American Journal of Bioethics 7 (2):13 – 25 (2007)
Context: Although ethics consultation is commonplace in United States (U.S.) hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the "best informant" within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services (ECSs) were found in 81% of all general hospitals in the U.S., and in 100% of hospitals with more than 400 beds. The median number of consults performed by ECSs in the year prior to survey was 3. Most individuals performing ethics consultation were physicians (34%), nurses (31%), social workers (11%), or chaplains (10%). Only 41% had formal supervised training in ethics consultation. Consultation practices varied widely both within and between ECSs. For example, 65% of ECSs always made recommendations, whereas 6% never did. These findings highlight a need to clarify standards for ethics consultation practices.
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Health Care Ethics Consultation: An Update on Core Competencies and Emerging Standards From the American Society for Bioethics and Humanities' Core Competencies Update Task Force.Anita Tarzian - 2013 - American Journal of Bioethics 13 (2):3-13.
Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure.Autumn Fiester - 2015 - American Journal of Bioethics 15 (1):29-36.
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