Lynn Gillam
Biographic Data
| ID | 206539 |
|---|---|
| NAME | Lynn Gillam |
| GIVEN NAMES | Lynn |
| FAMILY NAME | Gillam |
| SIGNATURE | GILLAM L |
| AFFILIATIONS | The University of Melbourne |
| ORCID | 0000-0001-6481-5004 |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 748 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1994 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
How is clinical ethics reasoning done in practice? A review of the empirical literature
BACKGROUND: Clinical ethics reasoning is one of the unique contributions of clinical ethicists to healthcare, and is common to all models of clinical ethics support and methods of case analysis. Despite being a fundamental aspect of clinical ethics practice, the phenomenon of clinical ethics reasoning is not well understood. There are no formal definitions or models of clinical ethics reasoning, and it is unclear whether there is a shared underst…
Advancing the scholarship of clinical ethics consultation
Critical dialogue method of ethics consultation
In clinical ethics consultations, clinical ethicists bring moral reasoning to bear on concrete and complex clinical ethical problems by undertaking ethical deliberation in collaboration with others. The reasoning process involves identifying and clarifying ethical values which are at stake or contested, and guiding clinicians, and sometimes patients and families, to think through ethically justifiable and available courses of action in clinical s…
Ética, reflexividade e "momentos eticamente importantes" na pesquisa
Tensões éticas fazem parte da prática cotidiana da pesquisa, de todos os tipos. Como os pesquisadores lidam com problemas éticos que surgem na prática de suas pesquisas, e há estruturas conceituais nas quais eles podem se basear para auxiliá-los? Este artigo examina a relação entre reflexividade e ética em pesquisa. Ele se concentra no que constitui a prática ética de pesquisa em pesquisa qualitativa e em como os pesquisadores efetivam a prática …
Gillick competence
Developmentally, adolescence sits in transition between childhood and adulthood. Involving adolescents in their medical decision-making prompts important and complex ethical questions. Originating in the UK, the concept of Gillick competence is a dominant framework for navigating adolescent medical decision-making from legal, ethical and clinical perspectives and is commonly treated as comprehensive. In this paper, we argue that its utility is fa…
Is Simulation as an Investigative Method as Good as Reality
Clinical simulation offers an alternative to naturalistic inquiry of phenomena in health care that are ethically and logistically difficult for researchers to access firsthand. However, whether it is a similar experience, and the extent simulation elicits data that is meaningful for the real-world phenomenon under investigation is unknown. To address this gap, we explored the experience of 18 paediatricians who were participants in our wider phen…
Qualitative Study of Paediatric Advance Care Planning Through Simulation
Simulation is a well-established experiential educational tool in health care, which allows clinicians to learn and practise skills via a replication of reality. However, its use as a research tool is novel and emerging. As we designed a phenomenological study of communication practices around paediatric advance care planning, we came to the view that simulation would be a very useful tool to enable feasible and ethical qualitative study of this …
Inductive content analysis
Inductive content analysis (ICA), or qualitative content analysis, is a method of qualitative data analysis well-suited to use in health-related research, particularly in relatively small-scale, non-complex research done by health professionals undertaking research-focused degree courses. For those new to qualitative research, the methodological literature on ICA can be difficult to navigate, as it employs a wide variety of terminology and gives …
Telling the truth to seriously ill children
How should clinicians respond when parents will not allow their child to know the truth about their medical condition and treatment? There is wide consensus amongst clinicians and ethicists that children should be given “honest” information delivered in a developmentally appropriate manner. However, the basis in ethical theory is not clear, especially for pre‐adolescents. These children are old enough to understand some information, but are not y…
Identity, well-being and autonomy in ongoing puberty suppression for non-binary adults
In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression (OPS) to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that (1) the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; (2) there are additional equity-b…
Forever young? The ethics of ongoing puberty suppression for non-binary adults
In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression (OPS) to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that (1) the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; (2) there are additional equity-b…
Balancing health worker well-being and duty to care
The COVID-19 pandemic has highlighted the risks that can be involved in healthcare work. In this paper, we explore the issue of staff safety in clinical work using the example of personal protective equipment (PPE) in the COVID-19 crisis. We articulate some of the specific ethical challenges around PPE currently being faced by front-line clinicians, and develop an approach to staff safety that involves balancing duty to care and personal well-bei…
Simulation-Based Research
