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Rationale: The evidentiary standards and epistemic models of clinical care, especially those of evidence‐based medicine, are dissimilar to those used in philosophy and examination of how the two systems intersect may help clinicians make more informed treatment decisions. Aims and Objectives: This paper examines the use of ethical frameworks in routine clinical decision‐making, using the example of acute stroke treatment decisions to demonstrate that ethical evaluation is integral to clinical practice. Method: Utilising acute stroke care as a lens through which to examine the phenomenon of ethical evaluation in medical practice, we offer a philosophical analysis of the presence of ethical evaluation in medicine. Results and Conclusion: We find that the medical establishment should embrace ethical evaluation as intrinsic to medical practice and that medical training and treatment guidelines should reflect this reality. Patients deserve clarity and transparency about how physicians make determinations about their treatment, and physicians should be prepared to offer explanations for those decisions. [ABSTRACT FROM AUTHOR]

Hermeneutics, also referred to as interpretive phenomenology, has led to important contributions to nursing research. The philosophy of Charles Taylor has been a major source in the development of contemporary hermeneutics, through his ontological and epistemological articulations of the human sciences. The aim of this paper is to demonstrate that Taylor's ideas can further enrich hermeneutic inquiry in nursing research, particularly for investigations of ethical concerns. The paper begins with an outline of Taylor's hermeneutical framework, followed by a review of his key ideas relevant for ethics research. The paper ends with a discussion of my empirical research with critically ill children in Canada and France in relation to Taylor's ideas, chiefly Social Imaginaries. I argue that Taylor's hermeneutics provides a substantive moral framework as well as a methodology for examining ethical concerns. [ABSTRACT FROM AUTHOR]

Resource stewardship is central to high-quality clinical practice. It is motivated by ethical and evidence-based principles, and has the potential to improve the quality of patient care while maximizing the utility of limited healthcare system resources. Despite this, resource stewardship has not been regularly included in medical education, and both practicing physicians and new medical trainees have a need and desire for increased training in this topic. It is especially important to teach medical trainees how to make high-value clinical decisions from the beginning of their medical education. New initiatives in the United States have set examples for why and how this multifaceted subject can be included in medical curricula. While the importance of appropriate care is outlined in the CanMEDS framework, Canada is less advanced in its resource stewardship curriculum development. Learning from the successes of the United States and a few Canadian examples, Canada can integrate value-based decision-making into its core medical curricula, maximize its quality of care, and ultimately function as an exemplar of resource stewardship internationally. [ABSTRACT FROM AUTHOR]