Experiences and attitudes of medical professionals on treatment of end-of-life patients in intensive care units in the Republic of Croatia: a cross-sectional study.Ana Borovečki,Dinko Tonković,Andrija Štajduhar,Mirjana Kujundžić Tiljak,Štefan Grosek,Mia Golubić,Bojana Nevajdić,Renata Krobot,Srđan Vranković,JasminkaKopić,Igor Grubješić,Željko Župan,Krešimir Čaljkušić,Nenad Karanović,Višnja Nesek Adam,Zdravka Poljaković,Radovan Radonić,Tatjana Kereš,Vlasta Merc,Jasminka Peršec,Marinko Vučić &Diana Špoljar -2022 -BMC Medical Ethics 23 (1):1-13.detailsBackgroundDecisions about limitations of life sustaining treatments are made for end-of-life patients in intensive care units. The aim of this research was to explore the professional and ethical attitudes and experiences of medical professionals on treatment of end-of-life patients in ICUs in the Republic of Croatia.MethodsA cross-sectional study was conducted among physicians and nurses working in surgical, medical, neurological, and multidisciplinary ICUs in the total of 9 hospitals throughout Croatia using a questionnaire with closed and open type questions. Exploratory factor (...) analysis was conducted to reduce data to a smaller set of summary variables. Mann–Whitney U test was used to analyse the differences between two groups and Kruskal–Wallis tests were used to analyse the differences between more than two groups.ResultsLess than third of participants stated they were included in the decision-making process, and physicians are much more included than nurses. Sixty two percent of participants stated that the decision-making process took place between physicians. Eighteen percent of participants stated that ‘do-not-attempt cardiopulmonary resuscitations’ orders were frequently made in their ICUs. A decision to withdraw inotropes and antibiotics was frequently made as stated by 22.4% and 19.9% of participants, respectively. Withholding/withdrawing of LST were ethically acceptable to 64.2% of participants. Thirty seven percent of participants thought there was a significant difference between withholding and withdrawing LST from an ethical standpoint. Seventy-nine percent of participants stated that a verbal or written decision made by a capable patient should be respected. Physicians were more inclined to respect patient’s wishes then nurses with high school education. Nurses were more included in the decision-making process in neurological than in surgical, medical, or multidisciplinary ICUs. Male participants in comparison to female, and physicians in comparison to nurses with high school and college education displayed more liberal attitudes about LST limitation.ConclusionsDNACPR orders are not commonly made in Croatian ICUs, even though limitations of LST were found ethically acceptable by most of the participants. Attitudes of paternalistic and conservative nature were expected considering Croatia’s geographical location in Southern Europe. (shrink)
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Justice and Care in Close Relationships.Jasminka Udovicki -1993 -Hypatia 8 (3):48 - 60.detailsThe essay examines the impartialist view of justice as the first virtue of all relationships. I argue that in close associations where duties, obligations, and rights of persons are situationally contingent, abstract principles of justice fail to yield a unified moral perspective about what is fair. Solidarity and trust as moral emotions develop more complex moral competencies that go beyond what principles of justice alone require.
The European dimension in education in geography textbooks for Croatian primary schools: Lessons learned and future expectations.Bojana Vignjević Korotaj,Jasminka Ledić &Ivana Miočić -2020 -Metodicki Ogledi 27 (2):171-192.detailsPristupanje Republike Hrvatske članstvu u Europskoj uniji, donijelo je, između ostalog, promjene u obrazovnim politikama putem koncepta europske dimenzije u obrazovanju. Koncept europske dimenzije u obrazovanju uspješno pronalazi svoje mjesto u Nacionalnom okvirnom kurikulumu, međutim ne postoje detaljnije analize putem kojih bi se utvrdilo je li ovaj koncept prepoznat i u nastavnim materijalima, točnije u udžbenicima. Stoga je cilj ovog istraživanja utvrditi je li i na koji način europska dimenzija u obrazovanju prisutna u udžbenicima geografije za osnovnu školu. Rezultati istraživanja (...) pokazali su da je ideja europske dimenzije u obrazovanju dominantno prisutna u obliku činjeničnog znanja o Europi što nastavnicima i učenicima ne pruža dovoljno mogućnosti za razvoj stavova i kritičkog osvrta na spomenute teme. (shrink)
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(The) Erasure – Mass Human Rights Violation and Denial of Responsibility: The Case of Independent Slovenia. [REVIEW]Vlasta Jalušič &Jasminka Dedić -2008 -Human Rights Review 9 (1):93-108.detailsThe case of the erased residents of Slovenia – when approximately 18,000 people who were mostly of Serbian, Croatian and Bosnian ethnicity, were erased from the permanent residence registry of the Republic of Slovenia – represents one of the most severe cases of administrative ethnic/racial discrimination and human rights violations in the post-communist East and Central Europe outside the conflict area. The erasure caused “civil death” of the people who were affected by the measure, depriving them of civil, political, social, (...) and economic rights. In 2007, 4 years after the 2003 Constitutional Court decision, declaring the 1992 erasure an unconstitutional act of the state and requiring the legislator to adopt measures to reinstate the statuses of the erased people, the problem remains unsolved and unaddressed both systemically and individually, and the situation of erasure persists. This article presents the case and analyses of the framework that made the erasure possible in terms of the preparation of the majority of Slovenes to accept and even support the violations and politicians to renounce their political responsibility to those who have lost the right to have rights. (shrink)