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  1. Phenomenology, Saudi Arabia, and an Argument for the Standardization of Clinical Ethics Consultation.Abram Brummett & Ruaim Muaygil - 2021 - Philosophy, Ethics, and Humanities in Medicine 16 (1):1-9.
    Background The purpose of this study is to make a philosophical argument against the phenomenological critique of standardization in clinical ethics. We used the context of clinical ethics in Saudi Arabia to demonstrate the importance of credentialing clinical ethicists. Methods Philosophical methods of argumentation and conceptual analysis were used. Results We found the phenomenological critique of standardization to be flawed because it relies on a series of false dichotomies. Conclusions We concluded that the phenomenological framing of the credentialing debate relies (...)
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  • Quality in Ethics Consultations.Gerard Magill - 2013 - Medicine, Health Care and Philosophy 16 (4):761-774.
    There is an increasing need for quality in ethics consultations, though there have been significant achievements in the United States and Europe. However, fundamental concerns that place the profession in jeopardy are discussed from the perspective of the U.S. in a manner that will be helpful for other countries. The descriptive component of the essay (the first two points) explains the achievements in ethics quality (illustrated by the IntegratedEthics program of the Veterans Health Administration) and the progress on standards and (...)
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  • Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare Ethics Consultation.Kelly W. Harris, Thomas V. Cunningham, D. Micah Hester, Kelly Armstrong, Ahra Kim, Frank E. Harrell & Joseph B. Fanning - 2021 - AJOB Empirical Bioethics 12 (2):123-136.
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  • Primary Care Ethics is Just Medical Ethics: A Philosophical Argument for the Feasibility of Transitioning Acute Care Ethics to the Primary Care Setting.Stephen Perinchery-Herman - forthcoming - HEC Forum:1-22.
    Whether practiced by ethics committees or clinical ethicists, medical ethics enjoys a solid foundation in acute care hospitals. However, medical ethics fails to have a strong presence in the primary care setting. Recently, some ethicists have argued that the reason for this disparity between ethics in the acute and primary care setting is that primary care ethics is distinct from acute care ethics: the failure to translate ethics to the primary care setting stems from the incorrect belief that acute care (...)
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  • Moving It Along: A Study of Healthcare Professionals’ Experience with Ethics Consultations.Nancy Crigger, Maria Fox, Tarris Rosell & Wilaiporn Rojjanasrirat - 2017 - Nursing Ethics 24 (3):279-291.
    Background: Ethics consultation is the traditional way of resolving challenging ethical questions raised about patient care in the United States. Little research has been published on the resolution process used during ethics consultations and on how this experience affects healthcare professionals who participate in them. Objectives: The purpose of this qualitative research was to uncover the basic process that occurs in consultation services through study of the perceptions of healthcare professionals. Design and Method: The researchers in this study used a (...)
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  • Application of METAP Methodology for Clinical Ethics Consultation in End-of-Life Care in Bulgaria.Silviya Stoyanova Aleksandrova-Yankulovska - 2020 - Clinical Ethics 15 (4):204-212.
    Although clinical ethics consultation has existed for more than 40 years in the USA and Europe, it was not available in Bulgaria until recently. In introducing clinical ethics consultation into our country, the Modular, Ethical, Treatment, Allocation of resources, Process methodology has been preferred because of its potential to be used in resource-poor settings and its strong educational function. This paper presents the results of a METAP evaluation in a hospital palliative care ward in the town of Vratsa. The evaluation (...)
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  • The Pitfalls of Proceduralism: An Exploration of the Goods Internal to the Practice of Clinical Ethics Consultation.Annie Friedrich - 2018 - HEC Forum 30 (4):389-403.
    In an age of professionalization and specialization, the practice of clinical ethics is facing an identity crisis. Are clinical ethicists moral experts, ethics experts, or merely quasi-lawyers giving legal advice? Are they extensions of the hospital, always working to advance the hospital’s interests? Or is there another option? Since 1998, when the American Society for Bioethics and Humanities first issued its Core Competencies for Healthcare Ethics Consultation, there has been debate about the role of standardization and proceduralism in clinical ethics (...)
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  • Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation?Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2010 - HEC Forum 22 (1):73-84.
