Barriers and challenges in clinical ethics consultations: The experiences of nine clinical ethics committees
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Bioethics 23 (8):460-469 (2009)
Clinical ethics committees have recently been established in nearly all Norwegian hospital trusts. One important task for these committees is clinical ethics consultations. This qualitative study explores significant barriers confronting the ethics committees in providing such consultation services. The interviews with the committees indicate that there is a substantial need for clinical ethics support services and, in general, the committee members expressed a great deal of enthusiasm for the committee work. They also reported, however, that tendencies to evade moral disagreement, conflict, and 'outsiders' are common in the hospitals. Sometimes even the committees comply with some of these tendencies. The committees agree that there is a need to improve their routines and procedures, clarify the committees' profile and field of responsibility, to make the committees well-known, to secure adequate operating conditions, and to develop organizational integration and support. Various strategies to meet these challenges on a local, regional or national level are also explored in this paper.
|Keywords||Clinical ethics committees conflict ethics consultation ethics hospitals Norway qualitative research|
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Citations of this work BETA
Reidun Førde & Reidar Pedersen (2011). Clinical Ethics Committees in Norway: What Do They Do, and Does It Make a Difference? Cambridge Quarterly of Healthcare Ethics 20 (3):389-395.
Reidun Førde (2012). How Can Empirical Ethics Improve Medical Practice? Cambridge Quarterly of Healthcare Ethics 21 (4):517-526.
Marek Czarkowski, Katarzyna Kaczmarczyk & Beata Szymańska (2015). Hospital Ethics Committees in Poland. Science and Engineering Ethics 21 (6):1525-1535.
Lillian Lillemoen & Reidar Pedersen (2015). Ethics Reflection Groups in Community Health Services: An Evaluation Study. BMC Medical Ethics 16 (1):25.
Morten Magelssen, Reidar Pedersen & Reidun Førde (forthcoming). Novel Paths to Relevance: How Clinical Ethics Committees Promote Ethical Reflection. HEC Forum:1-12.
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