Results for 'the Asbh Clinical Ethics Consultation Affairs Committee'

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  1.  53
    A Code of Ethics for Health Care Ethics Consultants: Journey to the Present and Implications for the Field.Anita J. Tarzian, Lucia D. Wocial & the Asbh Clinical Ethics Consultation Affairs Committee - 2015 - American Journal of Bioethics 15 (5):38-51.
    For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationships/duties toward those they serve. By approving a Code of Ethics and Professional Responsibilities for Health Care Ethics Consultants, (...)
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  2.  17
    The Work of ASBH’s Clinical Ethics Consultation Affairs Committee: Development Processes Behind Our Educational Materials.George E. Hardart, Katherine Wasson, Ellen M. Robinson, Aviva Katz, Deborah L. Kasman, Liza-Marie Johnson, Barrie J. Huberman, Anne Cordes, Barbara L. Chanko, Jane Jankowski & Courtenay R. Bruce - 2018 - Journal of Clinical Ethics 29 (2):150-157.
    The authors of this article are previous or current members of the Clinical Ethics Consultation Affairs (CECA) Committee, a standing committee of the American Society for Bioethics and Humanities (ASBH). The committee is composed of seasoned healthcare ethics consultants (HCECs), and it is charged with developing and disseminating education materials for HCECs and ethics committees. The purpose of this article is to describe the educational research and development processes behind our (...)
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  3.  80
    Clinical Ethics Committee in an Oncological Research Hospital: two-years Report.Marta Perin, Ludovica De Panfilis & on Behalf of the Clinical Ethics Committee of the Azienda Usl-Irccs di Reggio Emilia - 2023 - Nursing Ethics 30 (7-8):1217-1231.
    Research question and aimClinical Ethics Committees (CECs) aim to support healthcare professionals (HPs) and healthcare organizations to deal with the ethical issues of clinical practice. In 2020,...
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  4.  85
    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 J. Tarzian & Asbh Core Competencies Update Task Force 1 - 2013 - American Journal of Bioethics 13 (2):3-13.
    Ethics consultation has become an integral part of the fabric of U.S. health care delivery. This article summarizes the second edition of the Core Competencies for Health Care Ethics Consultation report of the American Society for Bioethics and Humanities. The core knowledge and skills competencies identified in the first edition of Core Competencies have been adopted by various ethics consultation services and education programs, providing evidence of their endorsement as health care ethics (...) (HCEC) standards. This revised report was prompted by thinking in the field that has evolved since the original report. Patients, family members, and health care providers who encounter ethical questions or concerns that ethics consultants could help address deserve access to efficient, effective, and accountable HCEC services. All individuals providing such services should be held to the standards of competence and quality described in the revised report. (shrink)
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  5.  30
    A Physician’s Role Following a Breach of Electronic Health Information.Daniel Kim, Kristin Schleiter, Bette-Jane Crigger, John W. McMahon, Regina M. Benjamin, Sharon P. Douglas & American Medical Association The Council on Ethical and Judicial Affairs - 2010 - Journal of Clinical Ethics 21 (1):30-35.
    The Council on Ethical and Judicial Affairs of the American Medical Association examines physicians’ professional ethical responsibility in the event that the security of patients’ electronic records is breached.
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  6.  17
    Translating the Human Clinical Ethics Consultation Committee Model for Veterinary Applications.Robin Downing & Sean Philpott-Jones - 2018 - American Journal of Bioethics 18 (2):54-55.
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  7.  58
    Barriers and Challenges in Clinical Ethics Consultations: The Experiences of Nine Clinical Ethics Committees.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. (...)
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  8.  25
    Review of American Society for Bioethics and Humanities' Clinical Ethics Consultation Affairs Committee, Addressing Patient-Centered Ethical Issues in Health Care: A Case-Based Study Guide1. [REVIEW]Joseph B. Fanning - 2018 - American Journal of Bioethics 18 (2):1-2.
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  9.  22
    Clinical Ethics Consultation in the Transition Countries of Central and Eastern Europe.Marcin Orzechowski, Maximilian Schochow & Florian Steger - 2020 - Science and Engineering Ethics 26 (2):833-850.
