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  1. Nursing ethics as a distinct entity within bioethics: Implications for clinical ethics practice.Bryan Pilkington & Maryanne Giuliante - 2023 - Nursing Ethics 30 (5):671-679.
    The question of whether nursing ethics is a distinct entity within bioethics is an important and thought-provoking one. Though fundamental bioethical principles are appreciated and applied within the practice of nursing ethics, there exist distinct considerations which make nursing ethics a unique subfield of bioethics. In this article, we focus on the importance of relationships as a distinguishing feature of the foundation of nursing ethics, evidenced in its education, practice, and science. Next, we consider two objections to our claim of (...)
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  • 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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  • Descriptions of long-term impact from inter-professional ethics communication in groups.Britt-Marie Wälivaara, Karin Zingmark & Catarina Fischer-Grönlund - 2023 - Nursing Ethics 30 (4):614-625.
    Background On a daily basis, healthcare professionals deal with various ethical issues and it can be difficult to determine how to act best. Clinical ethics support (CES) has been developed to provide support for healthcare professionals dealing with complex ethical issues. A long-term perspective of participating in inter-professional dialogue and reflective-based CES sessions is seemingly sparse in the literature. Research aim The aim was to describe experiences of impact of Inter-professional Ethics Communication in groups (IEC) based on Habermas’ theory of (...)
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  • Engaging Tomorrow’s Doctors in Clinical Ethics: Implications for Healthcare Organisations.Laura L. Machin & Robin D. Proctor - 2020 - Health Care Analysis 29 (4):319-342.
    Clinical ethics can be viewed as a practical discipline that provides a structured approach to assist healthcare practitioners in identifying, analysing and resolving ethical issues that arise in practice. Clinical ethics can therefore promote ethically sound clinical and organisational practices and decision-making, thereby contributing to health organisation and system quality improvement. In order to develop students’ decision-making skills, as well as prepare them for practice, we decided to introduce a clinical ethics strand within an undergraduate medical curriculum. We designed a (...)
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  • Implementing clinical ethics committees as a complex intervention: presentation of a feasibility study in community care.Morten Magelssen, Heidi Karlsen, Reidar Pedersen & Lisbeth Thoresen - 2020 - BMC Medical Ethics 21 (1):1-9.
    BackgroundHow should clinical ethics support services such as clinical ethics committees (CECs) be implemented and evaluated? We argue that both the CEC itself and theimplementationof the CEC should be considered as ‘complex interventions’.Main textWe present a research project involving the implementation of CECs in community care in four Norwegian municipalities. We show that when both the CEC and its implementation are considered as complex interventions, important consequences follow – both for implementation and the study thereof. Emphasizing four such sets of (...)
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  • Making the (Business) Case for Clinical Ethics Support in the UK.L. L. Machin & Mark Wilkinson - 2020 - HEC Forum 33 (4):371-391.
    This paper provides a series of reflections on making the case to senior leaders for the introduction of clinical ethics support services within a UK hospital Trust at a time when clinical ethics committees are dwindling in the UK. The paper provides key considerations for those building a case for clinical ethics support within hospitals by drawing upon published academic literature, and key reports from governmental and professional bodies. We also include extracts from documents relating to, and annual reports of, (...)
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  • Can clinical ethics committees be legitimate actors in bedside rationing?Morten Magelssen & Kristine Bærøe - 2019 - BMC Medical Ethics 20 (1):1-8.
    Background Rationing and allocation decisions at the clinical level – bedside rationing – entail complex dilemmas that clinicians and managers often find difficult to handle. There is a lack of mechanisms and aids for promoting fair decisions, especially in hard cases. Reports indicate that clinical ethics committees sometimes handle cases that involve bedside rationing dilemmas. Can CECs have a legitimate role to play in bedside rationing? Main text Aided by two frameworks for legitimate priority setting, we discuss how CECs can (...)
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  • Importance of systematic deliberation and stakeholder presence: a national study of clinical ethics committees.Morten Magelssen, Reidar Pedersen, Ingrid Miljeteig, Håvard Ervik & Reidun Førde - 2020 - Journal of Medical Ethics 46 (2):66-70.
    BackgroundCase consultation performed by clinical ethics committees (CECs) is a complex activity which should be evaluated. Several evaluation studies have reported stakeholder satisfaction in single institutions. The present study was conducted nationwide and compares clinicians’ evaluations on a range of aspects with the CEC’s own evaluation.MethodsProspective questionnaire study involving case consultations at 19 Norwegian CECs for 1 year, where consultations were evaluated by CECs and clinicians who had participated.ResultsEvaluations of 64 case consultations were received. Cases were complex with multiple ethical (...)
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  • Falling on deaf ears: a qualitative study on clinical ethical committees in France.Catherine Dekeuwer, Brenda Bogaert, Nadja Eggert, Claire Harpet & Morgane Romero - 2019 - Medicine, Health Care and Philosophy 22 (4):515-529.
    The French medical context is characterized by institutionalization of the ethical reflection in health care facilities and an important disparity between spaces of ethical reflection. In theory, the healthcare professional may mobilise an arsenal of resources to help him in his ethical reflection. But what happens in practice? We conducted semi-structured interviews with 22 health-care professionals who did and did not have recourse to clinical ethical committees. We also implemented two focus groups with 18 professionals involved in various spaces of (...)
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  • Roles and responsibilities of clinical ethics committees in priority setting.Morten Magelssen, Ingrid Miljeteig, Reidar Pedersen & Reidun Førde - 2017 - BMC Medical Ethics 18 (1):1-8.
    Background Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees be of help? The aim of the study was to explore whether and how CECs handle priority setting dilemmas and contribute to raising awareness of fairness concerns. Method Descriptions of activities involving priority setting in annual reports from Norwegian CECs were studied and categorized through qualitative content analysis. Results Three hundred thirty-nine reports from 38 (...)
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  • Roles and responsibilities of clinical ethics committees in priority setting.Morten Magelssen, Ingrid Miljeteig, Reidar Pedersen & Reidun Førde - 2017 - BMC Medical Ethics 18 (1):68.
    Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees be of help? The aim of the study was to explore whether and how CECs handle priority setting dilemmas and contribute to raising awareness of fairness concerns. Descriptions of activities involving priority setting in annual reports from Norwegian CECs were studied and categorized through qualitative content analysis. Three hundred thirty-nine reports from 38 CECs were studied. (...)
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