Profile

Contact Details

Phone: 64 3 471 6120
Email: janine.winters@otago.ac.nz

University Links

Position

Senior Lecturer

Department

Bioethics Centre

Qualifications

Medical Doctor. Specialist in palliative medicine, paediatric palliative care, and family medicine.

Research summary

End-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

Winters, J. P., & Hutchinson, E. (2025). By their side, not on their chest: Ethical arguments to allow residential aged care admission policies to forego full cardiac resuscitation. Journal of Bioethical Inquiry. Advance online publication. doi: 10.1007/s11673-024-10401-8 Journal - Research Article

Young, J., Dehkhoda, A., Ahuriri-Driscoll, A., Cheung, G., Diesfeld, K., Egan, R., Karaka-Clarke, T. H., … Snelling, J., … Winters, J. (2024). Exploring the early experiences of assisted dying in Aotearoa New Zealand: A qualitative study protocol. BMJ Open, 14, e090118. doi: 10.1136/bmjopen-2024-090118 Journal - Research Other

Penfield Winters, J., Jaye, C., Pickering, N. J., & Walker, S. (2024). Providing medically assisted dying in Canada: A qualitative study of emotional and moral impact. Journal of Medical Ethics. Advance online publication. doi: 10.1136/jme-2024-110137 Journal - Research Article

Young, J., Snelling, J., Beaumont, S., Diesfeld, K., White, B., Willmott, L., … Egan, R., … Winters, J. (2023). What do health care professionals want to know about assisted dying? Setting the research agenda in New Zealand. BMC Palliative Care, 22, 40. doi: 10.1186/s12904-023-01159-8 Journal - Research Article

Penfield Winters, J., Owens, F., & Winters, E. (2023). Dirty work: Well-intentioned mental health workers cannot ameliorate harms in offshore detention. Journal of Medical Ethics, 49, 563-568. doi: 10.1136/jme-2022-108348 Journal - Research Article

2025

Journal - Research Article

2024

Journal - Research Article

Journal - Research Other

2023

Journal - Research Article

2022

Chapter in Book - Research

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

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

2021

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. doi: 10.1016/j.socscimed.2021.114501

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

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

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 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

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

Conference Contribution - Verbal presentation and other Conference outputs

Winters, J., Snelling, J., & Walker, S. (2021, July-August). The End of Life Choice Act: Anticipating the clinical and legal issues [Euthanasia/assisted dying workshop]. Workshop presentation at the Queenstown Meeting in Internal Medicine, Queenstown, New Zealand.

Other Research Output

Winters, J. (2021, March). All deaths are not equal: The ethics of counting deaths during Covid-19. Bioethics Centre, University of Otago, Dunedin, New Zealand. [Department Seminar].

2020

Other Research Output

Winters, J. (2020, July). New Zealand's "End of Life Choice Bill". Bioethics Centre, University of Otago, Dunedin, New Zealand. [Department Seminar].

2019

Conference Contribution - Published proceedings: Abstract

Winters, J. (2019). Legalizing assisted death in New Zealand: Learning from the Canadian experience. Proceedings of the Australasian Association of Bioethics and Health Law (AABHL) and New Zealand Bioethics (NZB) Joint Conference. (pp. 70). Retrieved from http://aabhlnzb2019.w.events4you.currinda.com/

Winters, J. P. (2019). 'Ah-ha' ideas in communication and decision-making: Four frameworks and paradigms [Workshop]. Proceedings of the Canadian Hospice Palliative Care Conference. 275. Retrieved from https://conference.chpca.net

Conference Contribution - Verbal presentation and other Conference outputs

Winters, J. (2019, June). Ethical issues in paediatric end of life care. Invited presentation at the Australian & New Zealand Society of Palliative Medicine (ANZSPM) Aotearoa Annual Education Update, Queenstown, New Zealand.

Young, J., Jaye, C., Egan, R., Winters, J., & Egan, T. (2019, September). Assisted dying and the paradox of control. Verbal presentation at the 14th International Conference on the Social Context of Death, Dying and Disposal Programme: Engagement and Education, Bath, UK.