    Since 1989, clinical ethics consultation in form of hospital ethics committees was established in most of the transition countries of Central and Eastern Europe. Up to now, the similarities and differences between HECs in Central and Eastern Europe and their counterparts in the U.S. and Western Europe have not been determined. Through search in literature databases, we have identified studies that document the implementation of clinical ethics consultation in Central and Eastern Europe. These (...)
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  10.  5
    The ASBH Approach to Certify Clinical Ethics Consultants Is Both Premature and Inadequate.Mark Siegler - 2019 - Journal of Clinical Ethics 30 (2):109-116.
    In November 2018 the American Society for Bioethics and Humanities (ASBH) administered the first Healthcare Ethics Consultant Certification examination to 138 candidates, 136 of whom (98.5 percent) passed and were “certified” as “healthcare ethics consultants.” I believe this certification process is both premature and inadequate.Certification for ethics consultants is premature because, as Kornfeld and Prager state repeatedly in their article in this issue of The Journal of Clinical Ethics, “The Clinician as Clinical (...) Consultant: An Empirical Method of Study,” there is a lack of “empirical data on the nature of the problems that prompt ethics consultation requests and on the functions required to address them.” These authors proceed to provide a model for the kind of empirical data collection that is needed.Even more relevant, the ASBH model that certifies clinical ethics consultants is inadequate. First, it is inappropriate for a nonclinical organization such as the ASBH to claim the right to certify a clinical process, ethics consultation, involving patients and health professionals. Second, the current certification process requires only a written examination in contrast to the two-step quality attestation process proposed in 2013 by Eric Kodish, MD, and 11 other senior members of the ASBH, including its then president.Third and most importantly, the eligibility criteria for being certified to work on hospital units and to make clinical recommendations for patients and families are minimal and insufficient. The only stated requirements are a bachelor’s degree and 400 hours of healthcare ethics consulting experience. By contrast, practicing physicians and nurses train for many years to gain clinical experience that enables them to apply clinical ethical standards in the care and management of all inpatients and outpatients, not just the small percent for whom an ethics consultation is requested. (shrink)
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  11.  30
    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 (...)
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  12.  8
    Professionalization of Clinical Ethics Consultants: A Need for Liability Protection?Claudia R. Sotomayor, Christopher Spevak & Edward R. Grant - forthcoming - HEC Forum:1-17.
    Clinical Ethics Consultation (CEC) has grown significantly in the last decade, and efforts are being made to professionalize the practice. The American Society for Bioethics and Humanities (ASBH) has been instrumental in this process, having published the _Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants_ and founded and endorsed the creation of the _Healthcare Ethics Consultant Certified (HCEC) Certification Commission._ The ASBH also published “core competencies” for healthcare ethics consultants (...)
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  13.  28
    Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure.Autumn Fiester - 2015 - American Journal of Bioethics 15 (1):29-36.
    Clinical ethics consultations are sometimes deemed complete at the moment when the consultants make a recommendation. In CECs that involve actual ethical conflict, this view of a consult's endpoint runs the risk of overemphasizing the conflict's resolution at the expense of the consult's process, which can have deleterious effects on the various parties in the conflict. This overly narrow focus on reaching a decision or recommendation in consults that involve profound moral disagreement can result in two types of (...)
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  14. Clinical Ethics Consultation in the United Kingdom.Sheila A. M. McLean - 2009 - Diametros 22:76 – 89.
    The system of clinical ethics committees (CECs) in the United Kingdom is based on goodwill. No formal requirements exist as to constitution, membership, range of expertise or the status of their recommendations. Healthcare professionals are not obliged to use CECs where they exist, nor to follow any advice received. In addition, the make-up of CECs suggests that ethics itself may be under-represented. In most cases, there is one member with a training in ethics – the rest (...)
     
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  15.  28
    HCEC Pearls and Pitfalls: Suggested Do’s and Don’t’s for Healthcare Ethics Consultants.Joseph A. Carrese, A. H. Antommaria, K. A. Berkowitz, J. Berger, J. Carrese, B. H. Childs, A. R. Derse, C. Gallagher, J. A. Gallagher & P. Goodman-Crews - 2012 - Journal of Clinical Ethics 23 (3):234-240.
