Mark Sheehan
Datos Biográficos
| ID | 4422939 |
|---|---|
| NOMBRE | Mark Sheehan |
| NOMBRES | Mark |
| APELLIDO | Sheehan |
| FIRMA | SHEEHAN M |
| AFILIACIONES | University of Oxford |
| ORCID | 0000-0002-7191-901X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAS | 2 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 1979 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 1 |
The role of the enrolling clinician in emergency research conducted under an exception from informed consent
The Exception from Informed Consent (EFIC) permits patient enrolment into therapeutic emergency research where obtaining informed consent is challenging. Yet this fails to resolve a core ethical conflict in the research and has generated controversy. This is because existing justification and practice has relied on applying EFIC per study —a wholesale permission to enroll irrespective of circumstance—instead of per patient . Our novel justificati…
Getting rights right
The UK government has recently committed to adopting a new policy—dubbed ‘Martha’s Rule’—which has been characterised as providing patients the right to rapidly access a second clinical opinion in urgent or contested cases. Support for the rule emerged following the death of Martha Mills in 2021, after doctors failed to admit her to intensive care despite concerns raised by her parents. We argue that framing this issue in terms of patient rights …
Environmental sustainability and the limits of healthcare resource allocation
Recent literature has drawn attention to the complex relationship between health care and the environmental crisis. Healthcare systems are significant contributors to climate change and environmental degradation, and the environmental crisis is making our health worse and thus putting more pressure on healthcare systems; our health and the environment are intricately linked. In light of this relationship, we might think that there are no trade‐of…
Public support for food subsidy and tax scenarios to promote healthy and sustainable diets
‘A commitment to Equality, Diversity and Inclusion’
Many research institutions and funders have recently stated their commitment to actively support and promote ‘Equality, Diversity and Inclusion’ (EDI) in various aspects of health research including Patient and Public Involvement (PPI). However, translating this commitment into specific research projects presents significant challenges that existing approaches, practical guidelines and initiatives have not adequately addressed. In this paper, we …
The myth of translational bioethics
In recent years, the case has been made for special attention to be paid to a branch of research in the field of bioethics called ‘translational bioethics’. In this paper, we start by considering some of the assumptions that those advancing translational approaches to bioethics make about bioethics and compare them to the reality of bioethics as an academic field. We move on to explain how those who make this case, implicitly or explicitly, for t…
Children with medical complexities
In this paper, we discuss the lack of consideration given to children in the COVID-19 health systems policy response to the pandemic. We do this by focusing on the case of children with complex medical needs. We argue that, in broad terms, health systems policies that were implemented during the pandemic failed adequately to meet our obligations to both children generally and those with complex medical needs by failing to consider those needs and…
TREs are still not about trust
Trust and the Goldacre Review
The Potential of Web-Based Historical Sources as Learning Resources to Foster Students’ Historical Thinking Skills
To foster students’ historical thinking in Indonesia, teachers should not merely use textbooks as the only learning resource. They must utilize primary sources in teaching history that are important to encourage students to think historically. Unfortunately, it was not easy to access primary sources in Indonesia. For that reason, this study explored alternative learning resources to overcome the main difficulty faced by history teachers in Indone…
Ethical Issues in Consent for the Reuse of Data in Health Data Platforms
Data platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and/or personalised medicine approaches can be derived from their integration. If the integration of diverse datasets enables development of more accurate risk indicators, prognostic factors, or better treatments and interventions, this obviates the …
Constructing authentic decisions
Research involving adults who lack capacity to consent relies on proxy (or surrogate) decision making. Proxy decisions about participation are ethically complex, with a disparity between normative accounts and empirical evidence. Concerns about the accuracy of proxies’ decisions arise, in part, from the lack of an ethical framework which takes account of the complex and morally pluralistic world in which proxy decisions are situated. This qualita…
Trust, trustworthiness and sharing patient data for research
When it comes to using patient data from the National Health Service (NHS) for research, we are often told that it is a matter of trust: we need to trust, we need to build trust, we need to restore trust. Various policy papers and reports articulate and develop these ideas and make very important contributions to public dialogue on the trustworthiness of our research institutions. But these documents and policies are apparently constructed with l…
Public involvement in the governance of population-level biomedical research
Population-level biomedical research offers new opportunities to improve population health, but also raises new challenges to traditional systems of research governance and ethical oversight. Partly in response to these challenges, various models of public involvement in research are being introduced. Yet, the ways in which public involvement should meet governance challenges are not well understood. We conducted a qualitative study with 36 exper…
The ethics of grandfather clauses in healthcare resource allocation
A grandfather clause is a provision whereby an old rule continues to apply to some existing situation while a new rule applies to all future cases. This paper focuses on the use of grandfather clauses in health technology appraisals (HTAs) issued by the National Institute for Health and Care Excellence (NICE) in the United Kingdom. NICE provides evidence‐based guidance on healthcare technologies and public health interventions that influence reso…