Young, J., Winters, J., Jaye, C., Egan, R., & Egan, T. (2019, March). What do people with life-limiting illness considering euthanasia/assisted dying think about treatments at the end-of-life? Verbal presentation at the Third International Conference on End of Life Law, Ethics, Policy, and Practice, Ghent, Belgium.

2018

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

Conference Contribution - Published proceedings: Abstract

Owens, F., & Winters, J. (2018). Adolescent decision making in the harsh world of offshore detention. Proceedings of the Australasian Association of Bioethics and Health Law (AABHL) Conference. Retrieved from http://aabhlconference.com

Young, J., Penfield Winters, J., Jaye, C., Egan, R., & Egan, T. (2018). What do people with life-limiting illness considering euthanasia think about treatments at the end-of-life? Proceedings of the Australasian Association of Bioethics and Health Law (AABHL) Conference. Retrieved from http://aabhlconference.com

Penfield Winters, J. (2018). High-stakes decision making for young children: An approach to parental refusals of treatment. Proceedings of the Australasian Association of Bioethics and Health Law (AABHL) Conference. Retrieved from http://aabhlconference.com

Young, J., Winters, J., Jaye, C., Egan, R., & Egan, T. (2018). What do people with life-limiting illnesses considering euthanasia think about treatments at the end-of-life? Proceedings of the 23rd Hospice New Zealand Palliative Care Conference. (pp. 28). Retrieved from http://www.hospice.org.nz/conference-2018

Conference Contribution - Verbal presentation and other Conference outputs

Young, J., Jaye, C., Egan, R., Winters, J., & Egan, T. (2018, December). Exploring dying people's perspective on euthanasia/assisted dying: Confronting normative discourses. Verbal presentation at the Sociological Association of Aotearoa New Zealand (SAANZ) Conference: The Future in the Past, Wellington, New Zealand.

Young, J., Jaye, C., Winters, J., Egan, R., & Egan, T. (2018, September). What do people with life-limiting illness considering euthanasia think the role of health professionals should be? Verbal presentation at the General Practice and Primary Care Research Weekend, Hanmer Springs, New Zealand.

Other Research Output

Winters, J. P. (2018, July). Direct-to-consumer genetic testing: Practical & ethical issues from one doctor's experience. Bioethics Centre, University of Otago, Dunedin, New Zealand. [Department Seminar].

Winters, J. P. (2018, March). High-stakes decision making for young children: An approach to parental refusals of treatment. Bioethics Centre, University of Otago, Dunedin, New Zealand. [Department Seminar].

2017

Conference Contribution - Published proceedings: Abstract

Young, J., Jaye, C., Egan, R., Egan, T., & Winters, J. (2017). Assisted dying research in New Zealand. Proceedings of the Sociological Association of Aotearoa, New Zealand (SAANZ) Conference: Respect Existence or Expect Resistance. (pp. 117). Retrieved from http://www.otago.ac.nz/saanz

Conference Contribution - Verbal presentation and other Conference outputs

Winters, J. P., & Kerruish, N. (2017, January). Developing the Zone of Parental Discretion: Paediatric decision making. Verbal presentation at the New Zealand Bioethics Conference: Bioethics and Health Law in the Information Age, Dunedin, New Zealand.

Winters, J. P. (2017, January). When social media becomes a parent's truth: Social media and parental decision making. Verbal presentation at the New Zealand Bioethics Conference: Bioethics and Health Law in the Information Age, Dunedin, New Zealand.

2014

Edited Book - Other

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.

2012

Chapter in Book - Other

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

Conference Contribution - Published proceedings: Abstract

Eversole, M., Manring, S., Snyder, S., Gilmer, M., Walsh, M., Winters, J., & Gerhardt, C. (2012). Pilot study of symptom burden and quality of life among families of children in palliative care or hospice. Proceedings of the Midwest Society for Pediatric Research (MWSPR) 53rd Annual Scientific Meeting. (pp. 35-36). Retrieved from https://www.aps-spr.org/regions/mwspr

Strauss, C. L., Nahikian-Nelms, M. L., Peel, L., Winters, J. P., & Clutter, J. (2012). A retrospective chart review: Nutrition support in the neurologically impaired child. Journal of the Academy of Nutrition & Dietetics, 112(9, Suppl. 3), (pp. A96). doi: 10.1016/j.jand.2012.06.352