    Members of the Clinical Ethics Consultation Affairs Standing Committee of the American Society for Bioethics and Humanities present a collection of insights and recommendations developed from their collective experience, intended for those engaged in the work of healthcare ethics consultation.
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  16. Clinical Ethics Committees and Pediatrics. An Evaluation of Case Consultations.Tanja Ramsauer & Andreas Frewer - 2009 - Diametros 22:90 – 104.
    Since Clinical Ethics Consultation has become important in the public health sector in the last decade in Germany, there are on-going questions about effectiveness. Targets have been established by the Ethics Committees, in regard to assisting patients, families and health care teams at times of ethical conflicts during the decision-making process in medical care. Of all the ethics consultations over the last eight years at Erlangen University Hospital the consultations carried out in the pediatric department (...)
     
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  17.  61
    Ethical Guidelines for Human Embryonic Stem Cell Research (A Recommended Manuscript).Chinese National Human Genome Center at Shanghai Ethics Committee - 2004 - Kennedy Institute of Ethics Journal 14 (1):47-54.
    In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 14.1 (2004) 47-54 [Access article in PDF] Ethical Guidelines for Human Embryonic Stem Cell Research*(A Recommended Manuscript) Adopted on 16 October 2001Revised on 20 August 2002 Ethics Committee of the Chinese National Human Genome Center at Shanghai, Shanghai 201203 Human embryonic stem cell (ES) research is a great project in the frontier of biomedical science for the twenty-first century. Be- cause (...)
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  18.  11
    Emerging Experiences with Virtual Clinical Ethics Consultation: Case Studies from the United States and Malaysia.Joseph Ali, Cynda H. Rushton, Mark T. Hughes, Mark Tan Kiak Min, Sharon Kaur & Eman Mubarak - 2023 - Journal of Clinical Ethics 34 (1):51-57.
    The COVID-19 pandemic has inspired numerous opportunities for telehealth implementation to meet diverse healthcare needs, including the use of virtual communication platforms to facilitate the growth of and access to clinical ethics consultation (CEC) services across the globe. Here we discuss the conceptualization and implementation of two different virtual CEC services that arose during the COVID-19 pandemic: the Clinical Ethics Malaysia COVID-19 Consultation Service and the Johns Hopkins Hospital Ethics Committee and (...) Service. A common strength experienced by both platforms during virtual delivery included improved ability for local practitioners to address consultation needs for patient populations otherwise unable to access CEC services in their respective locations. Additionally, virtual platforms allowed for enhanced collaboration and sharing of expertise among ethics consultants. Both contexts encountered numerous challenges related to patient care delivery during the pandemic. The use of virtual technologies resulted in decreased personalization of patient-provider communication. We discuss these challenges with respect to contextual differences specific to each service and setting, including differences in CEC needs, sociocultural norms, resource availability, populations served, consultation service visibility, healthcare infrastructure, and funding disparities. Through lessons learned from a health system in the United States and a national service in Malaysia, we provide key recommendations for health practitioners and clinical ethics consultants to leverage virtual communication platforms to mitigate existing inequities in patient care delivery and increase capacity for CEC globally. (shrink)
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  19.  6
    The “Commitment Model” for Clinical Ethics Consultations: Society’s Involvement in the Solution of Individual Cases.Laurence Brunet, Nicolas Foureur, Marta Spranzi & Véronique Fournier - 2015 - Journal of Clinical Ethics 26 (4):286-296.
    Several approaches to clinical ethics consultation (CEC) exist in medical practice and are widely discussed in the clinical ethics literature; different models of CECs are classified according to their methods, goals, and consultant’s attitude. Although the “facilitation” model has been endorsed by the American Society for Bioethics and Humanities (ASBH) and is described in an influential manual, alternative approaches, such as advocacy, moral expertise, mediation, and engagement are practiced and defended in the clinical (...)
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  20.  41
    Clinical Ethics Consultation and Ethics Integration in an Urban Public Hospital.Mark P. Aulisio, Jessica Moore, May Blanchard, Marcia Bailey & Dawn Smith - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):371.
