Switch to: References

Add citations

You must login to add citations.
  1. Quality Assessment of the Ethics Consultation Service at the Organizational Level: Accrediting Ethics Consultation Services.Kenneth A. Berkowitz, Aviva L. Katz, Kathleen E. Powderly & Jeffrey P. Spike - 2016 - American Journal of Bioethics 16 (3):42-44.
    Download  
     
    Export citation  
     
    Bookmark   6 citations  
  • Two years of ethics reflection groups about coercion in psychiatry. Measuring variation within employees’ normative attitudes, user involvement and the handling of disagreement.Bert Molewijk, Reidar Pedersen, Almar Kok, Reidun Førde & Olaf Aasland - 2023 - BMC Medical Ethics 24 (1):1-19.
    Background Research on the impact of ethics reflection groups (ERG) (also called moral case deliberations (MCD)) is complex and scarce. Within a larger study, two years of ERG sessions have been used as an intervention to stimulate ethical reflection about the use of coercive measures. We studied changes in: employees’ attitudes regarding the use of coercion, team competence, user involvement, team cooperation and the handling of disagreement in teams. Methods We used panel data in a longitudinal design study to measure (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • Development and evaluation of remote supervision in clinical ethics consultation training.Yoshiyuki Takimoto & Makoto Udagawa - forthcoming - Clinical Ethics.
    During clinical ethics consultation training, hands-on practice after acquiring the necessary knowledge under an experienced clinical ethics consultant's supervision is an effective method of obtaining technical and practical skills. However, in regions where clinical ethics consultation is still nascent, few experienced clinical ethics consultants exist. The number of clinical ethics consultation cases is small, making on-the-job training significantly difficult. To address this problem, this study developed a remote supervision program using e-mail and ZOOM and evaluated its effectiveness using Kirkpatrick's learning (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Important Design Questions for Algorithmic Ethics Consultation.Danton Char - 2022 - American Journal of Bioethics 22 (7):38-40.
    Answering the design questions inherent to building and deploying machine learning tools —based on algorithms that can learn from and make predictions on large data sets without being explicitl...
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Evaluating interventions to improve ethical decision making in clinical practice: a review of the literature and reflections on the challenges posed. [REVIEW]Agnieszka Ignatowicz, Anne Marie Slowther, Christopher Bassford, Frances Griffiths, Samantha Johnson & Karen Rees - 2023 - Journal of Medical Ethics 49 (2):136-142.
    Since the 1980s, there has been an increasing acknowledgement of the importance of recognising the ethical dimension of clinical decision-making. Medical professional regulatory authorities in some countries now include ethical knowledge and practice in their required competencies for undergraduate and post graduate medical training. Educational interventions and clinical ethics support services have been developed to support and improve ethical decision making in clinical practice, but research evaluating the effectiveness of these interventions has been limited. We undertook a systematic review of (...)
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Quality Characteristics for Clinical Ethics Support in the Netherlands.Laura Hartman, Eva Van Baarle, Marielle Diepeveen, Guy Widdershoven & Bert Molewijk - 2022 - AJOB Empirical Bioethics 13 (1):22-32.
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • Psychiatric Hospital Ethics Committee Discussions Over a Span of Nearly Three Decades.Michall Ferencz-Kaddari, Abira Reizer, Meni Koslowsky, Ora Nakash & Shai Konas - 2023 - HEC Forum 35 (1):55-71.
    Various types of health settings use clinical ethics committees (CEC) to deal with the ethical issues that confront both healthcare providers and their patients. Although these committees are now more common than ever, changes in the content of ethical dilemmas through the years is still a relatively unexplored area of research. The current study examines the major topics brought to the CEC of a psychiatric hospital in Israel and explores whether there were changes in their frequency across nearly three decades. (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Framework for evaluation research on clinical ethical case interventions: the role of ethics consultants.Joschka Haltaufderheide, Stephan Nadolny, Jochen Vollmann & Jan Schildmann - 2022 - Journal of Medical Ethics 48 (6):401-406.
    Evaluation of clinical ethical case consultations has been discussed as an important research task in recent decades. A rigid framework of evaluation is essential to improve quality of consultations and, thus, quality of patient care. Different approaches to evaluate those services appropriately and to determine adequate empirical endpoints have been proposed. A key challenge is to provide an answer to the question as to which empirical endpoints—and for what reasons—should be considered when evaluating the quality of a service. In this (...)
    Download  
     
    Export citation  
     
    Bookmark   7 citations  
  • Identifying disincentives to ethics consultation requests among physicians, advance practice providers, and nurses: a quality improvement all staff survey at a tertiary academic medical center.Yiran Zhang, Laura Dibsie, Cassia Yi, Lawrence Friedman, Edward Cachay, Jamie Nicole LaBuzetta & Lynette Cederquist - 2021 - BMC Medical Ethics 22 (1):1-8.
    BackgroundEthics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs), and nurses at our urban academic medical center which might contribute to underutilization.MethodsThis was a cross-sectional single-health system, anonymous written online survey, which was developed by the UCSD Health Clinical Ethics Committee and distributed by Survey Monkey. We compare responses between physicians, APPs, and nurses using standard parametric and non-parametric statistical (...)
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • 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 (...)
    Download  
     
