The Indian Journal of Medical Ethics (formerly Issues in Medical Ethics) is a platform for discussion on health care ethics with special reference to the problems of developing countries like India. It hopes to involve all cadres of, and beneficiaries from, this system, and strengthen the hands of those with ethical values and concern for the under-privileged.        The journal is owned and published by the Forum for Medical Ethics Society, a not-for-profit, voluntary organisation. The FMES was born out of an effort by a group of concerned doctors to focus attention on the need for ethical norms and practices in health care.

The Indian Journal of Medical Ethics (formerly known as Issues in Medical Ethics) serves as a platform for discussing healthcare ethics, particularly focusing on the challenges faced by developing countries like India. The journal aims to engage all stakeholders and beneficiaries within this system, empowering those who uphold ethical values and care for the underprivileged. It is owned and published by the Forum for Medical Ethics Society, a not-for-profit voluntary organization. The FMES was established by a group of concerned doctors to highlight the need for ethical norms and practices in healthcare.

《Indian Journal of Medical Ethics》（印度医学伦理期刊，前称《Issues in Medical Ethics》）是一个专注于医疗伦理讨论的平台，特别关注像印度这样的发展中国家的问题。期刊希望吸引所有相关人员和受益者的参与，增强那些具备伦理价值观和关心弱势群体的人的力量。该期刊由医疗伦理论坛协会（Forum for Medical Ethics Society）拥有和出版，这是一个非营利性志愿组织。FMES的成立源于一群关心医疗伦理的医生的努力，旨在关注医疗保健中的伦理规范和实践。

Indian Journal of Medical Ethics

Background: Autonomy is a major element of professional practice in nursing and an important factor in improving the quality of patient care. This study aimed to design and validate a questionnaire to assess the professional autonomy of clinical nurses. Methods: This study utilised an exploratory sequential design in three stages. In the first stage, the constructive themes of the concept of nurses' professional autonomy were determined using a meta-synthesis. In the second stage, semi-structured individual interviews were conducted with 19 nurses, and analysis was performed using the deductive content analysis method. Finally, a methodological study was conducted to design and validate the clinical nurses’ professional autonomy questionnaire by testing for face, content, and structural validity. Reliability of the questionnaire was calculated by examining internal consistency and stability. Results: Based on the first and second stages, the initial pool of the questionnaire of 99 items was designed. The content validity index for the entire questionnaire was 0.964. For exploratory factor analysis, 250 nurses were included using the convenience sampling method. Varimax rotation and maximum likelihood methods were used to extract the factors. Finally, the clinical nurses’ professional autonomy questionnaire with 31 items and seven dimensions including "professional care", "professional mutual respect", "professional decision making", "leadership role", "professional discipline", "clinical skills" and "critical thinking" was developed with a 5-point Likert scale. The reliability was confirmed by Cronbach's alpha coefficient of 0.885, and the stability was confirmed by the intra-cluster correlation coefficient of 0.840. Conclusions: According to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria, the present questionnaire has desirable psychometric properties and is the first questionnaire specifically designed in Iran to assess professional autonomy in clinical nurses with applicability in different clinical departments.

Leila Rouhi Balasi

Abbas Ebadi

Nasrin Elahi

Maryam Hazrati

Simin Jahani

Designing and validation of a professional autonomy questionnaire for clinical nurses

临床护士专业自主性问卷的设计与验证

In an era where integrity is crucial, but under threat, the concept of "customised honesty" emerges as a nuanced approach to ethical behaviour.Unlike the traditional understanding of honesty, which adheres strictly to absolute truths, customised honesty adapts to the context, emphasising transparency and trust while considering situational dynamics.This approach fosters deeper relationships and communication that is more effective by balancing truthfulness with empathy and understanding.

