Results for 'Ethics-consultation'

966 found
Order:
  1.  60
    Ethics consultation: from theory to practice.Mark P. Aulisio, Robert M. Arnold & Stuart J. Youngner (eds.) - 2003 - Baltimore: Johns Hopkins University Press.
    In the clinical setting, questions of medical ethics raise a host of perplexing problems, often complicated by conflicting perspectives and the need to make immediate decisions. In this volume, bioethicists and physicians provide a nuanced, in-depth approach to the difficult issues involved in bioethics consultation. Addressing the needs of researchers, clinicians, and other health professionals on the front lines of bioethics practice, the contributors focus primarily on practical concerns -- whether ethics consultation is best done by (...)
    Direct download  
     
    Export citation  
     
    Bookmark   23 citations  
  2. Ethics consultation in united states hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):13 – 25.
    Context: Although ethics consultation is commonplace in United States (U.S.) hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the "best informant" within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services (ECSs) were found in 81% of all (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   230 citations  
  3.  56
    Ethics Consultation in U.S. Hospitals: A National Follow-Up Study.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):5-18.
    A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   46 citations  
  4.  81
    Clinical ethics consultations: a scoping review of reported outcomes.Ann M. Heesters, Ruby R. Shanker, Kevin Rodrigues, Daniel Z. Buchman, Andria Bianchi, Claudia Barned, Erica Nekolaichuk, Eryn Tong, Marina Salis & Jennifer A. H. Bell - 2022 - BMC Medical Ethics 23 (1):1-65.
    BackgroundClinical ethics consultations can be complex interventions, involving multiple methods, stakeholders, and competing ethical values. Despite longstanding calls for rigorous evaluation in the field, progress has been limited. The Medical Research Council proposed guidelines for evaluating the effectiveness of complex interventions. The evaluation of CEC may benefit from application of the MRC framework to advance the transparency and methodological rigor of this field. A first step is to understand the outcomes measured in evaluations of CEC in healthcare settings. ObjectiveThe (...)
    No categories
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   11 citations  
  5.  53
    Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records.Robert A. Pearlman, Mary Beth Foglia, Ellen Fox, Jennifer H. Cohen, Barbara L. Chanko & Kenneth A. Berkowitz - 2016 - American Journal of Bioethics 16 (3):3-14.
    Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the (...) Consultation Quality Assessment Tool. ECQAT enables raters to assess the quality of ethics consultations based on the written record. Through rigorous development and preliminary testing, we identified key elements of a quality ethics consultation, established scoring criteria, developed training guidelines, and designed a holistic assessment process. This article describes the development of the ECQAT,.. (shrink)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   44 citations  
  6.  43
    (2 other versions)Ethics Consultation in U.S. Hospitals: Opinions of Ethics Practitioners.Ellen Fox, Anita J. Tarzian, Marion Danis & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):19-30.
    To design effective strategies to improve ethics consultation (EC) practices, it is important to understand the views of ethics practitioners. Previous U.S. studies of ethics practitioners have overrepresented the views of academic bioethicists. To help inform EC improvement efforts, we surveyed a random stratified sample of U.S. hospitals, examining ethics practitioners’ opinions on EC in general, on their own EC service, on strategies to improve EC, and on ASBH practice standards. Respondents across all categories of (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   25 citations  
  7.  30
    (1 other version)Complex ethics consultations: cases that haunt us.Paul J. Ford & Denise M. Dudzinski (eds.) - 2008 - New York: Cambridge University Press.
    Clinical ethicists encounter the most emotionally eviscerating medical cases possible. They struggle to facilitate resolutions founded on good reasoning embedded in compassionate care. This book fills the considerable gap between current texts and the continuing educational needs of those actually facing complex ethics consultations in hospital settings. 28 richly detailed cases explore the ethical reasoning, professional issues, and the emotional aspects of these impossibly difficult consultations. The cases are grouped together by theme to aid teaching, discussion and professional growth. (...)