    Export citation  
     
    Bookmark   19 citations  
  • 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 (...)
    Download  
     
    Export citation  
     
    Bookmark   15 citations  
  • 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 (...)
    Download  
     
    Export citation  
     
    Bookmark   36 citations  
  • Conceptualizing and Fostering the Quality of CES Through a Dutch National Network on CES.Laura Hartman, Guy Widdershoven, Eva van Baarle, Froukje Weidema & Bert Molewijk - 2022 - HEC Forum 34 (2):169-186.
    The prevalence of Clinical ethics support services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a national network, which aimed to conceptualize and foster the quality of CES in the Netherlands simultaneously. Our methodology was inspired by a responsive evaluation approach which shares some of our key theoretical presuppositions of CES. A responsive evaluation methodology engages stakeholders in developing quality standards of a certain (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare Ethics Consultation.Kelly W. Harris, Thomas V. Cunningham, D. Micah Hester, Kelly Armstrong, Ahra Kim, Frank E. Harrell & Joseph B. Fanning - 2021 - AJOB Empirical Bioethics 12 (2):123-136.
    For over three decades, clinical ethicists in the United States have recorded their consulting activities to supplement documentation in the medical record, often using locally developed instrument...
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • 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 evaluate the quality (...)
    Download  
     
    Export citation  
     
    Bookmark   5 citations  
  • Ensuring Certified Healthcare Ethics Consultants Are Competent to Practice.Stowe Locke Teti & Christine Mitchell - 2020 - American Journal of Bioethics 20 (3):24-27.
    Volume 20, Issue 3, March 2020, Page 24-27.
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Certification Assesses Minimal Competency for Healthcare Ethics Consultants, But What About Assessing Interpersonal Skills?Katherine Wasson - 2020 - American Journal of Bioethics 20 (3):27-29.
    Volume 20, Issue 3, March 2020, Page 27-29.
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Lessons learned from implementing a responsive quality assessment of clinical ethics support.Eva M. Van Baarle, Marieke C. Potma, Maria E. C. van Hoek, Laura A. Hartman, Bert A. C. Molewijk & Jelle L. P. van Gurp - 2019 - BMC Medical Ethics 20 (1):1-11.
    BackgroundVarious forms of Clinical Ethics Support (CES) have been developed in health care organizations. Over the past years, increasing attention has been paid to the question of how to foster the quality of ethics support. In the Netherlands, a CES quality assessment project based on a responsive evaluation design has been implemented. CES practitioners themselves reflected upon the quality of ethics support within each other’s health care organizations. This study presents a qualitative evaluation of this Responsive Quality Assessment (RQA) project.MethodsCES (...)
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • Objectives and outcomes of clinical ethics services: a Delphi study.Leah McClimans, Geah Pressgrove & Emmaling Campbell - 2019 - Journal of Medical Ethics 45 (12):761-769.
    ObjectivesTo explore the objectives and outcomes most appropriate for evaluating clinical ethics support services (CESs) in the USA.MethodsA three-round e-Delphi was sent to two professional medical ethics listservs (Medical College of Wisconsin-Bioethics and American Society for Bioethics and Humanities) as well as 19 individual experts. The survey originally contained 15 objectives and 9 outcomes. In round 1, participants were asked to validate the content of these lists. In round 2, we had 17 objectives and 10 outcomes, and participants were asked (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Do we understand the intervention? What complex intervention research can teach us for the evaluation of clinical ethics support services.Jan Schildmann, Stephan Nadolny, Joschka Haltaufderheide, Marjolein Gysels, Jochen Vollmann & Claudia Bausewein - 2019 - BMC Medical Ethics 20 (1):48.
    Evaluating clinical ethics support services has been hailed as important research task. At the same time, there is considerable debate about how to evaluate CESS appropriately. The criticism, which has been aired, refers to normative as well as empirical aspects of evaluating CESS. In this paper, we argue that a first necessary step for progress is to better understand the intervention in CESS. Tools of complex intervention research methodology may provide relevant means in this respect. In a first step, we (...)
    Download  
     
