestine: a mixed method study	9
Encompassing trust in medical AI from the perspective of medical students: a quantitative comparative study	9
Children’s voices on their values and moral dilemmas when being cared and treated for cancer– a qualitative interview study	9
A review of clinical ethics consultations in a regional healthcare system over a two-year timeframe	9
Exploring defensive medicine: examples, underlying and contextual factors, and potential strategies - a qualitative study	9
How is physicians’ implicit prejudice against the obese and mentally ill moderated by specialty and experience?	9
Ethical dilemmas in prioritizing patients for scarce radiotherapy resources	9
Willingness to develop an advance directive: perspectives of older persons at a national referral hospital in Uganda	9
Advancing equity in healthcare systems: understanding implicit bias and infant mortality	9
Risks and benefits of engaging youth living with HIV in research: perspectives from Kenyan Youth, caregivers, and subject matter experts	9
Exploring barriers and ethical challenges to medical data sharing: perspectives from Chinese researchers	9
Developing a digital informed consent app: opportunities and challenges of a new format to inform and obtain consent in public health research	9
Cultural, religious, and demographic factors shaping Arab healthcare providers’ decisions on referring Arab patients to palliative care in Israel: a qualitative study	9
Strengthening research oversight in Ghana: a descriptive analysis of ethical and regulatory capacity gaps and opportunities	8
Emergency separation of conjoined twins in a tertiary hospital in Indonesia: three case reports	8
A comparative ethical analysis of the Egyptian clinical research law	8
Medical assistance in dying for people living with mental disorders: a qualitative thematic review	8
Should healthcare professionals include aspects of environmental sustainability in clinical decision-making? A systematic review of reasons	8
Japan should initiate the discussion on voluntary assisted dying legislation now	8
To donate or not to donate? Future healthcare professionals’ opinions on biobanking of human biological material for research purposes	8
On the “tightrope” of retail: reflections on ethical dilemmas faced by the pharmaceutical professionals in community pharmacies	8
Public attitudes toward the research use and storage of residual dried blood spots from newborn screening in China	8
If it were me…. Austrian undergraduate medical students’ attitudes towards end-of-life decisions: a cross-sectional study	8
Structural tensions between health policy and medical ethics: a qualitative study of physicians’ experiences under Türkiye’s health transformation programme	8
A bioethical perspective on the meanings behind a wish to hasten death: a meta-ethnographic review	8
Implementing broad consent for research with routinely collected clinical data and residual biosamples in a cancer hospital: using mixed methods approach to evaluate consent rates and patients’ perspe	8
Sacrifice and solicitation: an empirical ethics study of egg provider blogs	8
Correction: Public trust of AI in healthcare in South Africa: results of a survey	8
Preferences for life-sustaining treatments in advance decisions: a cross-sectional survey of Taiwanese general public	8
When facts are not fixed: rethinking shared decision making at the margins of neonatal viability	8
Disparity in attitudes regarding assisted dying among physicians and the general public in Japan	8
Examining the experiences of donor relatives in the organ donation decision process: a qualitative study in Türkiye	8
Between knowledge and hope—the relationship between the patient and the doctor	8
The impact of moral injury on healthcare workers’ career calling: exploring authentic self-expression, ethical leadership, and self-compassion	7
Evaluating trustworthiness in AI-Based diabetic retinopathy screening: addressing transparency, consent, and privacy challenges	7
Exploring the consent process among pregnant and breastfeeding women taking part in a maternal vaccine clinical trial in Kampala, Uganda: a qualitative study	7
Oncologists’ perspective on advance directives, a French national prospective cross-sectional survey – the ADORE study	7
Would you consider donating your left-over embryos to treat Parkinson’s disease? Interviews with individuals that underwent IVF in Sweden	7
A literature review of non-financial conflicts of interest in healthcare research and publication	7
A systematic review of educational interventions to enhance ethical sensitivity in nursing students in Asia and the Middle East	7
Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute	7
Ethical implications of AI-driven clinical decision support systems on healthcare resource allocation: a qualitative study of healthcare professionals’ perspectives	7
Public funding for mitochondrial donation: An Australian public deliberation	7
Project DECIDE, part 1: increasing the amount of valid advance directives in people with Alzheimer’s disease by offering advance care planning—a prospective double-arm intervention study	7
Ethical issues in unprofessional behavior of residents who dispute dismissal: ten year analysis of case law in hospital-based specialties	7
Moral conflicts from the justice and care perspectives of japanese nurses: a qualitative content analysis	7
Exploring how biobanks communicate the possibility of commercial access and its associated benefits and risks in participant documents	7
Trustworthy artificial intelligence and ethical design: public perceptions of trustworthiness of an AI-based decision-support tool in the context of intrapartum care	7
Junior medical doctors’ decision making when using advance care directives to guide treatment for people with dementia: a cross-sectional vignette study	7

