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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Citations of this work BETA
H. Tristram Engelhardt (2011). Core Competencies for Health Care Ethics Consultants: In Search of Professional Status in a Post-Modern World. HEC Forum 23 (3):129-145.
Erica K. Rangel (2009). Clinical Ethics and the Dynamics of Group Decision-Making: Applying the Psychological Data to Decisions Made by Ethics Committees. [REVIEW] HEC Forum 21 (2):207-228.
Kenneth Kipnis (2009). The Certified Clinical Ethics Consultant. HEC Forum 21 (3):249-261.
Anita J. Tarzian (2009). Credentials for Clinical Ethics Consultation – Are We There Yet? HEC Forum 21 (3):241-248.
Jessica Richmond Moeller, Teresa H. Albanese, Kimberly Garchar, Julie M. Aultman, Steven Radwany & Dean Frate (2012). Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults. [REVIEW] HEC Forum 24 (2):99-114.
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