There is an increasing interest in using simulation in qualitative research outside evaluation of educational-based activities. To examine how data from simulation has been generated and used in qualitative research, we conducted a scoping review of research topics and data collection and analysis processes reported in qualitative research using simulation in the research method. Of the 665 articles that involved qualitative inquiry, 46 involved …
Do Research Participants Trust Researchers or Their Institution
Relationships of trust between research participants and researchers are often considered paramount to successful research; however, we know little about participants' perspectives. We examined whom research participants trusted when taking part in research. Using a qualitative approach, we interviewed 36 research participants, including eight Indigenous participants. Thematic analysis was used to analyze the data. This article focuses on finding…
We’re checking them out”
Understanding research participants' motivations about taking part in research is important. This is particularly relevant for Indigenous communities where there is a reported history of research abuse leading to mistrust. This understanding can lead to research practice that is more respectful and responsive to the needs of Indigenous communities and abides by the values of Indigenous communities. Moreover it can lead to more ethical and respect…
Doing Trust”
Trust in research is important but not well understood. We examine the ways that researchers understand and practice trust in research. Using a qualitative research design, we interviewed 19 researchers, including eight researchers involved in Australian Indigenous research. The project design focused on sensitive research including research involving vulnerable participants and sensitive research topics. Thematic analysis was used to analyze the…
Participants’ Understanding of Informed Consent in a Randomized Controlled Trial for Chronic Knee Pain
This study explored participants' experiences of randomized controlled trial (RCT) participation to examine their understanding of the trial design and whether their consent was indeed informed. A nested qualitative interview study was conducted with 38 participants from a sample of 282 who participated in a complex RCT evaluating the effectiveness of laser compared with needle acupuncture for chronic knee pain. Overall participants had a good un…
Human Research Ethics Committees
Considerable time and resources are invested in the ethics review process. We present qualitative data on how human research ethics committee members and health researchers perceive the role and function of the committee. The findings are based on interviews with 34 Australian ethics committee members and 54 health researchers. Although all participants agreed that the primary role of the ethics committee was to protect participants, there was di…
Assessing the risks and benefits of diagnosing genetic conditions with variable phenotypes through population screening
Resources Employed by Health Researchers to Ensure Ethical Research Practice
There is little empirical evidence about what resources health researchers use in order to make decisions about the ethical conduct of human research. Undertaking an empirical examination of how researchers understand research ethics and how they address ethical issues in research practice can lead to a richer understanding of how researchers approach research ethics. Our findings are based on interviews with 54 Australian health researchers. We …
Ethics, Reflexivity, and "Ethically Important Moments" in Research
Ethical tensions are part of the everyday practice of doing research-all kinds of research. How do researchers deal with ethical problems that arise in the practice of their research, and are there conceptual frameworks that they can draw on to assist them? This article examines the relationship between reflexivity and research ethics. It focuses on what constitutes ethical research practice in qualitative research and how researchers achieve eth…
Bioethics and Public Policy in Australia
An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content
Ethics, Reflexivity, and "Ethically Important Moments" in Research
Ethical tensions are part of the everyday practice of doing research-all kinds of research. How do researchers deal with ethical problems that arise in the practice of their research, and are there conceptual frameworks that they can draw on to assist them? This article examines the relationship between reflexivity and research ethics. It focuses on what constitutes ethical research practice in qualitative research and how researchers achieve eth…
Human Research Ethics Committees
Considerable time and resources are invested in the ethics review process. We present qualitative data on how human research ethics committee members and health researchers perceive the role and function of the committee. The findings are based on interviews with 34 Australian ethics committee members and 54 health researchers. Although all participants agreed that the primary role of the ethics committee was to protect participants, there was di…
Do Research Participants Trust Researchers or Their Institution
Relationships of trust between research participants and researchers are often considered paramount to successful research; however, we know little about participants' perspectives. We examined whom research participants trusted when taking part in research. Using a qualitative approach, we interviewed 36 research participants, including eight Indigenous participants. Thematic analysis was used to analyze the data. This article focuses on finding…