Physician-reported characteristics, representations, and ethical justifications of shared decision-making practices in the care of paediatric patients with prolonged disorders of consciousness	7
Correction: Evaluating the understanding of the ethical and moral challenges of Big Data and AI among Jordanian medical students, physicians in training, and senior practitioners: a cross-sectional st	7
Where the public health principles meet the individual: a framework for the ethics of compulsory outpatient treatment in psychiatry	7
Adolescent and parental proxy online record access: analysis of the empirical evidence based on four bioethical principles	7
A qualitative interview study to determine barriers and facilitators of implementing automated decision support tools for genomic data access	7
It takes a pirate to know one: ethical hackers for healthcare cybersecurity	6
Guardians and research staff experiences and views about the consent process in hospital-based paediatric research studies in urban Malawi: A qualitative study	6
Bioethics training needs assessment for HIV research in vulnerable populations: a survey of trainees at college of health sciences, Makerere university	6
Ethical considerations during Mpox Outbreak: a scoping review	6
Research, education, ethics consultation: evaluating a Bioethics Unit in an Oncological Research Hospital	6
The role of trust and relationship building in the ethical recruitment of youth living with HIV in research: perspectives from Kenyan youth living with HIV, their caregivers and subject matter experts	6
Voices from the ICU: a qualitative study of healthcare providers’ decision-making experiences during the provision of life-sustaining treatment in intensive care units of public and private referral h	6
Evaluating cognitive bias in clinical ethics supports: a scoping review	6
Exploring bias risks in artificial intelligence and targeted medicines manufacturing	6
Cyberspatial privacy in the digital age: a proxemics-based framework with a healthcare application	6
Situational vulnerability within mental healthcare – a qualitative analysis of ethical challenges during the COVID-19 pandemic	6
Design and psychometric properties of a tool to assess Adherence to the Code of Ethics in Midwifery	6
Diversity in decentralized clinical trials: prioritizing inclusion of underrepresented groups	6
“Data makes the story come to life:” understanding the ethical and legal implications of Big Data research involving ethnic minority healthcare workers in the United Kingdom—a qualitative study	6
A randomized study of digital versus genetic counselor return of actionable genetic research results to biobank participants (RESPECT3 study)	6
Patients accept therapy using embryonic stem cells for Parkinson’s disease: a discrete choice experiment	6
Informed consent practices among emergency staff for patients undergoing emergency surgery in the emergency surgical units of two tertiary teaching hospitals in Uganda: a qualitative study	6
Patient priorities for fulfilling the principle of respect in research: findings from a modified Delphi study	6
“Age independent, but person dependent”: a Swiss interview-based study on the meaning of good parenthood at an advanced parental age	6
Psychometric properties of instruments measuring ethical climate among healthcare professionals in care settings pre-pandemic: a systematic review	6
Enhancing nursing ethics education: comparing the PAD model and traditional lecture-based learning	6
Injection‑induced sciatic nerve injuries in Turkey: a public health and patient safety analysis of Supreme Court decisions	6
Critical consideration towards broad consent by patient experts: results of a semi-structured interview study on the secondary use of medical data	6
End-of-life care in Moroccan ICUs: ethical challenges, practices, and perspectives of intensivists	6
The ethical requirement of explainability for AI-DSS in healthcare: a systematic review of reasons	6
Decision-making for ICU admission: is there a place for AI? Exploring and understanding meaning, experiences, and perspectives	6
Views and attitudes about the offer of NIPT: a qualitative study of UK healthcare professionals	6
Family satisfaction with the end-of-life discussions and resuscitation orders for patients with severe COVID-19: a multicenter study in Saudi Arabia	6
Ethical challenges in EEG neurofeedback: a systematic review of gaps, risks, and responsibilities	6
The research relationship: participant perspectives on consent in biobanking	6
Between hope and future planning: the dementia journey for care partners through the lens of relational autonomy	6
Moral disengagement in critical care nurses: a conventional content analysis	5
The missing voices in the conscientious objection debate: British service users’ experiences of conscientious objection to abortion	5
Researching the future: scenarios to explore the future of human genome editing	5
The high-priority ethical issues of advanced paternal age: perspectives from a panel of experts in the fields of men reproduction and family building	5
Urban people’s preferences for life-sustaining treatment or artificial nutrition and hydration in advance decisions	5
Patients acceptance and comprehension to written and verbal consent (PAC–VC)	5
“First, do no harm” in the digital era: examining the practicality of the European Health Data Space proposal and ethical implications of artificial intelligence- A systematic literature review	5
Pre-hospital cardiac arrest: a call for moral agency in modern medical practice	5
Ethical reporting and oversight in outbreak investigations conducted in India, 2015–2025: a systematic review	5
Disclosure of true medical information: the case of Bangladesh	5