    Direct download  
     
    Export citation  
     
    Bookmark   10 citations  
  8.  62
    Ethics Consultation in Pediatrics: Long-Term Experience From a Pediatric Oncology Center.Liza-Marie Johnson, Christopher L. Church, Monika Metzger & Justin N. Baker - 2015 - American Journal of Bioethics 15 (5):3-17.
    There is little information about the content of ethics consultations in pediatrics. We sought to describe the reasons for consultation and ethical principles addressed during EC in pediatrics through retrospective review and directed content analysis of EC records at St. Jude Children's Research Hospital. Patient-based EC were highly complex and often involved evaluation of parental decision making, particularly consideration of the risks and benefits of a proposed medical intervention, and the physician's fiduciary responsibility to the patient. Nonpatient consultations (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   29 citations  
  9.  37
    Ethics Consultation in U.S. Hospitals: Determinants of Consultation Volume.Ellen Fox & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):31-37.
    The annual volume of ethics consultations (ECs) has been a topic of interest in the bioethics literature, in part because of its presumed relationship to quality. To better understand factors associated with EC volume, we used multiple linear regression to model the number of case consultations performed in the last year based on a national survey. We found that hospital bed size, academic affiliation, and urban/rural location were all associated with EC volume, but were not the primary drivers. Instead, (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   16 citations  
  10.  72
    Clinical ethics consulting and conflict of interest: Structurally intertwined.Christopher Meyers - 2007 - Hastings Center Report 37 (2):32-40.
    Clinical ethical consultants are subject to an unavoidable conflict of interest. Their work requires that they be independent, but incentives attached to their role chip relentlessly at independence. This that they be independent, is a problem without any solution, but it can at least be ameliorated through careful management.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   21 citations  
  11.  93
    Ethics consultation and autonomy.Jukka Varelius - 2008 - Science and Engineering Ethics 14 (1):65-76.
    Services of ethics consultants are nowadays commonly used in such various spheres of life as engineering, public administration, business, law, health care, journalism, and scientific research. It has however been maintained that use of ethics consultants is incompatible with personal autonomy; in moral matters individuals should be allowed to make their own decisions. The problem this criticism refers to can be conceived of as a conflict between the professional autonomy of ethics experts and the autonomy of the (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  12.  1
    Ethics Consultation in U.S. Pediatric Hospitals: Adherence to National Practice Standards.Helena Arango, Colette Gramszlo, Jaideep Grewal, Arzu Cetin, Meaghann Weaver & Jennifer K. Walter - forthcoming - AJOB Empirical Bioethics.
    Background The American Society for Bioethics and Humanities (ASBH), a professional organization that certifies ethics consultants who pass the qualifying examination, published standards for the conduct of ethics consultations (EC). A national survey of adult hospital ethics consultants identified adherence to these standards, but no assessment of pediatric hospitals’ adherence has been done.Methods In this cross-sectional study, a national questionnaire was distributed electronically in 2022 to pediatric ethics consultants at children’s hospitals, collecting information about adherence to (...)
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  13.  7
    Teaching Ethics Consultation Using a Tabletop Exercise.Hilary Mabel, Susan McCammon & Margot M. Eves - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-9.
    Drawing on pedagogical tools utilized in clinical scenario simulation and emergency preparedness training, the authors describe an innovative method for teaching clinical ethics consultation skills, which they call a “tabletop” exercise. Implemented at the end of a clinical ethics intensive course, the tabletop enables learners to implement the knowledge and practice the skills they gained during the course. The authors highlight the pedagogical tools on which the tabletop exercise draws, describe the tabletop exercise itself, offer how to (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  14.  29
    Ethics Consultation: Data and the Path to Professionalization.Felicia Cohn - 2022 - American Journal of Bioethics 22 (4):1-4.
    In this issue, Ellen Fox and colleagues report on their national study on ethics consultation in U.S. hospitals, following up on the previous 1999–2000 landmark study. Th...
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  15.  19
    Clinical Ethics Consultation After God: Implications for Advocacy and Neutrality.J. Clint Parker - 2018 - HEC Forum 30 (2):103-115.