Doing Trust”
Trust in research is important but not well understood. We examine the ways that researchers understand and practice trust in research. Using a qualitative research design, we interviewed 19 researchers, including eight researchers involved in Australian Indigenous research. The project design focused on sensitive research including research involving vulnerable participants and sensitive research topics. Thematic analysis was used to analyze the…
Resources Employed by Health Researchers to Ensure Ethical Research Practice
There is little empirical evidence about what resources health researchers use in order to make decisions about the ethical conduct of human research. Undertaking an empirical examination of how researchers understand research ethics and how they address ethical issues in research practice can lead to a richer understanding of how researchers approach research ethics. Our findings are based on interviews with 54 Australian health researchers. We …
Qualitative Study of Paediatric Advance Care Planning Through Simulation
Simulation is a well-established experiential educational tool in health care, which allows clinicians to learn and practise skills via a replication of reality. However, its use as a research tool is novel and emerging. As we designed a phenomenological study of communication practices around paediatric advance care planning, we came to the view that simulation would be a very useful tool to enable feasible and ethical qualitative study of this …
Bioethics and Public Policy in Australia
An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content
Bioethics and Public Policy in Australia
An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content
Ethics, Reflexivity, and "Ethically Important Moments" in Research
Ethical tensions are part of the everyday practice of doing research-all kinds of research. How do researchers deal with ethical problems that arise in the practice of their research, and are there conceptual frameworks that they can draw on to assist them? This article examines the relationship between reflexivity and research ethics. It focuses on what constitutes ethical research practice in qualitative research and how researchers achieve eth…
Assessing the risks and benefits of diagnosing genetic conditions with variable phenotypes through population screening
Resources Employed by Health Researchers to Ensure Ethical Research Practice
There is little empirical evidence about what resources health researchers use in order to make decisions about the ethical conduct of human research. Undertaking an empirical examination of how researchers understand research ethics and how they address ethical issues in research practice can lead to a richer understanding of how researchers approach research ethics. Our findings are based on interviews with 54 Australian health researchers. We …
Human Research Ethics Committees
Considerable time and resources are invested in the ethics review process. We present qualitative data on how human research ethics committee members and health researchers perceive the role and function of the committee. The findings are based on interviews with 34 Australian ethics committee members and 54 health researchers. Although all participants agreed that the primary role of the ethics committee was to protect participants, there was di…
Participants’ Understanding of Informed Consent in a Randomized Controlled Trial for Chronic Knee Pain
This study explored participants' experiences of randomized controlled trial (RCT) participation to examine their understanding of the trial design and whether their consent was indeed informed. A nested qualitative interview study was conducted with 38 participants from a sample of 282 who participated in a complex RCT evaluating the effectiveness of laser compared with needle acupuncture for chronic knee pain. Overall participants had a good un…
We’re checking them out”
Understanding research participants' motivations about taking part in research is important. This is particularly relevant for Indigenous communities where there is a reported history of research abuse leading to mistrust. This understanding can lead to research practice that is more respectful and responsive to the needs of Indigenous communities and abides by the values of Indigenous communities. Moreover it can lead to more ethical and respect…
Doing Trust”
Trust in research is important but not well understood. We examine the ways that researchers understand and practice trust in research. Using a qualitative research design, we interviewed 19 researchers, including eight researchers involved in Australian Indigenous research. The project design focused on sensitive research including research involving vulnerable participants and sensitive research topics. Thematic analysis was used to analyze the…
Do Research Participants Trust Researchers or Their Institution
Relationships of trust between research participants and researchers are often considered paramount to successful research; however, we know little about participants' perspectives. We examined whom research participants trusted when taking part in research. Using a qualitative approach, we interviewed 36 research participants, including eight Indigenous participants. Thematic analysis was used to analyze the data. This article focuses on finding…
Identity, well-being and autonomy in ongoing puberty suppression for non-binary adults
In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression (OPS) to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that (1) the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; (2) there are additional equity-b…