Abdul Sattar Khan

Customised honesty: A new paradigm in ethical behaviour

定制化诚信：伦理行为的新范式

Introduction: Health insurance coverage can serve as protection against catastrophic health expenditures. Section 21 (4) of the Mental Healthcare Act, 2017 (MHCA) mandates insurance coverage for mental illness to be on par with that for physical illness. Despite this, anecdotal evidence shows persons with mental health conditions are routinely denied or face difficulties in obtaining medical insurance coverage due to their mental illness. Method: We undertook an analysis of all insurance policy documents published on the Insurance Regulatory and Development Authority of India (IRDAI) webpage for the year 2020-21 to examine their relevance to mental illness and to examine how the policy wording adheres to Section 21 (4) of the MHCA and the core principles of bioethics. Results: We sourced 459 health insurance policies for the year 2020-21 from the IRDAI webpage. Of these, 268 relevant insurance policies were analysed in depth for their adherence to the MHCA guidelines and principles of bioethics. Of the policies analysed (n=268), we found six policies (from two insurance providers) explicitly excluded mental illness across all domains, in direct contradiction of the MHCA and the subsequent guidance issued by the IRDAI. Most insurance policies excluded coverage for injuries due to attempted suicide or self-injury (n=224) or alcohol consumption/substance use (n=267). Out-patient services were included in 23 policies.&gt;/p&gt; Discussion: Health insurance policies continue to contain discriminatory terms for mental illness thus violating the principle of parity put forth by the MHCA and at odds with core principles of bioethics. Sustained advocacy efforts are required to ensure insurance providers abide by the principles of parity in letter and in spirit to remove differential or discriminatory terms for mental illness in their policies in compliance with Section 21 (4) the MHCA.

Amiti Varma

Nikhil Jain

Sayali Mahashur

Tanya Nicole Fernandes

Arjun Kapoor

Soumitra Pathare

Insurance coverage for mental illness: A review through a lens of bioethics and the MHCA, 2017

精神疾病保险覆盖：从生物伦理学和2017年《精神健康护理法》视角的综述

Sameer R Rao

Adapting to the ebb and flow of life

适应生活的潮起潮落

This case study discusses the ethical challenges encountered by a primary care team in managing a 17-year-old girl with Type 1 diabetes in a socio-economically deprived tribal area. The case highlights critical issues such as justice in access to essential medicines, ethical dilemmas arising from complex family dynamics, and systemic failures within the public health system. By examining these challenges, this case study underscores the importance of addressing broader social determinants of health to ensure just and effective healthcare delivery in rural and tribal settings.

Shyamsundar J Raithatha

Apexa Raithatha

Sanjana Brahmawar Mohan

Pavitra Mohan

Managing an adolescent with Type 1 Diabetes and socioeconomic deprivation in a remote primary care setting — Ethical challenges

在偏远初级保健环境中管理患有1型糖尿病和社会经济贫困的青少年——伦理挑战

Shema Abraham

In search of the self: Turbulence in neoliberal Vietnam

寻找自我：新自由主义越南的动荡

ISSN	0974-8466, 0975-5691
h-index	22

涉及主题	政治学医学法学生物心理学经济社会学计算机科学哲学病理工程类经济增长
出版信息	出版商: Forum for Medical Ethics Society，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2004，原创研究文献占比: 0.00%，自引率:N.A.， Gold OA占比: 0.00%

Indian Journal of Medical Ethics

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Designing and validation of a professional autonomy questionnaire for clinical nurses

Customised honesty: A new paradigm in ethical behaviour

Insurance coverage for mental illness: A review through a lens of bioethics and the MHCA, 2017

Adapting to the ebb and flow of life

Managing an adolescent with Type 1 Diabetes and socioeconomic deprivation in a remote primary care setting — Ethical challenges

Customised honesty: A new paradigm in ethical behaviour

Designing and validation of a professional autonomy questionnaire for clinical nurses

Adapting to the ebb and flow of life

Insurance coverage for mental illness: A review through a lens of bioethics and the MHCA, 2017

In search of the self: Turbulence in neoliberal Vietnam