Measuring the impact of participatory research in psychiatry
‘Your country needs you’
As the COVID-19 pandemic impacts on health service delivery, health providers are modifying care pathways and staffing models in ways that require health professionals to be reallocated to work in critical care settings. Many of the roles that staff are being allocated to in the intensive care unit and emergency department pose additional risks to themselves, and new policies for staff reallocation are causing distress and uncertainty to the prof…
Tragic choices in intensive care during the Covid-19 pandemic
Tragic choices arise during the COVID-19 pandemic when the limited resources made available in acute medical settings cannot be accessed by all patients who need them. In these circumstances, healthcare rationing is unavoidable. It is important in any healthcare rationing process that the interests of the community are recognised, and that decision-making upholds these interests through a fair and consistent process of decision-making. Responding…
The Family Context of Assent
Assent guidelines currently fail to include an assessment of a child's decision‐making ability, experience and interest. This paper summarises a two‐stage study, conducted in the United Kingdom, exploring perspectives on children's decision‐making power and ability within their family, as an indicator for overall decision‐making readiness. Children desired to make some decisions but knew their parents held ultimate authority. Parents believed the…
De quién es el conocimiento? El papel del conocimiento en un currículum de gran autonomía
El plan de estudios no preceptivo de historia de Educación Secundaria de Nueva Zelanda les permite a los maestros que tienen una gran experiencia intelectual en el conocimiento disciplinar la oportunidad de desarrollar programas innovadores que aborden los intereses de sus alumnos. El currículo o el marco de evaluación no requieren conocimiento de eventos históricos particulares, de personalidades o de temas concretos. Sin embargo, para el profes…
Crisis Communication in a Digital World
Crisis Communication in a Digital World provides an introduction to major crisis communication theories and issues management, using practical examples from Australia and New Zealand. The book examines how public relations can influence the nature of a crisis and the impact of its aftermath. It explores the role of PR specialists in different crisis situations - including natural disasters and morphing crises - and examines the challenges they fa…
Crisis Communication in a Digital World
Late-Glacial Vegetation Associated with Caribou and Mastodon in Central Indiana
The Christensen Mastodon Site, located in central Indiana, contains a rich assemblage of vertebrates (including mastodon, caribou, and giant beaver), invertebrates, and plant macrofossils in situ in lake and bog sediments of late-glacial age. Studies of pollen and plant macrofossils suggest the existence of open, white spruce-dominated boreal forests from > 14,000 yr B.P. to ca. 13,000 yr B.P. The regional decline of spruce, local occurrence of b…
Excavations at Porto Cheli and Vicinity Preliminary Report V
Excavations at Porto Cheli and Vicinity Preliminary Report V
Late-Glacial Vegetation Associated with Caribou and Mastodon in Central Indiana
The Christensen Mastodon Site, located in central Indiana, contains a rich assemblage of vertebrates (including mastodon, caribou, and giant beaver), invertebrates, and plant macrofossils in situ in lake and bog sediments of late-glacial age. Studies of pollen and plant macrofossils suggest the existence of open, white spruce-dominated boreal forests from > 14,000 yr B.P. to ca. 13,000 yr B.P. The regional decline of spruce, local occurrence of b…
Crisis Communication in a Digital World
Crisis Communication in a Digital World provides an introduction to major crisis communication theories and issues management, using practical examples from Australia and New Zealand. The book examines how public relations can influence the nature of a crisis and the impact of its aftermath. It explores the role of PR specialists in different crisis situations - including natural disasters and morphing crises - and examines the challenges they fa…
Crisis Communication in a Digital World
The Family Context of Assent
Assent guidelines currently fail to include an assessment of a child's decision‐making ability, experience and interest. This paper summarises a two‐stage study, conducted in the United Kingdom, exploring perspectives on children's decision‐making power and ability within their family, as an indicator for overall decision‐making readiness. Children desired to make some decisions but knew their parents held ultimate authority. Parents believed the…
De quién es el conocimiento? El papel del conocimiento en un currículum de gran autonomía
El plan de estudios no preceptivo de historia de Educación Secundaria de Nueva Zelanda les permite a los maestros que tienen una gran experiencia intelectual en el conocimiento disciplinar la oportunidad de desarrollar programas innovadores que aborden los intereses de sus alumnos. El currículo o el marco de evaluación no requieren conocimiento de eventos históricos particulares, de personalidades o de temas concretos. Sin embargo, para el profes…
‘Your country needs you’
As the COVID-19 pandemic impacts on health service delivery, health providers are modifying care pathways and staffing models in ways that require health professionals to be reallocated to work in critical care settings. Many of the roles that staff are being allocated to in the intensive care unit and emergency department pose additional risks to themselves, and new policies for staff reallocation are causing distress and uncertainty to the prof…
Tragic choices in intensive care during the Covid-19 pandemic
Tragic choices arise during the COVID-19 pandemic when the limited resources made available in acute medical settings cannot be accessed by all patients who need them. In these circumstances, healthcare rationing is unavoidable. It is important in any healthcare rationing process that the interests of the community are recognised, and that decision-making upholds these interests through a fair and consistent process of decision-making. Responding…
Ethical Issues in Consent for the Reuse of Data in Health Data Platforms