Forever young? The ethics of ongoing puberty suppression for non-binary adults
In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression (OPS) to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that (1) the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; (2) there are additional equity-b…
Balancing health worker well-being and duty to care
The COVID-19 pandemic has highlighted the risks that can be involved in healthcare work. In this paper, we explore the issue of staff safety in clinical work using the example of personal protective equipment (PPE) in the COVID-19 crisis. We articulate some of the specific ethical challenges around PPE currently being faced by front-line clinicians, and develop an approach to staff safety that involves balancing duty to care and personal well-bei…
Simulation-Based Research
There is an increasing interest in using simulation in qualitative research outside evaluation of educational-based activities. To examine how data from simulation has been generated and used in qualitative research, we conducted a scoping review of research topics and data collection and analysis processes reported in qualitative research using simulation in the research method. Of the 665 articles that involved qualitative inquiry, 46 involved …
Inductive content analysis
Inductive content analysis (ICA), or qualitative content analysis, is a method of qualitative data analysis well-suited to use in health-related research, particularly in relatively small-scale, non-complex research done by health professionals undertaking research-focused degree courses. For those new to qualitative research, the methodological literature on ICA can be difficult to navigate, as it employs a wide variety of terminology and gives …
Telling the truth to seriously ill children
How should clinicians respond when parents will not allow their child to know the truth about their medical condition and treatment? There is wide consensus amongst clinicians and ethicists that children should be given “honest” information delivered in a developmentally appropriate manner. However, the basis in ethical theory is not clear, especially for pre‐adolescents. These children are old enough to understand some information, but are not y…
Is Simulation as an Investigative Method as Good as Reality
Clinical simulation offers an alternative to naturalistic inquiry of phenomena in health care that are ethically and logistically difficult for researchers to access firsthand. However, whether it is a similar experience, and the extent simulation elicits data that is meaningful for the real-world phenomenon under investigation is unknown. To address this gap, we explored the experience of 18 paediatricians who were participants in our wider phen…
Qualitative Study of Paediatric Advance Care Planning Through Simulation
Simulation is a well-established experiential educational tool in health care, which allows clinicians to learn and practise skills via a replication of reality. However, its use as a research tool is novel and emerging. As we designed a phenomenological study of communication practices around paediatric advance care planning, we came to the view that simulation would be a very useful tool to enable feasible and ethical qualitative study of this …
Gillick competence
Developmentally, adolescence sits in transition between childhood and adulthood. Involving adolescents in their medical decision-making prompts important and complex ethical questions. Originating in the UK, the concept of Gillick competence is a dominant framework for navigating adolescent medical decision-making from legal, ethical and clinical perspectives and is commonly treated as comprehensive. In this paper, we argue that its utility is fa…
Advancing the scholarship of clinical ethics consultation
Critical dialogue method of ethics consultation
In clinical ethics consultations, clinical ethicists bring moral reasoning to bear on concrete and complex clinical ethical problems by undertaking ethical deliberation in collaboration with others. The reasoning process involves identifying and clarifying ethical values which are at stake or contested, and guiding clinicians, and sometimes patients and families, to think through ethically justifiable and available courses of action in clinical s…
Ética, reflexividade e "momentos eticamente importantes" na pesquisa
Tensões éticas fazem parte da prática cotidiana da pesquisa, de todos os tipos. Como os pesquisadores lidam com problemas éticos que surgem na prática de suas pesquisas, e há estruturas conceituais nas quais eles podem se basear para auxiliá-los? Este artigo examina a relação entre reflexividade e ética em pesquisa. Ele se concentra no que constitui a prática ética de pesquisa em pesquisa qualitativa e em como os pesquisadores efetivam a prática …
How is clinical ethics reasoning done in practice? A review of the empirical literature
BACKGROUND: Clinical ethics reasoning is one of the unique contributions of clinical ethicists to healthcare, and is common to all models of clinical ethics support and methods of case analysis. Despite being a fundamental aspect of clinical ethics practice, the phenomenon of clinical ethics reasoning is not well understood. There are no formal definitions or models of clinical ethics reasoning, and it is unclear whether there is a shared underst…
Psychology (16 works) · Political science (13 works) · Engineering ethics (11 works) · Engineering (10 works) · Sociology (10 works) · Ethics in medical practice (9 works) · Law (9 works) · Medicine (9 works) · Computer Science (7 works) · Qualitative research (7 works)