Order:
Disambiguations
Ellen Fox [26]Ellen L. Fox [2]
  1.  43
    Ethics Consultation in U.S. Hospitals: A National Follow-Up Study.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):5-18.
    A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to 68,000. The (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   42 citations  
  2. Ethics consultation in united states hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):13 – 25.
    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 (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   224 citations  
  3.  40
    (2 other versions)Ethics Consultation in U.S. Hospitals: Opinions of Ethics Practitioners.Ellen Fox, Anita J. Tarzian, Marion Danis & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):19-30.
    To design effective strategies to improve ethics consultation (EC) practices, it is important to understand the views of ethics practitioners. Previous U.S. studies of ethics practitioners have overrepresented the views of academic bioethicists. To help inform EC improvement efforts, we surveyed a random stratified sample of U.S. hospitals, examining ethics practitioners’ opinions on EC in general, on their own EC service, on strategies to improve EC, and on ASBH practice standards. Respondents across all categories of hospitals had very positive perceptions (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   22 citations  
  4.  27
    Ethics Consultation in U.S. Hospitals: Determinants of Consultation Volume.Ellen Fox & Christopher C. Duke - 2022 - American Journal of Bioethics 22 (4):31-37.
    The annual volume of ethics consultations (ECs) has been a topic of interest in the bioethics literature, in part because of its presumed relationship to quality. To better understand factors associated with EC volume, we used multiple linear regression to model the number of case consultations performed in the last year based on a national survey. We found that hospital bed size, academic affiliation, and urban/rural location were all associated with EC volume, but were not the primary drivers. Instead, these (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   15 citations  
  5.  47
    Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records.Robert A. Pearlman, Mary Beth Foglia, Ellen Fox, Jennifer H. Cohen, Barbara L. Chanko & Kenneth A. Berkowitz - 2016 - American Journal of Bioethics 16 (3):3-14.
    Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the Ethics Consultation Quality Assessment Tool. ECQAT enables raters to assess the (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   42 citations  
  6.  27
    Health care ethics programs in U.S. Hospitals: results from a National Survey.Christopher C. Duke, Anita Tarzian, Ellen Fox & Marion Danis - 2021 - BMC Medical Ethics 22 (1):1-14.
    BackgroundAs hospitals have grown more complex, the ethical concerns they confront have grown correspondingly complicated. Many hospitals have consequently developed health care ethics programs (HCEPs) that include far more than ethics consultation services alone. Yet systematic research on these programs is lacking.MethodsBased on a national, cross-sectional survey of a stratified sample of 600 US hospitals, we report on the prevalence, scope, activities, staffing, workload, financial compensation, and greatest challenges facing HCEPs.ResultsAmong 372 hospitals whose informants responded to an online survey, 97% (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   9 citations  
  7.  33
    Evaluating Outcomes in Ethics Consultation Research.Ellen Fox & R. M. Arnold - 1996 - Journal of Clinical Ethics 7 (2):127-138.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   35 citations  
  8.  40
    Evaluating Ethics Consultation: Framing the Questions.James A. Tulsky & Ellen Fox - 1996 - Journal of Clinical Ethics 7 (2):109-115.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   35 citations  
  9.  13
    Concepts in Evaluation Applied to Ethics Consultation Research.Ellen Fox - 1996 - Journal of Clinical Ethics 7 (2):116-121.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   28 citations  
  10.  5
    Clinical Ethics Fellowship Programs in the U.S. and Canada: A Descriptive Study of Program Characteristics and Practices.Ellen Fox & Jason Adam Wasserman - forthcoming - American Journal of Bioethics:1-16.
    To address the current lack of knowledge about clinical ethics fellowship programs (CEFPs), we surveyed all 36 programs in the U.S. and Canada. The number of CEFPs has grown exponentially over the last 40 years and far exceeds previous estimates. Commonalities among CEFPs include: 88.8% require an advanced degree or rarely accept applicants without one; 91.7% of programs do not restrict applicants to a specific background such as medicine or philosophy; and 88.9% of programs compensate fellows. CEFPs vary widely on (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  11.  18
    Ethics Consultation in United States Hospitals: Assessment of Training Needs.Christopher C. Duke, Marion Danis, Anita J. Tarzian & Ellen Fox - 2021 - Journal of Clinical Ethics 32 (3):247-255.
    BackgroundTo help inform the development of more accessible, acceptable, and effective ethics consultation (EC) training programs, we conducted an EC training needs assessment, exploring ethics practitioners’ opinions on: the relative importance of various EC practitioner competencies; the potential market for EC training (that is, how many individuals would benefit and how much individuals and hospitals would be willing to pay); and the preferred content, format, and characteristics of EC training.MethodsAs part of a multipart study, we surveyed “best informants” who self-identified (...)
    No categories
    Direct download  
     