Data platforms represent a new paradigm for carrying out health research. In the platform model, datasets are pooled for remote access and analysis, so novel insights for developing better stratified and/or personalised medicine approaches can be derived from their integration. If the integration of diverse datasets enables development of more accurate risk indicators, prognostic factors, or better treatments and interventions, this obviates the …
Constructing authentic decisions
Research involving adults who lack capacity to consent relies on proxy (or surrogate) decision making. Proxy decisions about participation are ethically complex, with a disparity between normative accounts and empirical evidence. Concerns about the accuracy of proxies’ decisions arise, in part, from the lack of an ethical framework which takes account of the complex and morally pluralistic world in which proxy decisions are situated. This qualita…
Trust, trustworthiness and sharing patient data for research
When it comes to using patient data from the National Health Service (NHS) for research, we are often told that it is a matter of trust: we need to trust, we need to build trust, we need to restore trust. Various policy papers and reports articulate and develop these ideas and make very important contributions to public dialogue on the trustworthiness of our research institutions. But these documents and policies are apparently constructed with l…
Public involvement in the governance of population-level biomedical research
Population-level biomedical research offers new opportunities to improve population health, but also raises new challenges to traditional systems of research governance and ethical oversight. Partly in response to these challenges, various models of public involvement in research are being introduced. Yet, the ways in which public involvement should meet governance challenges are not well understood. We conducted a qualitative study with 36 exper…
The ethics of grandfather clauses in healthcare resource allocation
A grandfather clause is a provision whereby an old rule continues to apply to some existing situation while a new rule applies to all future cases. This paper focuses on the use of grandfather clauses in health technology appraisals (HTAs) issued by the National Institute for Health and Care Excellence (NICE) in the United Kingdom. NICE provides evidence‐based guidance on healthcare technologies and public health interventions that influence reso…
Measuring the impact of participatory research in psychiatry
The Potential of Web-Based Historical Sources as Learning Resources to Foster Students’ Historical Thinking Skills
To foster students’ historical thinking in Indonesia, teachers should not merely use textbooks as the only learning resource. They must utilize primary sources in teaching history that are important to encourage students to think historically. Unfortunately, it was not easy to access primary sources in Indonesia. For that reason, this study explored alternative learning resources to overcome the main difficulty faced by history teachers in Indone…
Children with medical complexities
In this paper, we discuss the lack of consideration given to children in the COVID-19 health systems policy response to the pandemic. We do this by focusing on the case of children with complex medical needs. We argue that, in broad terms, health systems policies that were implemented during the pandemic failed adequately to meet our obligations to both children generally and those with complex medical needs by failing to consider those needs and…
TREs are still not about trust
Trust and the Goldacre Review
‘A commitment to Equality, Diversity and Inclusion’
Many research institutions and funders have recently stated their commitment to actively support and promote ‘Equality, Diversity and Inclusion’ (EDI) in various aspects of health research including Patient and Public Involvement (PPI). However, translating this commitment into specific research projects presents significant challenges that existing approaches, practical guidelines and initiatives have not adequately addressed. In this paper, we …
The myth of translational bioethics
In recent years, the case has been made for special attention to be paid to a branch of research in the field of bioethics called ‘translational bioethics’. In this paper, we start by considering some of the assumptions that those advancing translational approaches to bioethics make about bioethics and compare them to the reality of bioethics as an academic field. We move on to explain how those who make this case, implicitly or explicitly, for t…
The role of the enrolling clinician in emergency research conducted under an exception from informed consent
The Exception from Informed Consent (EFIC) permits patient enrolment into therapeutic emergency research where obtaining informed consent is challenging. Yet this fails to resolve a core ethical conflict in the research and has generated controversy. This is because existing justification and practice has relied on applying EFIC per study —a wholesale permission to enroll irrespective of circumstance—instead of per patient . Our novel justificati…
Getting rights right
The UK government has recently committed to adopting a new policy—dubbed ‘Martha’s Rule’—which has been characterised as providing patients the right to rapidly access a second clinical opinion in urgent or contested cases. Support for the rule emerged following the death of Martha Mills in 2021, after doctors failed to admit her to intensive care despite concerns raised by her parents. We argue that framing this issue in terms of patient rights …
Environmental sustainability and the limits of healthcare resource allocation
Recent literature has drawn attention to the complex relationship between health care and the environmental crisis. Healthcare systems are significant contributors to climate change and environmental degradation, and the environmental crisis is making our health worse and thus putting more pressure on healthcare systems; our health and the environment are intricately linked. In light of this relationship, we might think that there are no trade‐of…
Public support for food subsidy and tax scenarios to promote healthy and sustainable diets
Political science (12 obras) · Law (11 obras) · Computer Science (10 obras) · Ethics in Clinical Research (8 obras) · Medicine (7 obras) · Public relations (7 obras) · Psychology (6 obras) · Sociology (6 obras) · Ethics in medical practice (5 obras) · Health care (5 obras)