    In After God: Morality and Bioethics in a Secular Age, H. Tristram Engelhardt, Jr. explores the broad implications for moral reasoning once a culture has lost a God’s-eye perspective. In this paper, I focus on the implications of Engelhardt’s views for clinical ethics consultation. I begin by examining the question of whether clinical ethics consultants should advocate a particular viewpoint and/or process during consultations or adopt a neutral stance. I then examine the implications of Engelhardt’s views for (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  16.  22
    Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation?Noriko Nagao & Yoshiyuki Takimoto - 2023 - Asian Bioethics Review 16 (1):15-31.
    This research examines the current status of clinical ethics consultation (CEC) in Japan through a nationwide study conducted with chairs of ethics committees and clinical ethics committees among 1028 post-graduate clinical teaching hospitals. We also qualitatively analyzed their viewpoints of the CEC’s benefits and problems related to hospital consultation services to identify the critical points for CEC and inform the development of a correctly functioning system. The questionnaire included structured questions about hospital CEC organization and (...)
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  17.  56
    Clinical Ethics Consultants are not “Ethics” Experts—But They do Have Expertise.Lisa M. Rasmussen - 2016 - Journal of Medicine and Philosophy 41 (4):384-400.
    The attempt to critique the profession of clinical ethics consultation by establishing the impossibility of ethics expertise has been a red herring. Decisions made in clinical ethics cases are almost never based purely on moral judgments. Instead, they are all-things-considered judgments that involve determining how to balance other values as well. A standard of justified decision-making in this context would enable us to identify experts who could achieve these standards more often than others, and thus provide (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   20 citations  
  18.  25
    Clinical Ethics Consultation in Chronic Illness: Challenging Epistemic Injustice Through Epistemic Modesty.Tatjana Weidmann-Hügle & Settimio Monteverde - 2024 - HEC Forum 36 (2):131-145.
    Leading paradigms of clinical ethics consultation closely follow a biomedical model of care. In this paper, we present a theoretical reflection on the underlying biomedical model of disease, how it shaped clinical practices and patterns of ethical deliberation within these practices, and the repercussions it has on clinical ethics consultations for patients with chronic illness. We contend that this model, despite its important contribution to capturing the ethical issues of day-to-day clinical ethics deliberation, might not be (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  19.  24
    Informal ethics consultations in academic health care settings: A quantitative description and a qualitative analysis with a focus on patient participation.Abraham Rudnick, Luljeta Pallaveshi, Robert William Sibbald & Cheryl Forchuk - 2014 - Clinical Ethics 9 (1):28-35.
    Background Ethics consultations are established in contemporary health care. Informal ethics consultations often occur and are possibly beneficial, yet they have not been empirically studied. We sought to describe features of informal ethics consultations and to identify facilitators and disruptors of patient participation in such ethics consultations. Methods We used a mixed methods (quantitative and qualitative) evaluation design and conveniently sampled 64 sequential informal ethics consultations over a period of 3 years in two academic health (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  20.  17
    Healthcare Ethics Consultation as Public Philosophy.Lisa Fuller & Mark Christopher Navin - 2022 - In Lee C. McIntyre, Nancy Arden McHugh & Ian Olasov (eds.), A companion to public philosophy. Hoboken, NJ: Wiley-Blackwell. pp. 371–380.
    Healthcare ethics consultation is therefore one of the most consequential, institutionally accepted, and widespread forms of public philosophy in the United States. In this chapter, the authors begin with an overview of the development of healthcare ethics and its emergence as a concrete practice embedded in healthcare settings. They then describe the core ethical principles that inform the everyday practice of ethics consultations and the generally accepted steps involved in conducting a consultation. The authors discuss (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark  
  21.  51
    Ethics consultation volume at U.S. children's hospitals: A cross-sectional survey.George E. Hardart & Mindy Lipson - 2016 - AJOB Empirical Bioethics 7 (1):64-70.
    Background: There is growing interest in credentialing hospital ethicists. Consult volume is being incorporated into credentialing criteria, although few data supporting this approach are available...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  22.  11
    The Health Care Ethics Consultant.Francoise C. Baylis - 1994 - Humana Press.
