David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 35 (3):147-152 (2009)
Background: Clinical ethics consultation services have been established in many countries during recent decades. An important task is to discuss concrete clinical cases. However, empirical research observing what is happening during such deliberations is scarce. Objectives: To explore clinical ethics committees’ deliberations and to identify areas for improvement. Design: A pilot study including observations of committees deliberating a paper case, semistructured group interviews, and qualitative analysis of the data. Participants: Nine hospital ethics committees in Norway. Results and interpretations: Key elements of the deliberations included identifying the ethical problems; exploring moral values and principles; clarifying key concepts and relevant legal regulation; exploring medical facts, the patient’s situation, the therapists’ perspective, analogous clinical situations, professional uncertainties, the patient’s and relatives’ perspective, and clinical communication; identifying the involved parties and how to involve them; identifying possible courses of action, and possible conclusion and follow-up. The various elements were closely interwoven. The content and conclusions varied and seemed to be contingent on the committee members’ interpretations, experience and knowledge. Important aspects of a clinical ethics deliberation were sometimes neglected. When the committees used a deliberation procedure and a blackboard, the deliberations tended to become more systematic and transparent. Many of the committees were insecure about how to include the involved parties and how to document the deliberations. Conclusion: Clinical ethics committees may provide an important arena for multidisciplinary discussions of complex clinical ethics challenges. However, this seems to require adequate composition, adoption of transparent deliberation procedures, and targeted training
|Keywords||No keywords specified (fix it)|
|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
No references found.
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.
Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk (2014). Outcomes of Moral Case Deliberation - the Development of an Evaluation Instrument for Clinical Ethics Support (the Euro-MCD). BMC Medical Ethics 15 (1):30.
Bette Anton (1999). CQ Sources/Bibliography. Cambridge Quarterly of Healthcare Ethics 8 (04):348-350.
Similar books and articles
Reidar Pedersen, Victoria Akre & Reidun Førde (2009). Barriers and Challenges in Clinical Ethics Consultations: The Experiences of Nine Clinical Ethics Committees. Bioethics 23 (8):460-469.
R. Forde & R. Pedersen (2012). Evaluation of Case Consultations in Clinical Ethics Committees. Clinical Ethics 7 (1):45-50.
Eleanor Updale (2009). The Role of Clinical Ethics Committees. Diametros 22:116-123.
Andrea Frolic, Sandra Andreychuk, Wendy Seidlitz, Angela Djuric-Paulin, Barb Flaherty, Barb Jennings & Donna Peace (2013). Implementing a Clinical Ethics Needs Assessment Survey: Results of a Pilot Study (Part 2 of 2). [REVIEW] HEC Forum 25 (1):61-78.
Jean-Claude Chevrolet & Bara Ricou (2009). Hospital Clinical Ethics Committees. The Geneva Experience - Switzerland. Diametros 22:21-38.
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.
L. Frith (2009). Use or Ornament? Clinical Ethics Committees in Infertility Units: A Qualitative Study. Clinical Ethics 4 (2):91-97.
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.
John Puma & David L. Schiedermayer (1991). The Clinical Ethicist at the Bedside. Theoretical Medicine and Bioethics 12 (2).
George J. Agich (2009). The Issue of Expertise in Clinical Ethics. Diametros 22:3-20.
Vic Larcher (2009). The Development and Function of Clinical Ethics Committees (CECs) in the United Kingdom. Diametros 22:47-63.
Peter Singer, Edmund Pellegrino & Mark Siegler (2001). Clinical Ethics Revisited. BMC Medical Ethics 2 (1):1-8.
Linda Farber Post (2007). Handbook for Health Care Ethics Committees. Johns Hopkins University Press.
F. M. Russell (2005). A Pilot Study of the Quality of Informed Consent Materials for Aboriginal Participants in Clinical Trials. Journal of Medical Ethics 31 (8):490-494.
Marek Czarkowski (2006). The Protection of Patients' Rights in Clinical Trials. Science and Engineering Ethics 12 (1):131-138.
Added to index2010-09-13
Total downloads7 ( #292,059 of 1,725,584 )
Recent downloads (6 months)1 ( #349,436 of 1,725,584 )
How can I increase my downloads?