    Export citation  
     
    Bookmark   25 citations  
  • What Is the Minimal Competency for a Clinical Ethics Consult Simulation? Setting a Standard for Use of the Assessing Clinical Ethics Skills (ACES) Tool.Katherine Wasson, William H. Adams, Kenneth Berkowitz, Marion Danis, Arthur R. Derse, Mark G. Kuczewski, Michael McCarthy, Kayhan Parsi & Anita J. Tarzian - 2019 - AJOB Empirical Bioethics 10 (3):164-172.
    The field of clinical ethics consultation has matured into a multidisciplinary profession, with clinical ethics consultants (CECs) being trained in bioethics, philosophy, theology, law, medicine, n...
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • Moral Case Deliberation: Its Value for Neuroethics.S. Metselaar, G. Meynen & G. Widdershoven - 2017 - American Journal of Bioethics Neuroscience 8 (1):23-25.
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • In pursuit of goodness in bioethics: analysis of an exemplary article.Bjørn Hofmann & Morten Magelssen - 2018 - BMC Medical Ethics 19 (1):60.
    What is good bioethics? Addressing this question is key for reinforcing and developing the field. In particular, a discussion of potential quality criteria can heighten awareness and contribute to the quality of bioethics publications. Accordingly, the objective of this article is threefold: first, we want to identify a set of criteria for quality in bioethics. Second, we want to illustrate the added value of a novel method: in-depth analysis of a single article with the aim of deriving quality criteria. The (...)
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Philosophy of Healthcare Ethics Practice Statements: Quality Attestation and Beyond.Lauren Notini - 2018 - HEC Forum 30 (4):341-360.
    One element of the American Society for Bioethics and Humanities’ recently-piloted quality attestation portfolio for clinical ethics consultants is a “philosophy of clinical ethics consultation statement” describing the candidate’s approach to clinical ethics consultation. To date, these statements have been under-explored in the literature, in contrast to philosophy statements in other fields such as academic teaching. In this article, I argue there is merit in expanding the content of these statements beyond clinical ethics consultation alone to describe the author’s approach (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Clinical and Translational Research Ethics: Training Consultants and Biomedical Research Personnel.Jason F. Arnold, Andrea D. Boan, Daniel T. Lackland & Robert M. Sade - 2018 - American Journal of Bioethics 18 (1):57-61.
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • The Emergence of Clinical Research Ethics Consultation: Insights From a National Collaborative.Kathryn M. Porter, Marion Danis, Holly A. Taylor, Mildred K. Cho & Benjamin S. Wilfond - 2018 - American Journal of Bioethics 18 (1):39-45.
    The increasing complexity of human subjects research and its oversight has prompted researchers, as well as institutional review boards, to have a forum in which to discuss challenging or novel ethical issues not fully addressed by regulations. Research ethics consultation services provide such a forum. In this article, we rely on the experiences of a national Research Ethics Consultation Collaborative that collected more than 350 research ethics consultations in a repository and published 18 challenging cases with accompanying ethical commentaries to (...)
    Download  
     
    Export citation  
     
    Bookmark   17 citations  
  • Quality Attestation's Portfolio Evaluation Is Feasible, But Is It Reliable and Valid?Armand H. Matheny Antommaria & Richard F. Ittenbach - 2016 - American Journal of Bioethics 16 (3):35-38.
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • The Future of Clinical Ethics Consultation: Avoiding the Dustbin of History.Robert Baker - 2016 - American Journal of Bioethics 16 (3):38-40.
    Download  
     
    Export citation  
     
    Bookmark  
  • Assessing the Quality of the Quality Assessment.Benjamin Chan - 2016 - American Journal of Bioethics 16 (3):50-52.
    Download  
     
    Export citation  
     
    Bookmark  
  • The Road to Certification for Clinical Ethics Consultants: Finding Our Bearings.Ellen Fox - 2016 - American Journal of Bioethics 16 (3):33-35.
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • Clinical Ethicists Have an Ethical Obligation to Create Professional Standards and a National Certification Process.Alexander A. Kon - 2016 - American Journal of Bioethics 16 (3):30-32.
    Download  
     
    Export citation  
     
    Bookmark   9 citations  
  • What Is the Role of a Clinical Ethics Consultant?Donald S. Kornfeld - 2016 - American Journal of Bioethics 16 (3):40-42.
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Potential Pitfalls in the Evaluation of Ethics Consultation: The Case of Ethical Counseling.Alma Linkeviciute, Kris Dierickx, Virginia Sanchini & Giovanni Boniolo - 2016 - American Journal of Bioethics 16 (3):56-57.
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Assuring Quality for the Future.Valerye M. Milleson & Claire I. Horner - 2016 - American Journal of Bioethics 16 (3):54-55.
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • What Quality Is Actually Assessed Within Written Records?Bert Molewijk, Guy Widdershoven, Jochen Vollmann & Jan Schildmann - 2016 - American Journal of Bioethics 16 (3):48-50.
    We congratulate Pearlman and colleagues (2016) on their detailed account of the development of a quality assessment tool for clinical ethics consultation (CEC), based on the evaluation of written r...
    Download  
     
    Export citation  
     
    Bookmark  
  • The Process to Accredit Clinical Ethics Fellowship Programs Should Start Now.Wayne N. Shelton & Bruce D. White - 2016 - American Journal of Bioethics 16 (3):28-30.
    Fins and colleagues rightly note that “clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems” for which “progress in developing standards for q...
    Download  
     
    Export citation  
     
    Bookmark   3 citations  
  • Baby Steps Toward the Professionalization and Accreditation of Ethics Consultation Services.Jeffrey P. Spike - 2016 - American Journal of Bioethics 16 (3):52-54.
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Truth in Advertising: Reasonable Versus Unreasonable Claims About Improving Ethics Consultation.George J. Agich - 2016 - American Journal of Bioethics 16 (3):25-26.
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
    Download  
     
    Export citation  
     
    Bookmark   32 citations