    The primary objective of The Health Care Ethics Con sultant is to focus attention on an immediate practical problem: the role and responsibilities, the education and training, and the certification and accreditation of health care ethics consultants. The principal questions addressed in this book include: Who should be considered health care ethics consultants? Whom should they advise? What should be their responsi bilities and what kind of training should they have? Should there be some kind of accreditation (...)
    Direct download  
     
    Export citation  
     
    Bookmark   14 citations  
  23.  34
    Ethics Consultation in Surgical Specialties.Nicole A. Meredyth, Joseph J. Fins & Inmaculada de Melo-Martin - 2021 - HEC Forum 34 (1):89-102.
    Multiple studies have been performed to identify the most common ethical dilemmas encountered by ethics consultation services. However, limited data exists comparing the content of ethics consultations requested by specific hospital specialties. It remains unclear whether the scope of ethical dilemmas prompting an ethics consultation differ between specialties and if there are types of ethics consultations that are more or less frequently called based on the specialty initiating the ethics consult. This study retrospectively (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  24.  54
    Should ethics consultants help clinicians face scarcity in their practice?S. A. Hurst, S. Reiter-Theil, A.-M. Slowther, R. Pegoraro, R. Forde & M. Danis - 2008 - Journal of Medical Ethics 34 (4):241-246.
    In an international survey of rationing we have found that European physicians encounter scarcity-related ethical difficulties, and are dissatified with the resolution of many of these cases. Here we further examine survey results to explore whether ethics support services would be potentially useful in addressing scarcity related ethical dilemmas. Results indicate that while the type of help offered by ethics support services was considered helpful by physicians, they rarely referred difficulties regarding scarcity to ethics consultation. We (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   21 citations  
  25.  54
    “Systematizing” Ethics Consultation Services.Courtenay R. Bruce, Margot M. Eves, Nathan G. Allen, Martin L. Smith, Adam M. Peña, John R. Cheney & Mary A. Majumder - 2015 - HEC Forum 27 (1):35-45.
    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  26.  69
    Evaluating ethics consultation: randomised controlled trial is not the right tool.Y.-Y. Chen & Y.-C. Chen - 2008 - Journal of Medical Ethics 34 (8):594-597.
    Background: Although ethics consultation has been introduced to clinical practice for many years, the results of empirical studies to evaluate the effectiveness of ethics consultation are still controversial. The design of randomised controlled trials is considered the best research design to evaluate the effect of a clinical practice on the outcomes of interests. In order to understand the effects of ethics consultation, we conducted this search for studies with the design of randomised controlled trials (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   16 citations  
  27.  5
    An Ethics Consult Documentation Simplification Project: Summation of Participatory Processes, User Perceptions, and Subsequent Use Patterns.Meaghann S. Weaver, Anita J. Tarzian, Hannah N. Hester, Karinne R. Davidson, Rodney P. Dismukes & Mary Beth Foglia - forthcoming - HEC Forum:1-17.
    Healthcare ethics consultants in the Veterans Health Administration (VHA) document consults in an enterprise-wide web-based database entitled IEWeb, serving as a system of record for healthcare ethics documentation at 1300 VA facilities. The need arose to evolve the database from an ethics process training resource into a more streamlined documentation repository that captures essential consult elements. A VHA National Center for Ethics in Health Care (NCEHC) Improvement Team convened for three tasks: (1) Specify and prioritize IEWeb (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  28.  95
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   53 citations  
  29.  65
    Ethics Consultation and Empathy: Finding the Balance in Clinical Settings.Florian Bruns & Andreas Frewer - 2011 - HEC Forum 23 (4):247-255.
    There is no doubt that emotions have an important effect on practices of moral reasoning such as clinical ethics consultation. Empathy is not only a basic human emotion but also an important and learnable skill for health care professionals. A basic amount of empathy is essential both in patient care and in clinical ethics consultation. This article debates the “adequate dose” of empathy in ethics consultations in clinical settings and tries to identify possible situations within (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  30.  5
    The role of online ethics consultation on mental health.Kayoko Ohnishi, Teresa E. Stone, Takashi Yoshiike & Kazuyo Kitaoka - 2020 - Nursing Ethics 27 (5):1261-1269.
