David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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American Journal of Bioethics 7 (2):13 – 25 (2007)
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 general hospitals in the U.S., and in 100% of hospitals with more than 400 beds. The median number of consults performed by ECSs in the year prior to survey was 3. Most individuals performing ethics consultation were physicians (34%), nurses (31%), social workers (11%), or chaplains (10%). Only 41% had formal supervised training in ethics consultation. Consultation practices varied widely both within and between ECSs. For example, 65% of ECSs always made recommendations, whereas 6% never did. These findings highlight a need to clarify standards for ethics consultation practices.
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References found in this work BETA
M. D. Godkin (2005). Project Examining Effectiveness in Clinical Ethics (PEECE): Phase 1--Descriptive Analysis of Nine Clinical Ethics Services. Journal of Medical Ethics 31 (9):505-512.
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Citations of this work BETA
Autumn Fiester (2015). Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure. American Journal of Bioethics 15 (1):29-36.
Autumn Fiester (2012). The “Difficult” Patient Reconceived: An Expanded Moral Mandate for Clinical Ethics. American Journal of Bioethics 12 (5):2-7.
Liza-Marie Johnson, Christopher L. Church, Monika Metzger & Justin N. Baker (2015). Ethics Consultation in Pediatrics: Long-Term Experience From a Pediatric Oncology Center. American Journal of Bioethics 15 (5):3-17.
Anita J. Tarzian & Lucia D. Wocial (2015). A Code of Ethics for Health Care Ethics Consultants: Journey to the Present and Implications for the Field. American Journal of Bioethics 15 (5):38-51.
Michael Kapottos & Stuart Youngner (2015). The Texas Advanced Directive Law: Unfinished Business. American Journal of Bioethics 15 (8):34-38.
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