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
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
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|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
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.
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.
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.
Glenn McGee, Joshua P. Spanogle, Arthur L. Caplan & David A. Asch (2001). A National Study of Ethics Committees. American Journal of Bioethics 1 (4):60-64.
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
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.
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.
Morten Magelssen, Reidar Pedersen & Reidun Førde (forthcoming). Novel Paths to Relevance: How Clinical Ethics Committees Promote Ethical Reflection. HEC Forum:1-12.
Marek Czarkowski, Katarzyna Kaczmarczyk & Beata Szymańska (2015). Hospital Ethics Committees in Poland. Science and Engineering Ethics 21 (6):1525-1535.
Similar books and articles
Linda Farber Post (2007). Handbook for Health Care Ethics Committees. Johns Hopkins University Press.
Hans-Peter Graf (2013). Are the Votes of Ethics Committees in Germany for the Protection of Clinical Study Trial Subjects “Sovereign Acts?”. Science and Engineering Ethics 19 (2):341-354.
Rihito Kimura (1989). Ethics Committees for "High Tech" Innovations in Japan. Journal of Medicine and Philosophy 14 (4):457-464.
Tanja Ramsauer & Andreas Frewer (2009). Clinical Ethics Committees and Pediatrics. An Evaluation of Case Consultations. Diametros 22:90 – 104.
Marek Czarkowski (2006). The Protection of Patients' Rights in Clinical Trials. Science and Engineering Ethics 12 (1):131-138.
Peter Singer, Edmund Pellegrino & Mark Siegler (2001). Clinical Ethics Revisited. BMC Medical Ethics 2 (1):1-8.
D. Micah Hester (ed.) (2008). Ethics by Committee: A Textbook on Consultation, Organization, and Education for Hospital Ethics Committees. Rowman & Littlefield Pub..
George J. Agich (2009). The Issue of Expertise in Clinical Ethics. Diametros 22:3-20.
Eleanor Updale (2009). The Role of Clinical Ethics Committees. Diametros 22:116-123.
Added to index2009-01-28
Total downloads12 ( #237,298 of 1,781,486 )
Recent downloads (6 months)1 ( #295,005 of 1,781,486 )
How can I increase my downloads?