    Background Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations The (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  31.  50
    Ethics consultation on demand: concepts, practical experiences and a case study.S. Reiter-Theil - 2000 - Journal of Medical Ethics 26 (3):198-203.
    Despite the increasing interest in clinical ethics, ethics consultation as a professional service is still rare in Europe. In this paper I refer to examples in the United States. In Germany, university hospitals and medical faculties are still hesitant about establishing yet another “committee”. One of the reasons for this hesitation lies in the ignorance that exists here about how to provide medical ethics services; another reason is that medical ethics itself is not yet institutionalised (...)
    Direct download (9 more)  
     
    Export citation  
     
    Bookmark   32 citations  
  32.  49
    When Ethics Consultation and Courts Collide: A Case of Compelled Treatment of a Mature Minor.Jeffrey P. Spike - 2011 - Narrative Inquiry in Bioethics 1 (2):123-131.
    A fourteen year old is diagnosed with aplastic anemia. The teen and his parents are Jehovah’s Witnesses. An ethics consult is called on the day of admission by an ethically sophisticated social worker and attending. The patient and his parents see this diagnosis as “a test of their faith.” The ethical analysis focuses on the mature minor doctrine, i.e. whether the teen has the capacity to make this decision. The hospital chooses to take the case to court, with a (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  33.  57
    Clinical ethics consultation in Europe: a comparative and ethical review of the role of patients.Véronique Fournier, Eirini Rari, Reidun Førde, Gerald Neitzke, Renzo Pegoraro & Ainsley J. Newson - 2009 - Clinical Ethics 4 (3):131-138.
    Clinical ethics has developed significantly in Europe over the past 15 years and remains an evolving process. While sharing our experiences in different European settings, we were surprised to discover marked differences in our practice, especially regarding the position and role of patients. In this paper, we describe these differences, such as patient access to and participation or representation in ethics consults. We propose reasons to explain these differences, hypothesizing that they relate to the historic and sociocultural context (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   28 citations  
  34.  11
    Healthcare Ethics Consultation in Austria: Joining the International Path of Professionalization.Jürgen Wallner - 2023 - Journal of Clinical Ethics 34 (1):69-78.
    Healthcare ethics consultation has been developed, practiced, and analyzed internationally. However, only a few professional standards have evolved globally in this field that would be comparable to standards in other areas of healthcare. This article cannot compensate for this situation. It contributes to the ongoing debate on professionalization by presenting experiences with ethics consultation in Austria, though. After exploring its contexts and providing an overview of one of its primary ethics programs, the article analyzes the (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark  
  35. University Ethics Consultants.Scott Gelfand - 2010 - Public Affairs Quarterly 24 (1):39-65.
    Hospitals and businesses regularly utilize the services of ethics consultants—experts who help resolve ethical problems/dilemmas, provide guidance concerning ethical issues, and assist in the development of policies designed to increase the likelihood that ethically difficult or challenging situations that arise in the future will be resolved satisfactorily. Surprisingly, universities do not employ ethics consultants. In this essay, I will explore the idea of university ethics consultants.
     
    Export citation  
     
    Bookmark  
  36.  74
    Ethics Consultation: The Least Dangerous Profession?Giles R. Scofield, John C. Fletcher, Albert R. Jonsen, Christian Lilje, Donnie J. Self & Judith Wilson Ross - 1993 - Cambridge Quarterly of Healthcare Ethics 2 (4):417.
    Whether ethics is too important to be left to the experts or so important that it must be is an age-old question. The emergence of clinical ethicists raises it again, as a question about professionalism. What role clinical ethicists should play in healthcare decision making – teacher, mediator, or consultant – is a question that has generated considerable debate but no consensus.
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   26 citations  
  37.  11
    Clinical Ethics Consultation: Theories and Methods, Implementation, Evaluation.John-Stewart Gordon & Jan Schildmann - 2010 - Routledge.