    Clinical ethics committees, with their typical threefold function of education, policy formation, and consultation, are present in nearly all U.S. hospitals today, and they are increasingly common in other healthcare settings such as long-term care and even home care. Ethics committees are at least as prevalent in Canadian hospitals as they are in U.S. hospitals, and their presence is growing in Europe, much of Asia, and Central and South America. Although ethics committees serve a variety (...)
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  21. How to Spot a Usurper: Clinical Ethics Consultation and (True) Moral Authority.Kelly Kate Evans & Nicholas Colgrove - 2022 - Christian Bioethics 28 (2):143-156.
    Clinical ethics consultants (CECs) are not moral authorities. Standardization of CECs’ professional role does not confer upon them moral authority. Certification of particular CECs does not confer upon them moral authority (nor does it reflect such authority). Or, so we will argue. This article offers a distinctly Orthodox Christian response to those who claim that CECs—or any other academically trained bioethicist—retain moral authority (i.e., an authority to know and recommend the right course of action). This article proceeds in (...)
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  22.  6
    Structure, Operation, and Experience of Clinical Ethics Consultation 2007-2013: A Report from the Massachusetts General Hospital Optimum Care Committee[REVIEW]Andrew M. Courtwright, Eric L. Krakauer, M. Cornelia Cremens, Alexandra Cist, Julia Bandini, Sharon Brackett, Kimberly Erler, Wendy Cadge & Ellen M. Robinson - 2017 - Journal of Clinical Ethics 28 (2):137-152.
    We describe the structure, operation, and experience of the Massachusetts General Hospital ethics committee, formally called the Edwin H. Cassem Optimum Care Committee, from January 2007 through December 2013. Founded in 1974 as one of the nation’s first hospital ethics committees, this committee has primarily focused on the optimum use of life-sustaining treatments. We outline specific sociodemographic and clinical characteristics of consult patients during this period, demographic differences between the adult inpatient population and patients (...)
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  23.  44
    Ethics Consultation and Empathy: Finding the Balance in Clinical Settings.Florian Bruns & Andreas Frewer - 2011 - HEC Forum 23 (4):247-255.
    There is no doubt that emotions have an important effect on practices of moral reasoning such as clinical ethics consultation. Empathy is not only a basic human emotion but also an important and learnable skill for health care professionals. A basic amount of empathy is essential both in patient care and in clinical ethics consultation. This article debates the “adequate dose” of empathy in ethics consultations in clinical settings and tries to identify (...)
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  24.  6
    Clinical Ethics Consultation: A Practical Guide.Bashir Jiwani - 2017 - Cham: Imprint: Springer.
    This book provides a careful and comprehensive, step-by-step method for providing clinical ethics consultation. This Guide can be applied in almost any healthcare setting and takes the reader from establishing an intake process and developing strategies for interviewing those involved in the situation, to undertaking a consultation meeting and following up on a clinical consult. The book is an invaluable resource to any clinical ethicist, or committee or consult team member who is seeking (...)
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  25.  10
    Clinical Ethics and Professional Integrity: A Comment on the ASBH Code.David M. Adams - forthcoming - HEC Forum:1-11.
    _The Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants_ instructs clinical ethics consultants to preserve their professional integrity by “not engaging in activities that involve giving an ethical justification or stamp of approval to practices they believe are inconsistent with agreed-upon standards” (ASBH, 2014, p. 2). This instruction reflects a larger model of how to address value uncertainty and moral conflict in healthcare, and it brings up some intriguing and as yet unanswered questions—ones (...)
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  26.  13
    Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation?Noriko Nagao & Yoshiyuki Takimoto - 2023 - Asian Bioethics Review 16 (1):15-31.
    This research examines the current status of clinical ethics consultation (CEC) in Japan through a nationwide study conducted with chairs of ethics committees and clinical ethics committees among 1028 post-graduate clinical teaching hospitals. We also qualitatively analyzed their viewpoints of the CEC’s benefits and problems related to hospital consultation services to identify the critical points for CEC and inform the development of a correctly functioning system. The questionnaire included structured questions about hospital (...)
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  27. The Place for Religious Content in Clinical Ethics Consultations: A Reply to Janet Malek.Nicholas Colgrove & Kelly Kate Evans - 2019 - HEC Forum 31 (4):305-323.
