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  1. Inclusion Not Conformity: A Response to a Call for Diversity Based on a Recent Survey of American Bioethicists.Thomas Liang, Claudia Barned, Ann M. Heesters & Jennifer A. H. Bell - 2024 - American Journal of Bioethics 24 (9):40-42.
    Pierson et al. (2024) report that most American bioethicists hold relatively progressive views compared to the public and are not demographically representative of the communities they serve. Furth...
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  • Key Insights and Priorities for Evaluating the Effectiveness of Clinical Ethics Consultation.Lauren Honan, Ann Heesters, Andria Bianchi, Marina Salis & Jennifer Bell - 2024 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 7 (2-3):201-204.
    Lors du forum 2023 de la Société canadienne de bioéthique, 28 éthiciens praticiens des soins de santé et d’autres participants de tout le Canada, y compris des étudiants et des fellows en bioéthique, se sont réunis virtuellement pour un atelier collaboratif intitulé « Towards Evaluating Clinical Ethics Consultation Effectiveness: Engagement in a Scoping Review of Reported Outcomes ». L’atelier était ouvert à tous les membres de la communauté bioéthique qui s’étaient inscrits au forum, mais il était principalement destiné aux spécialistes (...)
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  • Do Clinical Ethicists Improve with Experience? And, If So, How Would We Know?Victoria Seavilleklein, Jennifer Flynn, Andrea Frolic, Frank Wagner & Katarina Lee-Ameduri - 2024 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 7 (2-3):209-213.
    Lors de l’atelier organisé dans le cadre de l’atelier et du forum communautaire 2023 de la SCB-SCB, nous avons exploré et problématisé le concept d’ « amélioration » des éthiciens cliniques, dans le contexte plus large des discussions sur la professionnalisation de l’éthique clinique. Ce résumé présente les principaux points de vue d’éthiciens cliniques à travers le Canada sur ce sujet et comprend des suggestions sur les mesures que nous pourrions prendre sur le terrain pour permettre et soutenir l’amélioration des (...)
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  • Report on an audit of two decades’ activities of a clinical ethics committee: the Newcastle upon Tyne Hospitals NHS Foundation Trust Clinical Ethics Advisory Group (CEAG).Raj K. Mohindra & Stephen J. Louw - forthcoming - Journal of Medical Ethics.
    Background‘The Clinical Ethics Advisory Group’ (CEAG) is the clinical ethics support body for Newcastle upon Tyne Hospitals National Health Service Foundation Trust. A significant change in CEAG’s way of working occurred over the past 5 years as a result of Court decisions, increasing public expectations and an increase in CEAG’s paediatric case flow.PurposeReview historical data: (a) as a useful benchmark to look for the early impact of significant service changes and (b) to seek possible reference (‘sentinel’) cases for use with (...)
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  • How prehospital emergency personnel manage ethical challenges: the importance of confidence, trust, and safety.Henriette Bruun, Louise Milling, Daniel Wittrock, Søren Mikkelsen & Lotte Huniche - 2024 - BMC Medical Ethics 25 (1):1-13.
    Background Ethical challenges constitute an inseparable part of daily decision-making processes in all areas of healthcare. Ethical challenges are associated with moral distress that can lead to burnout. Clinical ethics support has proven useful to address and manage such challenges. This paper explores how prehospital emergency personnel manage ethical challenges. The study is part of a larger action research project to develop and test an approach to clinical ethics support that is sensitive to the context of emergency medicine. Methods We (...)
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  • Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute.Mayi Mayega Nanyonga, Paul Kutyabami, Olivia Kituuka & Nelson K. Sewankambo - 2024 - BMC Medical Ethics 25 (1):1-14.
    Introduction Globally, healthcare providers (HCPs), hospital administrators, patients and their caretakers are increasingly confronted with complex moral, social, cultural, ethical, and legal dilemmas during clinical care. In high-income countries (HICs), formal and informal clinical ethics support services (CESSs) have been used to resolve bioethical conflicts among HCPs, patients, and their families. There is limited evidence about mechanisms used to resolve these issues as well as experiences and perspectives of the stakeholders that utilize them in most African countries including Uganda. Methods (...)
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  • Moral Distress Consultation Services: Insights from Consultants.Vanessa Amos, Phyllis Whitehead & Beth Epstein - forthcoming - HEC Forum:1-17.
    Moral distress reflects often recurrent problems within a healthcare environment that impact the quality and safety of patient care. Examples include inadequate staffing, lack of necessary resources, and poor interprofessional teamwork. Recognizing and acting on these issues demonstrates a collaborative and organizational commitment to improve. Moral distress consultation is a health system-wide intervention gaining momentum in the United States. Moral distress consultants assist healthcare providers in identifying and strategizing possible solutions to the patient, team, and systemic barriers behind moral distress. (...)
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  • Caregivers and Family Members’ Vulnerability in End-of-Life Decision-Making: An Assessment of How Vulnerability Shapes Clinical Choices and the Contribution of Clinical Ethics Consultation.Federico Nicoli, Alessandra Agnese Grossi & Mario Picozzi - 2024 - Philosophies 9 (1):14.
    Patient-and-family-centered care (PFCC) is critical in end-of-life (EOL) settings. PFCC serves to develop and implement patient care plans within the context of unique family situations. Key components of PFCC include collaboration and communication among patients, family members and healthcare professionals (HCP). Ethical challenges arise when the burdens (e.g., economic, psychosocial, physical) of family members and significant others do not align with patients’ wishes. This study aims to describe the concept of vulnerability and the ethical challenges faced by HCPs in these (...)
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  • National Engagement in Canadian Bioethics: Insights from the CBS-SCB 2023 Workshop and Community Forum.Victoria Seavilleklein, Amanda Porter & Hazar Haidar - 2024 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 7 (2-3):1-3.
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  • Ethics consultation in patients with behavioral and psychological symptoms of dementia.Michael Makhinson, Juliana Gomez-Makhinson, Catherine Jennings & Sergio Huerta - forthcoming - Clinical Ethics.
    The increasing age of the patient population around the globe and in the United States has resulted in a growing number of patients with dementia. In this manuscript, we examined the role of the ethics consultation service in patients who have dementia and associated cognitive and neuropsychiatric sequelae. We addressed a particularly challenging case presenting with behavioral and psychological symptoms of dementia. We discussed the ethical questions and challenges considered by the ethics consultation service and compared these with current suggestions (...)
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  • Developing Novel Tools for Bioethics Education: ACECS and the Visual Analytics Dashboard.Stowe Locke Teti & Kelly Armstrong - forthcoming - Cambridge Quarterly of Healthcare Ethics:1-18.
    The translation of bedside experience to pedagogical content presents a unique challenge for the field of bioethics. The contributions are multidisciplinary, the practices are heterogeneous, and the work product is characteristically nuanced. While academic bioethics education programs have proliferated, developing content and pedagogy sufficient to teach clinical ethics effectively remains a longstanding challenge. The authors identify three reasons why progress towards this goal has been slow. First, there is a lack of robust, empirical knowledge for education focused on praxis. Second, (...)
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