Chandler, E, Slade, D, Pun, J, Espindola, E, Lock, G, Matthiessen, CMIM & Ng, C 2015, 'Communication in Hong Kong Accident and Emergency Departments: The Clinicians' Perspectives', Global Qualitative Nursing Research, pp. 1-11.View/Download from: Publisher's site
Slade, D, Chandler, E, Pun, J, Lam, M, Matthiessen, CMIM, Williams, G, Espindola, E, Veloso, FOD, Tsui, KL, Tang, SYH & Tang, KS 2015, 'Effective healthcare worker-patient communication in Hong Kong accident and emergency departments', Hong Kong Journal of Emergency Medicine, vol. 22, no. 2, pp. 69-83.
In Australia regulatory limits with respect to the storage of gametes and embryos differ according to both the 'type' of reproductive material and the jurisdiction the material is stored within. This article examines the differences and similarities in storage limits across Australian states, evaluating the reasons for the introduction of storage limits and identifying historical policy change. The article argues that justifications for current storage limits are not clearly articulated and calls for further debate and discussion in this increasingly important area of law.
Chandler, ER, Millbank, J, Stuhmcke, AG & Karpin, IA 2013, 'Rethinking Consent, Information Giving and Counselling Concerning Stored Embryos in IVF treatment', Journal of Law and Medicine, vol. 20, no. 4, pp. 759-772.
This article presents findings on consent practices drawn from a larger research project about the impact of law, ethical guidelines and clinical policies and practices upon the decisions that people make about their stored embryos created during IVF. In exploring the process of decision-making about stored embryos, participants reflected upon their earlier experiences of clinic information-giving and counselling, particularly at the outset of treatment. The study found that the type and timing of the information given and the range of options presented by clinics in typical consent processes did not meet many participants needs. Informed consent processes in IVF involving the storage of embryos require a number of key changes. Consent to treatment and subsequent decisions about storage and further outcomes for stored embryos need to be addressed separately. To be effective, embryo directive forms should be accompanied by plain language explanations of their legal effects, including what elements are binding, the source of the rules governing decisions, and available formal and informal dispute resolution avenues. Consent and embryo directive forms should be made available on clinic websites to allow greater opportunity for reflection, as well as enabling patients to compare the options available at each clinic. Greater availability of ongoing counselling as well as other external sources of information are crucial to enable informed decision-making.
Karpin, IA, Stuhmcke, AG, Millbank, J & Chandler, ER 2013, 'Analysing IVF Participant Understanding of, Involvement in, and Control over Embryo Storage and Destruction in Australia', Journal of Law and Medicine, vol. 20, no. 4, pp. 811-830.
This article examines patient responses to the issues of embryo storage and destruction in IVF
The authors interviewed 10 people who had actually donated embryos for the reproductive use of others and four people who were recipients of donated embryos. In addition, another nine interviewees had attempted to donate, or had a strong desire to donate, but had been prevented from doing so. The article places the present findings in the context of Australian and international research on widespread unwillingness to donate for reproductive use of others. The article then examines why the donors interviewed here were willing and able to donate, and presents findings concerning the donation process and models in operation, including matching and counselling practices and the contentious question of `directed donation. The article also reports the experiences of several `would-be or thwarted donors and examines the rationales for some of the external barriers to donation identified in the course of the study.
This article examines legal and policy restrictions on the use of stored IVF embryos after relationship separation and death.
This report presents the results of a four year study about law, policy and practice concerning frozen IVF embryos in Australia. The report drew on the experience of over 400 past and present IVF patients in over twenty clinical sites across Australia, spanning two decades of experiences.