    Janet Malek (91–102, 2019) argues that a “clinical ethics consultant’s religious worldview has no place in developing ethical recommendations or communicating about them with patients, surrogates, and clinicians.” She offers five types of arguments in support of this thesis: arguments from consensus, clarity, availability, consistency, and autonomy. This essay shows that there are serious problems for each of Malek’s arguments. None of them is sufficient to motivate her thesis. Thus, if it is true that the religious worldview of (...)
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  28.  40
    Implementation of Clinical Ethics Consultation in German Hospitals.Maximilian Schochow, Dajana Schnell & Florian Steger - 2019 - Science and Engineering Ethics 25 (4):985-991.
    In order to build on the information that was obtained in the course of the first study, a follow-up survey was conducted first by phone and subsequently in a written form between August and October 2014. We contacted 1.858 hospitals in all of Germany for the follow-up survey by phone. In cases where a hospital had not participated in the first study, the willingness to participate in the follow-up survey was established in advance. The survey’s dispatch was ensured in the (...)
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  29.  18
    Needs assessment for providing clinical ethics consultation services in Tehran.Fariba Asghari, Alireza Parsapoor, Khorshid Vaskooi & Saeedeh Saeedi Tehrani - 2016 - Clinical Ethics 11 (1):19-27.
    IntroductionOne of the most important duties of hospital ethics committees is to provide medical ethics consultation to the staff and patients. This study was conducted with the aim of the needs assessment of the staff for optimal provision of medical ethics consultation services.Materials and methodsThe data collection tool was a self-administered questionnaire. Hospital managers, chief nursing officers, ward managers, and head nurses of all hospitals affiliated with Tehran and Iran University of Medical Sciences entered the (...)
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  30.  11
    Clinical ethics committees in nursing homes: what good can they do? Analysis of a single case consultation.Morten Magelssen & Heidi Karlsen - 2022 - Nursing Ethics 29 (1):94-103.
    Background: Ought nursing homes to establish clinical ethics committees? An answer to this question must begin with an understanding of how a clinical ethics committee might be beneficial in a nursing home context – to patients, next of kin, professionals, managers, and the institution. With the present article, we aim to contribute to such an understanding. Aim: We ask, in which ways can clinical ethics committees be helpful to stakeholders in a nursing home (...)
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  31.  32
    The Notion of Neutrality in Clinical Ethics Consultation.Alessandra Gasparetto, Ralf J. Jox & Mario Picozzi - 2018 - Philosophy, Ethics, and Humanities in Medicine 13:3.
    Clinical ethics consultation, as an activity that may be provided by clinical ethics committees and consultants, is nowadays a well-established practice in North America. Although it has been increasingly implemented in Europe and elsewhere, no agreement can be found among scholars and practitioners on the appropriate role or approach the consultant should play when ethically problematic cases involving conflicts and uncertainties come up. In particular, there is no consensus on the acceptability of consultants making recommendations, (...)
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  32.  42
    Balancing the perspectives. The patient’s role in clinical ethics consultation.Stella Reiter-Theil - 2003 - Medicine, Health Care and Philosophy 6 (3):247-254.
    The debate and implementation of Clinical Ethics Consultation is still in its beginnings in Europe and the issue of the patient's perspective has been neglected so far, especially at the theoretical and methodological level. At the practical level, recommendations about the involvement of the patient or his/her relatives are missing, reflecting the general lack of quality and practice standards in CEC. Balance of perspectives is a challenge in any interpersonal consultation, which has led to great efforts (...)
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  33.  34
    Clinicians' evaluation of clinical ethics consultations in Norway: a qualitative study. [REVIEW]Reidun Førde, Reidar Pedersen & Victoria Akre - 2008 - Medicine, Health Care and Philosophy 11 (1):17-25.
    Clinical ethics committees have existed in Norway since 1996. By now all hospital trusts have one. An evaluation of these committees’ work was started in 2004. This paper presents results from an interview study of eight clinicians who evaluated six committees’ deliberations on 10 clinical cases. The study indicates that the clinicians found the clinical ethics consultations useful and worth while doing. However, a systematic approach to case consultations is vital. Procedures and mandate of the (...)