    Guiding our response in this essay is our view that current efforts to demarcate the role of the clinical ethicist risk reducing its complex network of authorizations to sites of power and payment. In turn, the role becomes susceptible to various ideologies—individualisms, proceduralisms, secularisms—that further divide the body from the web of significances that matter to that body, where only she, the patient, is located. The security of policy, standards, and employment will pull against and eventually sever the authorization secured (...)
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  • The Core Competencies: A Roman Catholic Critique. [REVIEW]Elliott Louis Bedford - 2011 - HEC Forum 23 (3):147-169.
    This article critically examines, from the perspective of a Roman Catholic Healthcare ethicist, the second edition of the Core Competencies for Healthcare Ethics Consultation report recently published by the American Society for Humanities and Bioethics. The question is posed: can the competencies identified in the report serve as the core competencies for Roman Catholic ethical consultants and consultation services? I answer in the negative. This incongruence stems from divergent concepts of what it means to do ethics consultation, a divergence that (...)
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  • Mapping Our Practice? Some Conceptual “Bumps” for Us to Consider.Christy Simpson - 2012 - HEC Forum 24 (3):219-226.
    There are several important conceptual issues and questions about the practice of healthcare ethics that can, and should, inform the development of any practice standards. This paper provides a relatively short overview of seven of these issues, with the invitation for further critical reflection and examination of their relevance to and implications for practice standards. The seven issues described include: diversity (from the perspective of training and experience); moral expertise and authority/influence; being an insider or outsider; flexibility and adaptability (for (...)
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  • Ethics Outside of Inpatient Care: The Need for Alliances Between Clinical and Organizational Ethics.Rachelle Barina - 2014 - HEC Forum 26 (4):309-323.
    The norms and practices of clinical ethics took form relative to the environment and relationships of hospital care. These practices do not easily translate into the outpatient context because the environment and relational dynamics differ. Yet, as outpatient care becomes the center of health care delivery, the experiences of ethical tension for outpatient clinicians warrant greater responses. Although a substantial body of literature on the nature of the doctor–physician relationship has been developed and could provide theoretical groundwork for an outpatient (...)
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  • Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation? [REVIEW]Jeffrey P. Bishop, Joseph B. Fanning & Mark J. Bliton - 2010 - HEC Forum 22 (1):171-171.
    Erratum to: Echo Calling Narcissus: What Exceeds the Gaze of Clinical Ethics Consultation? Content Type Journal Article Pages 171-171 DOI 10.1007/s10730-010-9132-7 Authors Jeffrey P. Bishop, Saint Louis University Tenet Chair of Health Care Ethics, Albert Gnaegi Center for Health Care Ethics Salus Center, Room 527, 3545 Lafayette Ave St. Louis MO 63104-1314 USA Joseph B. Fanning, Vanderbilt University Center for Biomedical Ethics and Society 2525 West End Ave., 4th Floor, Suite 400 Nashville TN 37203 USA Mark J. Bliton, Vanderbilt University (...)
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  • Ensuring Quality in Clinical Ethics Consultations: Perspectives of Ethicists Regarding Process and Prior Training of Consultants.Henry J. Silverman, Emily Bellavance & Brian H. Childs - 2013 - American Journal of Bioethics 13 (2):29-31.
  • Ethics Expertise and Moral Authority: Is There a Difference?David Michael Adams - 2013 - American Journal of Bioethics 13 (2):27-28.
  • A Decision-Making Tool for Building Clinical Ethics Capacity Among Irish Health Professionals.Louise Campbell & Joan McCarthy - 2017 - Clinical Ethics 12 (4):189-196.
    Although clinical ethics support services are becoming increasingly prevalent in Europe and North America, they remain an uncommon feature of the Irish healthcare system and Irish health professionals lack formal support when faced with ethically challenging cases. We have developed a variant on existing clinical ethics decision-making tools which is designed to build capacity and confidence amongst Irish practitioners and enable them to confront challenging situations in the absence of any dedicated support structure. The tool provided below follows a transparent (...)
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  • Structuring a Written Examination to Assess ASBH Health Care Ethics Consultation Core Knowledge Competencies.Bruce D. White, Jane B. Jankowski & Wayne N. Shelton - 2014 - American Journal of Bioethics 14 (1):5-17.
    As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...)
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