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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References found in this work BETA
Michael D. Coughlin & John Watts (1993). A Descriptive Study of Healthcare Ethics Consultants in Canada: Results of a National Survey. [REVIEW] HEC Forum 5 (3):144-164.
Ellen Fox, Sarah Myers & Robert A. Pearlman (2007). Ethics Consultation in United States Hospitals: A National Survey. American Journal of Bioethics 7 (2):13 – 25.
Reidun Førde, Reidar Pedersen & Victoria Akre (2008). Clinicians' Evaluation of Clinical Ethics Consultations in Norway: A Qualitative Study. [REVIEW] Medicine, Health Care and Philosophy 11 (1):17-25.
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.
S. A. Hurst (2005). How Physicians Face Ethical Difficulties: A Qualitative Analysis. Journal of Medical Ethics 31 (1):7-14.
Citations of this work BETA
Leah McClimans, Anne-Marie Slowther & Michael Parker (2012). Can UK Clinical Ethics Committees Improve Quality of Care? HEC Forum 24 (2):139-147.
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.
Alice Gaudine, Marianne Lamb, Sandra LeFort & Linda Thorne (2011). The Functioning of Hospital Ethics Committees: A Multiple-Case Study of Four Canadian Committees. [REVIEW] HEC Forum 23 (3):225-238.
Reidun Førde (2012). How Can Empirical Ethics Improve Medical Practice? Cambridge Quarterly of Healthcare Ethics 21 (4):517-526.
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