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  34.  32
    The Application of Standards and Recommendations to Clinical Ethics Consultation in Practice: An Evaluation at German Hospitals.Maximilian Schochow, Giovanni Rubeis & Florian Steger - 2017 - Science and Engineering Ethics 23 (3):793-799.
    The executive board of the Academy for Ethics in Medicine and two AEM working groups formulated standards and recommendations for clinical ethics consultation in 2010, 2011, and 2013. These guidelines comply with the international standards like those set by the American Society for Bioethics and Humanities. There is no empirical data available yet that could indicate whether these standards and recommendations have been implemented in German hospitals. This desideratum is addressed in the present study. We contacted (...)
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  35. Hospital Clinical Ethics Committees. The Geneva Experience - Switzerland.Jean-Claude Chevrolet & Bara Ricou - 2009 - Diametros 22:21-38.
    Hospital ethics committees were created in the United States of America in the 1970s. Their aims were the education of the hospital personnel in the field of ethics, the development of policies and the publication of guidelines concerning ethical issues, as well as consultations and case reviews of hospitalized patients when an ethical concern was present. During the last thirty years, these committees disseminated, particularly in Western Europe. In this manuscript, we describe the benefit, but also some difficulties (...)
     
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  36.  13
    The Pitfalls of Proceduralism: An Exploration of the Goods Internal to the Practice of Clinical Ethics Consultation.Annie B. 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 (...)
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  37.  20
    Evaluating assessment tools of the quality of clinical ethics consultations: a systematic scoping review from 1992 to 2019.Nicholas Yue Shuen Yoon, Yun Ting Ong, Hong Wei Yap, Kuang Teck Tay, Elijah Gin Lim, Clarissa Wei Shuen Cheong, Wei Qiang Lim, Annelissa Mien Chew Chin, Ying Pin Toh, Min Chiam, Stephen Mason & Lalit Kumar Radha Krishna - 2020 - BMC Medical Ethics 21 (1):1-11.
    BackgroundAmidst expanding roles in education and policy making, questions have been raised about the ability of Clinical Ethics Committees (CEC) s to carry out effective ethics consultations (CECons). However recent reviews of CECs suggest that there is no uniformity to CECons and no effective means of assessing the quality of CECons. To address this gap a systematic scoping review of prevailing tools used to assess CECons was performed to foreground and guide the design of a tool to (...)
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  38.  48
    Best practices in clinical ethics consultation and decision-making.Louise M. Terry & Karen Sanders - 2011 - Clinical Ethics 6 (2):103-108.
    The conference entitled ‘Best Practices in Clinical Ethics Consultation and Decision-Making’, held in London 8–9 July 2010, was the first of its kind dedicated to identifying best practices in clinical ethics consultation and decision-making. Academics, health and social care professionals, clinical ethics committee members, lawyers, service users and carers from the UK, USA, Europe, Canada, Australia and Asia attended lectures, workshops, parallel paper sessions and clinical ethics case discussions across (...)
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  39.  25
    The Care Dialog: the “ethics of care” approach and its importance for clinical ethics consultation.Patrick Schuchter & Andreas Heller - 2018 - Medicine, Health Care and Philosophy 21 (1):51-62.
    Ethics consultation in institutions of the healthcare system has been given a standard form based on three pillars: education, the development of guidelines and concrete ethics consultation in case conferences. The spread of ethics committees, which perform these tasks on an organizational level, is a remarkable historic achievement. At the same time it cannot be denied that modern ethics consultation neglects relevant aspects of care ethics approaches. In our essay we present an (...)
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  40.  6
    The Practise of a Clinical Ethics Consultant.Denise M. Dudzinski - 2003 - Public Affairs Quarterly 17 (2):121-140.
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  41.  26
    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.
    The ASBH Core Competencies Update Task Force (Tarzian and ASBH Core Competencies Update Task Force 2013) provides useful information for individual consultants performing case consultations. A grow...
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  42.  15
    Clinical Ethics Committees in Africa: lost in the shadow of RECs/IRBs?Keymanthri Moodley, Siti Mukaumbya Kabanda, Leza Soldaat, Anita Kleinsmidt, Adetayo Emmanuel Obasa & Sharon Kling - 2020 - BMC Medical Ethics 21 (1):1-10.
