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Bioethics Centre staff profile

Dr Janine Winters

PositionSenior Lecturer
DepartmentBioethics Centre
QualificationsMedical Doctor. Specialist in palliative medicine, paediatric palliative care, and family medicine.
Research summaryEnd-of-life medical issues for adults and children, and high-stakes decision-making for children.
Teaching
  • Co-convenor, BITC 405 Bioethics in Clinical Practice
  • Tutor, ELM2 tutorial Clinical Skills
  • Tutor, ELM2 tutorial Early Professional Experience
  • Lecturer and tutor for Bioethics Longitudinal Model, Otago School of Medicine
  • Palliative Medicine Education, including lectures and tutorials on symptom management, last days of life (ALM), and pain management (ALM5).
  • Paediatrics education – adolescent decision-making and paediatric palliative care
  • Ethics of genetics
Memberships
  • Australia New Zealand Society of Palliative Medicine
  • Australasian Association of Bioethics and Health Law
  • American Academy of Hospice and Palliative Medicine
  • American Academy of Family Medicine
  • Alpha Omega Alpha Medical Honor Society
Clinical

I work half time (plus on call) at the Otago Community Hospice where I see patients and oversee clinical medical student education in Palliative Medicine. In prior years I have been the director of a Paediatric Palliative Care programme at Nationwide Children’s Hospital, where I was also in a leadership role of the Clinical Ethics Committee.

Research

I am interested in Clinical Ethics consultations, especially regarding dilemmas in paediatrics and end-of-life care.

Additional details

  • I have previously taught modules on Literature in Medicine.
  • I work half time at the University of Otago and half time at the Otago Community Hospice.
  • I worked at the Bay of Islands Hospital, Kawakawa, in 2005–2006.
  • I am from Ohio, USA. My husband has a PhD in European and Military History and we have three children.
  • I realised as I wrote this how much I like living and working in places that begin and end in “O”.

Publications

Penfield Winters, J., Owens, F., & Winters, E. (2022). Dirty work: Well-intentioned mental health workers cannot ameliorate harms in offshore detention. Journal of Medical Ethics. Advance online publication. doi: 10.1136/jme-2022-108348

Penfield Winters, J., Pickering, N., & Jaye, C. (2022). Winging it: A qualitative study of knowledge-acquisition experiences for early adopting providers of medical assistance in dying. Palliative Care & Social Practice, 16, 1-12. doi: 10.1177/26323524221103889

Penfield Winters, J. (2022). Oceania 1.6.1: New Zealand. In N. Nortjé & J. C. Bester (Eds.), Pediatric ethics: Theory and practice. (pp. 15-16). Cham, Switzerland: Springer. doi: 10.1007/978-3-030-86182-7_1

Young, J. E., Winters, J., Snelling, J., White, B., Gavaghan, C., Geddis, A., & Egan, R. (2021). The End of Life Choice Act: A proposed implementation and research agenda. New Zealand Medical Journal, 134(1544), 145-158. Retrieved from https://www.nzma.org.nz/journal

Young, J. E., Jaye, C., Egan, R., Winters, J., & Egan, T. (2021). The discursive context of medical aid in dying: A paradox of control? Social Science & Medicine, 291, 114501. Advance online publication. doi: 10.1016/j.socscimed.2021.114501

O'Neill Hunt, M., McCrate Protus, B., Penfield Winters, J., & Parker, D. C. (Eds.). (2014). Pediatric palliative care consultant: Guidelines for effective management of symptoms. Montgomery, AL: HospiScript Services, 402p.

Edited Book - Other

Penfield Winters, J. (2022). Oceania 1.6.1: New Zealand. In N. Nortjé & J. C. Bester (Eds.), Pediatric ethics: Theory and practice. (pp. 15-16). Cham, Switzerland: Springer. doi: 10.1007/978-3-030-86182-7_1

Chapter in Book - Research

Winters, J. (2012). Palliative care for the pediatric neurologist. In P. Weisleder (Ed.), Manual of pediatric neurology. (pp. 205-228). Singapore: World Scientific. doi: 10.1142/9789814324205_0021

Chapter in Book - Other

Penfield Winters, J., Owens, F., & Winters, E. (2022). Dirty work: Well-intentioned mental health workers cannot ameliorate harms in offshore detention. Journal of Medical Ethics. Advance online publication. doi: 10.1136/jme-2022-108348

Journal - Research Article

Penfield Winters, J., Pickering, N., & Jaye, C. (2022). Winging it: A qualitative study of knowledge-acquisition experiences for early adopting providers of medical assistance in dying. Palliative Care & Social Practice, 16, 1-12. doi: 10.1177/26323524221103889

Journal - Research Article

Winters, J. P., Owens, F., & Winters, E. (2021). Evaluating an adolescent's decision-making capacity whilst in the harsh world of detention. Journal of Bioethical Inquiry, 18, 243-251. doi: 10.1007/s11673-021-10099-y

Journal - Research Article

Winters, J. P., Pickering, N., & Jaye, C. (2021). Because it was new: Unexpected experiences of physician providers during Canada's early years of legal medical assistance in dying. Health Policy, 125, 1489-1497. doi: 10.1016/j.healthpol.2021.09.012

Journal - Research Article

Young, J. E., Jaye, C., Egan, R., Winters, J., & Egan, T. (2021). The discursive context of medical aid in dying: A paradox of control? Social Science & Medicine, 291, 114501. Advance online publication. doi: 10.1016/j.socscimed.2021.114501

Journal - Research Article

Young, J. E., Winters, J., Jaye, C., & Egan, R. (2021). Patients' views on end-of-life practices that hasten death: A qualitative study exploring ethical distinctions. Annals of Palliative Medicine, 10(3), 3563-3574. doi: 10.21037/apm-20-621

Journal - Research Article

Penfield Winters, J. (2018). When parents refuse: Resolving entrenched disagreements between parents and clinicians in situations of uncertainty and complexity. American Journal of Bioethics, 18(8), 20-31. doi: 10.1080/15265161.2018.1485758

Journal - Research Article

Penfield Winters, J. (2021). Eligibility for assisted dying: Not protection for vulnerable people, but protection for people when they are vulnerable. Journal of Medical Ethics, 47(10), 672-673. doi: 10.1136/medethics-2021-107794

Journal - Research Other

Young, J. E., Winters, J., Snelling, J., White, B., Gavaghan, C., Geddis, A., & Egan, R. (2021). The End of Life Choice Act: A proposed implementation and research agenda. New Zealand Medical Journal, 134(1544), 145-158. Retrieved from https://www.nzma.org.nz/journal

Journal - Research Other

More publications...