Why did not all studies conducted during Darfur’s armed conflict obtain ethics approval? Insights from a qualitative study	5
Does brain-computer interface-based mind reading threaten mental privacy? ethical reflections from interviews with Chinese experts	5
Mapping ethical issues encompassing end-of-life care for persons experiencing severe and persistent mental illness: a qualitative study	5
Respect, equality, and recognition in practice: a qualitative analysis of nurses’ workplace dignity in China	5
Parent perspectives on neonatal research without prior consent: a mixed-methods interview study	5
A case study of Muslims’ perspectives of expanded terminal sedation:addressing the elephant in the room	5
Citizen attitudes to non-treatment decision making: a Norwegian survey	5
Decision-making ethics in regards to life-sustaining interventions: when physicians refer to what other patients decide	5
Three ethical approaches to expanding newborn screening through genomics: a critical comparative analysis	5
REPRESENT: REPresentativeness of RESearch data obtained through the ‘General Informed ConsENT’	5
Integrating ethics in AI development: a qualitative study	5
Surrogate decision-making for people with congenital or acquired incapacity of judgement in the absence of known preferences: a scoping review	5
Determinants of willingness to share personal genomic data: a systematic review focused on health literacy	5
Shared care planning in people with cognitive disorders and dementia: a survey among patients and caregivers in Italy	5
Prioritization and heterogeneity in information disclosure: a conjoint and cluster analysis on Chinese medical students’ decision-making	5
Medical ethics in childbirth: a structural equation modeling approach in south of Iran	5
Ethical complexities in rehabilitation research: an integrative review of challenges and principles	5
Euthanasia in Syria: an examination of medical student attitudes and predictors in a conflict zone	5
Perception of the ethical climate among hospital employees in a public healthcare system: a cross-sectional survey at the University Hospital of Split, Croatia	5
Exploring the ethical decision-making experience of caregivers of end stage cancer patients in Iran: a phenomenological study	5
Supporting patient decision-making in non-invasive prenatal testing: a comparative study of professional values and practices in England and France	5
Navigating crisis: a qualitative exploration of medical social workers’ responses to ethical issues during COVID-19	5
Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP)	5
What outcomes of moral case deliberations are perceived important for healthcare professionals to handle moral challenges? A national cross-sectional study in paediatric oncology	5
Ethical self-efficacy among healthcare professionals caring for people with dementia: a brief pre- and post-report on the CARE intervention	5
Artificial Intelligence to support ethical decision-making for incapacitated patients: a survey among German anesthesiologists and internists	5
Operationalization of assent for research participation in pre-adolescent children: a scoping review	5
Low awareness of medication-related osteonecrosis of the jaw among dentists: a systematic review with a medical and bioethical perspective	5
AI-driven decision support systems and epistemic reliance: a qualitative study on obstetricians’ and midwives’ perspectives on integrating AI-driven CTG into clinical decision making	5
Institutional review boards in Saudi Arabia: the first survey-based report on their functions and operations	5
Should Artificial Intelligence be used to support clinical ethical decision-making? A systematic review of reasons	5
Moral character development in nursing students: a qualitative content analysis in Iran	5
Ethical dilemmas in continuing pregnancy after a prenatal diagnosis of congenital heart defects: a systematic review and narrative synthesis	4
“I am in favour of organ donation, but I feel you should opt-in”—qualitative analysis of the #options 2020 survey free-text responses from NHS staff toward opt-out organ donation legislation in Englan	4
Researchers experience and views on participants’ comprehension of informed consent in clinical trials in Malawi: a descriptive qualitative study	4
Extremely premature birth bioethical decision-making supported by dialogics and pragmatism	4
Ethics, design, and implementation criteria of digital assistive technologies for people with dementia from a multiple stakeholder perspective: a qualitative study	4
A QALY is [still] a QALY is [still] a QALY?	4
Project DECIDE, part II: decision-making places for people with dementia in Alzheimer’s disease: supporting advance decision-making by improving person-environment fit	4
Effect of healthcare professionals’ perceived occupational stigma on organizational citizenship behavior: a moral cleansing perspective	4
Correction: Technology solutionism in paediatric intensive care: clinicians’ perspectives of bioethical considerations	4
Views on sharing mental health data for research purposes: qualitative analysis of interviews with people with mental illness	4
Assessment of decision-making autonomy in chronic pain patients: a pilot study	4
Radiation in an emergency situation: attempting to respect the patient’s beliefs as reported by a minor	4
Knowledge, attitudes, and practices of the ethics in medical research among Moroccan interns and resident physicians	4
Attitudes and values among the Swedish general public to using human embryonic stem cells for medical treatment	4
Knowledge and practices about research integrity among Peruvian university students	4
Autonomy under pressure: a scoping review of social egg freezing in the bottom quintile of the gender gap index	4
Facing a request for assisted death - views of Finnish physicians, a mixed method study	4