    Background Clinical Ethics Committees are well established at healthcare institutions in resource-rich countries. However, there is limited information on established CECs in resource poor countries, especially in Africa. This study aimed to establish baseline data regarding existing formal CECs in Africa to raise awareness of and to encourage the establishment of CECs or Clinical Ethics Consultation Services on the continent. Methods A descriptive study was undertaken using an online questionnaire via SunSurveys to survey healthcare professionals (...)
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  43.  96
    ‘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 (...)
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  44.  26
    Invoking the Law in Ethics Consultation.Bethany Spielman - 1993 - Cambridge Quarterly of Healthcare Ethics 2 (4):457.
    A request that an ethics committee or consultant analyze the ethical issues in a case, delineate ethical options, or make a recommendation need not automatically but often does elicit legal information. In a recent book in which ethics consultants described cases on which they had worked, almost all cited a legal case or statute that had shaped the consultation process. During a period of just a few months, case consultation done under the auspices of one (...)
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  45.  19
    Response to Open Peer Commentaries on “Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure”.Autumn Fiester - 2015 - American Journal of Bioethics 15 (1):9-10.
    Clinical ethics consultations are sometimes deemed complete at the moment when the consultants make a recommendation. In CECs that involve actual ethical conflict, this view of a consult's endpoint runs the risk of overemphasizing the conflict's resolution at the expense of the consult's process, which can have deleterious effects on the various parties in the conflict. This overly narrow focus on reaching a decision or recommendation in consults that involve profound moral disagreement can result in two types of (...)
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    Conflicts of interest in clinical ethics consults.Elliott Mark Weiss, Aaron Wightman, Laura Webster & Douglas Diekema - 2021 - Journal of Medical Ethics 47 (12):e61-e61.
    Although there is wide agreement that ethics consults are at risk for conflicts of interest, ethics consultants have limited guidance with regard to how to identify and approach COIs. We aim to address these concerns and provide practical guidance. We will define and consider four categories of COIs: consult type, team composition, dual clinical roles and other concerns. We will define and consider six actions available for ECs to take in response to COIs: no action, disclosure only, (...)
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    Evaluating the effectiveness of clinical ethics committees: a systematic review.Chiara Crico, Virginia Sanchini, Paolo Giovanni Casali & Gabriella Pravettoni - 2021 - Medicine, Health Care and Philosophy 24 (1):135-151.
    Clinical Ethics Committees (CECs), as distinct from Research Ethics Committees, were originally established with the aim of supporting healthcare professionals in managing controversial clinical ethical issues. However, it is still unclear whether they manage to accomplish this task and what is their impact on clinical practice. This systematic review aims to collect available assessments of CECs’ performance as reported in literature, in order to evaluate CECs’ effectiveness. We retrieved all literature published up to November 2019 (...)
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  48. Understanding the process of clinical ethics : committees and consults.Craig Klugman - 2017 - In Catherine Robichaux (ed.), Ethical competence in nursing practice: competencies, skills, decision-making. New York, NY: Springer Publishing Company, LLC.
     
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  49.  47
    Four Roles of Ethical Theory in Clinical Ethics Consultation.Morten Magelssen, Reidar Pedersen & Reidun Førde - 2016 - American Journal of Bioethics 16 (9):26-33.
    When clinical ethics committee members discuss a complex ethical dilemma, what use do they have for normative ethical theories? Members without training in ethical theory may still contribute to a pointed and nuanced analysis. Nonetheless, the knowledge and use of ethical theories can play four important roles: aiding in the initial awareness and identification of the moral challenges, assisting in the analysis and argumentation, contributing to a sound process and dialogue, and inspiring an attitude of reflexivity. These (...)
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    Resolving Ethical Dilemmas in a Tertiary Care Veterinary Specialty Hospital: Adaptation of the Human Clinical Consultation Committee Model.Philip M. Rosoff, Rachel Ruderman, Jeannine Moga, Bruce Keene, Christopher Adin, Callie Fogle, Heather Hopkinson & Charity Weyhrauch - 2018 - American Journal of Bioethics 18 (2):7-10.
    Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of (...)
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