    This volume brings together a group of researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation. The work provides a discussion on the theories and methods underlying CEC and on the issues of implementation and evaluation.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  38.  53
    Trauma Informed Ethics Consultation.Elizabeth Lanphier & Uchenna E. Anani - 2022 - American Journal of Bioethics 22 (5):45-57.
    We argue for the addition of trauma informed awareness, training, and skill in clinical ethics consultation by proposing a novel framework for Trauma Informed Ethics Consultation (TIEC). This approach expands on the American Society for Bioethics and Humanities (ASBH) framework for, and key insights from feminist approaches to, ethics consultation, and the literature on trauma informed care (TIC). TIEC keeps ethics consultation in line with the provision of TIC in other clinical settings. (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   14 citations  
  39.  73
    Defense Mechanisms in Ethics Consultation.George J. Agich - 2011 - HEC Forum 23 (4):269-279.
    While there is no denying the relevance of ethical knowledge and analytical and cognitive skills in ethics consultation, such knowledge and skills can be overemphasized. They can be effectively put into practice only by an ethics consultant, who has a broad range of other skills, including interpretive and communicative capacities as well as the capacity effectively to address the psychosocial needs of patients, family members, and healthcare professionals in the context of an ethics consultation case. (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   8 citations  
  40.  17
    Ethics consultation in patients with behavioral and psychological symptoms of dementia.Michael Makhinson, Juliana Gomez-Makhinson, Catherine Jennings & Sergio Huerta - forthcoming - Clinical Ethics.
    The increasing age of the patient population around the globe and in the United States has resulted in a growing number of patients with dementia. In this manuscript, we examined the role of the ethics consultation service in patients who have dementia and associated cognitive and neuropsychiatric sequelae. We addressed a particularly challenging case presenting with behavioral and psychological symptoms of dementia. We discussed the ethical questions and challenges considered by the ethics consultation service and compared (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  41.  38
    (1 other version)Ethics consultation in paediatric and adult emergency departments: an assessment of clinical, ethical, learning and resource needs.K. A. Colaco, A. Courtright, S. Andreychuk, A. Frolic, J. Cheng & A. J. Kam - 2017 - Journal of Medical Ethics Recent Issues 44 (1):13-20.
    Objective We sought to understand ethics and education needs of emergency nurses and physicians in paediatric and adult emergency departments in order to build ethics capacity and provide a foundation for the development of an ethics education programme. Methods This was a prospective cross-sectional survey of all staff nurses and physicians in three tertiary care EDs. The survey tool, called Clinical Ethics Needs Assessment Survey, was pilot tested on a similar target audience for question content and (...)
    No categories
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  42.  23
    Incorporating Ethics Consultations into Public Health Practice.Efthimios Parasidis & Amy L. Fairchild - 2022 - American Journal of Bioethics 22 (4):47-50.
    In target articles for this special issue, Fox et al. report that ethics consultation (EC) practices have not improved significantly since 2000, and question whether the status quo affords patients...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  43.  82
    Practical Guidance for Charting Ethics Consultations.Courtenay R. Bruce, Martin L. Smith, Olubukunola Mary Tawose & Richard R. Sharp - 2014 - HEC Forum 26 (1):79-93.
    It is generally accepted that appropriate documentation of activities and recommendations of ethics consultants in patients’ medical records is critical. Despite this acceptance, the bioethics literature is largely devoid of guidance on key elements of an ethics chart note, the degree of specificity that it should contain, and its stylistic tenor. We aim to provide guidance for a variety of persons engaged in clinical ethics consultation: new and seasoned ethics committee members who are new to (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   12 citations  
  44.  27
    Clinical Ethics Consultation’s Dilemma, and a Solution.Lisa M. Rasmussen - 2011 - Journal of Clinical Ethics 22 (4):380-392.
    Clinical ethics consultation is on the horns of a dilemma. One horn skewers the field for its lack of standards, while the other horn skewers it for proposing arbitrary or deeply contested foundations. I articulate the dilemma by discussing several critiques of the field and the challenge of formulating standards and suggest that the solution lies, at least until a robust consensus emerges, with establishing a list of proscriptive standards to guide the field.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  45.  22
    Pediatric Ethics Consultation: Practical Considerations for the Clinical Ethics Consultant.Kathryn L. Weise, Jessica A. Moore, Nneka O. Sederstrom, Tracy Koogler, Kerri O. Kennedy, Clare Delany, Bethany Bruno, Johan C. Bester & Caroline A. Buchanan - 2019 - Journal of Clinical Ethics 30 (3):270-283.
    Clinical ethics consultants face a wide range of ethical dilemmas that require broad knowledge and skills. Although there is considerable overlap with the approach to adult consultation, ethics consultants must be aware of differences when they work with infant, pediatric, and adolescent cases. This article addresses unique considerations in the pediatric setting, reviews foundational theories on parental authority, suggests practical approaches to pediatric consultation, and outlines current available resources for clinical ethics consultants who wish to (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   1 citation  
  46.  30
    Growing an ethics consultation service: A longitudinal study examining two decades of practice.Christine Gorka, Jana M. Craig & Bethany J. Spielman - 2017 - AJOB Empirical Bioethics 8 (2):116-127.
    Background: Little is known about what factors may contribute to the growth of a consultation service or how a practice may change or evolve across time. Methods: This study examines data collected from a busy ethics consultation service over a period of more than two decades. Results: We report a number of longitudinal findings that represent significant growth in the volume of ethics consultation requests from 19 in 1990 to 551 in 2013, as well as (...)
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  47.  40
    Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure.Autumn Fiester - 2015 - American Journal of Bioethics 15 (1):29-36.
    Clinical ethics consultations are sometimes deemed complete at the moment when the consultants make a recommendation. In CECs that involve actual ethical conflict, this view of a consult's endpoint runs the risk of overemphasizing the conflict's resolution at the expense of the consult's process, which can have deleterious effects on the various parties in the conflict. This overly narrow focus on reaching a decision or recommendation in consults that involve profound moral disagreement can result in two types of adverse, (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   32 citations  
  48.  49
    Exploring Accountability of Clinical Ethics Consultants: Practice and Training Implications.Kathryn L. Weise & Barbara J. Daly - 2014 - American Journal of Bioethics 14 (6):34-41.
    Clinical ethics consultants represent a multidisciplinary group of scholars and practitioners with varied training backgrounds, who are integrated into a medical environment to assist in the provision of ethically supportable care. Little has been written about the degree to which such consultants are accountable for the patient care outcome of the advice given. We propose a model for examining degrees of internally motivated accountability that range from restricted to unbounded accountability, and support balanced accountability as a goal for practice. (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   12 citations  
  49. Clinical Ethics Consultations in the Opinion of Polish Physicians.Marek Czarkowski, Joanna Różyńska, Bartosz Maćkiewicz & Jakub Zawiła-Niedźwiecki - 2021 - Journal of Bioethical Inquiry 18 (3):499-509.
    Clinical Ethics Consultations are an important tool for physicians in solving difficult cases. They are extremely common in North America and to a lesser extent also present in Europe. However, there is little data on this practice in Poland. We present results of a survey of 521 physicians practising in Poland concerning their opinion on CECs and related practices. We analysed the data looking at such issues as CECs’ perceived availability, use of CECs, and perceived usefulness of such support. (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  50.  26
    Clinical Ethics Consultations and the Necessity of NOT Meeting Expectations: I Never Promised You a Rose Garden.Stuart G. Finder & Virginia L. Bartlett - 2024 - HEC Forum 36 (2):147-165.
    Clinical ethics consultants (CECs) work in complex environments ripe with multiple types of expectations. Significantly, some are due to the perspectives of professional colleagues and the patients and families with whom CECs consult and concern how CECs can, do, or should function, thus adding to the moral complexity faced by CECs in those particular circumstances. We outline six such common expectations: Ethics Police, Ethics Equalizer, Ethics Superhero, Ethics Expediter, Ethics Healer or Ameliorator, and, finally, (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
1 — 50 / 966