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  1. The Development of a Descriptive Evaluation Tool for Clinical Ethics Case Consultations.R. Pedersen, S. A. Hurst, J. Schildmann, S. Schuster & B. Molewijk - 2010 - Clinical Ethics 5 (3):136-141.
    There is growing interest in clinical ethics. However, we still have sparse knowledge about what is actually going on in the everyday practice of clinical ethics consultations. This paper introduces a descriptive evaluation tool to present, discuss and compare how clinical ethics case consultations are actually carried out. The tool does not aim to define ‘best practice’. Rather, it facilitates concrete comparisons and evaluative discussions of the role, function, procedures and ideals inherent in clinical ethics case consultation practices. The tool (...)
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  • Project Examining Effectiveness in Clinical Ethics (PEECE): Phase 1--Descriptive Analysis of Nine Clinical Ethics Services.M. D. Godkin - 2005 - Journal of Medical Ethics 31 (9):505-512.
    Objective: The field of clinical ethics is relatively new and expanding. Best practices in clinical ethics against which one can benchmark performance have not been clearly articulated. The first step in developing benchmarks of clinical ethics services is to identify and understand current practices.Design and setting: Using a retrospective case study approach, the structure, activities, and resources of nine clinical ethics services in a large metropolitan centre are described, compared, and contrasted.Results: The data yielded a unique and detailed account of (...)
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  • Ethical Challenges and How to Develop Ethics Support in Primary Health Care.Lillian Lillemoen & Reidar Pedersen - 2013 - Nursing Ethics 20 (1):96-108.
    Ethics support in primary health care has been sparser than in hospitals, the need for ethics support is probably no less. We have, however, limited knowledge about how to develop ethics support that responds to primary health-care workers’ needs. In this article, we present a survey with a mixture of closed- and open-ended questions concerning: How frequent and how distressed various types of ethical challenges make the primary health-care workers feel, how important they think it is to deal with these (...)
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  • Barriers and Challenges in Clinical Ethics Consultations: The Experiences of Nine Clinical Ethics Committees: Country Reports.Reidar Pedersen - 2009 - Bioethics 23 (8):460-469.
    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, (...)
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  • What is Happening During Case Deliberations in Clinical Ethics Committees? A Pilot Study.R. Pedersen, V. Akre & R. Forde - 2009 - Journal of Medical Ethics 35 (3):147-152.
    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 (...)
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  • Clinical Ethicists' Perspectives on Organisational Ethics in Healthcare Organisations.D. S. Silva, J. L. Gibson, R. Sibbald, E. Connolly & P. A. Singer - 2008 - Journal of Medical Ethics 34 (5):320-323.
    Background: Demand for organisational ethics capacity is growing in health organisations, particularly among managers. The role of clinical ethicists in, and perspective on, organisational ethics has not been well described or documented in the literature. Objective: To describe clinical ethicists’ perspectives on organisational ethics issues in their hospitals, their institutional role in relation to organisational ethics, and their perceived effectiveness in helping to address organisational ethics issues. Design and Setting: Qualitative case study involving semi-structured interviews with 18 clinical ethicists across (...)
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  • 'I Just Love These Sessions'. Should Physician Satisfaction Matter in Clinical Ethics Consultations?Clare Delany & Georgina Hall - 2012 - Clinical Ethics 7 (3):116-121.
    Clinical ethics committees aim to resolve conflict, facilitate communication and ease moral distress in health care. Dialogue in committee discussions is complex and involves a balance between implicitly and explicitly expressed values of patients, families and professionals. Evaluating effectiveness and concrete outcomes is challenging and most studies focus on broad benefits such as quality of care and reduction of unnecessary or unwanted treatments. In this paper we propose ‘physician satisfaction’ as a valuable outcome. We refer to the clinical ethics approach (...)
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  • Nurses' Responses to Initial Moral Distress in Long-Term Care.Marie P. Edwards, Susan E. McClement & Laurie R. Read - 2013 - Journal of Bioethical Inquiry 10 (3):325-336.
    While researchers have examined the types of ethical issues that arise in long-term care, few studies have explored long-term care nurses’ experiences of moral distress and fewer still have examined responses to initial moral distress. Using an interpretive description approach, 15 nurses working in long-term care settings within one city in Canada were interviewed about their responses to experiences of initial moral distress, resources or supports they identified as helpful or potentially helpful in dealing with these situations, and factors that (...)
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  • HEC Member Perspectives on the Case Analysis Process: A Qualitative Multi-Site Study. [REVIEW]Eric Racine - 2007 - HEC Forum 19 (3):185-206.
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