    Export citation  
     
    Bookmark   3 citations  
  12.  20
    Developing a Certifying Examination for Health Care Ethics Consultants: Bioethicists Need Help.Ellen Fox - 2014 - American Journal of Bioethics 14 (1):1-4.
  13.  59
    Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):28-36.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   10 citations  
  14.  26
    Evaluation Research and the Future of Ethics Consultation.Ellen Fox & J. A. Tulsky - 1996 - Journal of Clinical Ethics 7 (2):146-149.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   13 citations  
  15.  15
    The Road to Certification for Clinical Ethics Consultants: Finding Our Bearings.Ellen Fox - 2016 - American Journal of Bioethics 16 (3):33-35.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  16.  74
    Paternalism and Friendship.Ellen L. Fox - 1993 - Canadian Journal of Philosophy 23 (4):575 - 594.
    Though much has been written about when paternalistic intervention is justified, and about how it is justified, much less has been written about who may do the intervening. This is a substantial lacuna in our understanding of the nature of justified paternalism. By examining the question of who it is that may most appropriately interfere with the course of our decision-making, we can learn something useful both about paternalism and about the nature of friendship.In this essay I will argue that (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   6 citations  
  17.  39
    Ethics consultation in US hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - forthcoming - Bioethics.
  18. Clinical ethics and systems thinking.Susan K. MacRae, Ellen Fox & Anne Slowther - 2008 - In Peter A. Singer & A. M. Viens (eds.), The Cambridge textbook of bioethics. New York: Cambridge University Press. pp. 313.
     
    Export citation  
     
    Bookmark   4 citations  
  19.  16
    Ethics Consultants’ Recommendations for Life-Prolonging Treatment of Patients in Persistent Vegetative State: A Follow-up Study.Ellen Fox, Frona C. Daskal & Carol Stocking - 2007 - Journal of Clinical Ethics 18 (1):64-71.
  20.  35
    Response to Open Peer Commentaries on "Ethics Consultation in U.S. Hospitals: A National Survey".Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):1-3.
    Context: Although ethics consultation is commonplace in United States 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 were found in 81% of all general hospitals in the U.S., and in 100% (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  21.  5
    Coverage Error and Generalizability: Concerns about the “Views in Bioethics Survey”.Ellen Fox & Jason Adam Wasserman - 2024 - American Journal of Bioethics 24 (9):63-66.
    Coverage error is an important type of error that occurs in survey studies when there is a mismatch between the target population and the sampling frame from which a sample is drawn. Coverage error...
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  22.  38
    Response to Open Peer Commentaries for “Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons”.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):3-4.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients and managers ; semi-structured interviews with managers, clinicians, and ethics committee chairpersons. Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark  
  23.  1
    Clinical Ethics Fellowship Programs in the United States and Canada: Program Directors’ Opinions About Accreditation and Funding.Ellen Fox & Jason Adam Wasserman - forthcoming - AJOB Empirical Bioethics.
    No categories
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  24. Moral Issues in Friendship.Ellen L. Fox - 1991 - Dissertation, The University of North Carolina at Chapel Hill
    Friendship alters the moral demands and ideals that we live with. In this dissertation I examine precisely how those ideals must change if they are to accommodate the realities of friendship. I begin by surveying Aristotle, Kant, and Montaigne, and showing that each of those writers had useful insights into the way in which we reconceptualize the self when we become close friends with another person. I suggest that Kant and Montaigne were both right that we tend to merge our (...)
     
    Export citation  
     
    Bookmark  
  25.  28
    The Physician’s Duty to Treat in Emergencies: Accepting Patients in Transfer.Ellen Fox - 1994 - Journal of Clinical Ethics 5 (1):43-45.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  26.  23
    Unanswered Questions About Clinical Ethics Expertise.Anita Tarzian & Ellen Fox - 2019 - American Journal of Bioethics 19 (11):91-94.
    Volume 19, Issue 11, November 2019, Page 91-94.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark