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  1. (1 other version)Intersectionality as a tool for clinical ethics consultation in mental healthcare.Mirjam Faissner, Lisa Brünig, Anne-Sophie Gaillard, Anna-Theresa Jieman, Jakov Gather & Christin Hempeler - 2024 - Philosophy, Ethics and Humanities in Medicine 19 (1):1-11.
    Bioethics increasingly recognizes the impact of discriminatory practices based on social categories such as race, gender, sexual orientation or ability on clinical practice. Accordingly, major bioethics associations have stressed that identifying and countering structural discrimination in clinical ethics consultations is a professional obligation of clinical ethics consultants. Yet, it is still unclear how clinical ethics consultants can fulfill this obligation. More specifically, clinical ethics needs both theoretical tools to analyze and practical strategies to address structural discrimination within clinical ethics consultations. (...)
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  • Sheltering in chaos: parents’ experiences when facing moral challenges in childhood cancer care.Charlotte Weiner, Pernilla Pergert, Anders Castor, Bert Molewijk & Cecilia Bartholdson - 2024 - Ethics and Behavior 34 (8):545-558.
    Childhood cancers are life-threatening diseases that affect the whole family. During the treatment moral situations might arise. Research on how parents perceive moral challenges in childhood cancer care is sparse. The aim was to explore parents’ main concern, and how they deal with their main concern, when facing moral challenges in childhood cancer care. Data collection included focus group interviews with parents. The data analysis was carried out according to a classical theory and revealed the core category “Sheltering in chaos”. (...)
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  • Digital ethical reflection in long-term care: Leaders’ expectations.Lena Jakobsen, Rose Mari Olsen, Berit Støre Brinchmann & Siri Andreassen Devik - forthcoming - Nursing Ethics.
    Background Healthcare leader support and facilitation for ethics work are of great importance for healthcare professionals’ handling of ethical issues, moral distress, and quality care provision. A digital tool for ethical reflection in long-term care was developed in response to the demand for appropriate tools. Research aim This study aimed to explore healthcare leaders’ expectations of using a digital tool for ethical reflection among their home nursing care staff. Research design A qualitative research design with vignettes and focus group interviews (...)
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  • The ethics laboratory: an educational tool for moral learning.Jeanette Bresson Ladegaard Knox & Mette Nordahl Svendsen - 2022 - International Journal of Ethics Education 7 (2):257-270.
    This article introduces _the Ethics Laboratory_ as an inter-sectorial and cross-disciplinary dialogical forum which can be viewed as an educational tool for moral learning. _The Ethics Laboratory_ represents a platform for the informal, collaborative investigation, in strict confidentiality, of ethical questions that have social consequences and/or legal concerns and bridges boundaries between research communities, institutions and patients. Its methodological structure proposes an experimental, open-ended way of unpacking implied assumptions, underlying values, comparable notions and observations from different professional fields. In connection (...)
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  • Ethical climate and moral distress in paediatric oncology nursing.Päivi Ventovaara, Margareta af Sandeberg, Janne Räsänen & Pernilla Pergert - 2021 - Nursing Ethics 28 (6):1061-1072.
    Background: Ethical climate and moral distress have been shown to affect nurses’ ethical behaviour. Despite the many ethical issues in paediatric oncology nursing, research is still lacking in the field. Research aim: To investigate paediatric oncology nurses’ perceptions of ethical climate and moral distress. Research design: In this cross-sectional study, data were collected using Finnish translations of the Swedish Hospital Ethical Climate Survey–Shortened and the Swedish Moral Distress Scale–Revised. Data analysis includes descriptive statistics and non-parametric analyses. Respondents and research context: (...)
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  • The relationship professional commitment and ethics with patient rights: a cross-sectional descriptive study.Sara Mohammadnejad, Afsaneh Raiesifar, Zoleikha Karamelahi & Razhan Chehreh - 2024 - BMC Medical Ethics 25 (1):1-8.
    Background Ethical behavior of health workers is an important part of health services. The aim of the present study was to determine the relationship between ethics and professional commitment and its relationship with the level of respect for patient rights in medical students. Material & methods A cross-sectional descriptive study was conducted with the participation of nursing, midwifery and emergency medicine students of Ilam University of Medical Sciences. Sampling was done by stratified random method. The data was collected using Demographic, (...)
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  • An empirical investigation into moral challenges of (breaching) confidentiality and needs for ethics support when facilitating moral case deliberation.W. M. R. Ligtenberg, A. C. Molewijk & M. M. Stolper - 2024 - International Journal of Ethics Education 9 (1):79-104.
    Ethics support staff help others to deal with moral challenges. However, they themselves can also experience moral challenges such as issues regarding (breaching) confidentiality when practicing ethics support. Currently there is no insight in these confidentiality issues and also no professional guidance for dealing with them. To gain insight into moral challenges related to Moral Case Deliberation (MCD), we studied a) beliefs and experiences of MCD facilitators regarding breaching confidentiality, b) considerations for (not) breaching confidentiality, and c) needs for an (...)
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  • Developing Organizational Diversity Statements Through Dialogical Clinical Ethics Support: The Role of the Clinical Ethicist.Charlotte Kröger, Albert C. Molewijk & Suzanne Metselaar - 2023 - Journal of Bioethical Inquiry 20 (3):379-395.
    In pluralist societies, stakeholders in healthcare may have different experiences of and moral perspectives on health, well-being, and good care. Increasing cultural, religious, sexual, and gender diversity among both patients and healthcare professionals requires healthcare organizations to address these differences. Addressing diversity, however, comes with inherent moral challenges; for example, regarding how to deal with healthcare disparities between minoritized and majoritized patients or how to accommodate different healthcare needs and values. Diversity statements are an important strategy for healthcare organizations to (...)
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  • Implementing ethics reflection groups in hospitals: an action research study evaluating barriers and promotors.Henriette Bruun, Reidar Pedersen, Elsebeth Stenager, Christian Backer Mogensen & Lotte Huniche - 2019 - BMC Medical Ethics 20 (1):49.
    An ethics reflection group is one of a range of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the implementation process of interdisciplinary ERGs in psychiatric and general hospital departments in Denmark. To our knowledge, this is the first study of ERG implementation to include both psychiatric and general hospital departments. The implementation and evaluation strategies are inspired by action research, using a qualitative approach and systematic text condensation of (...)
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  • ‘You can give them wings to fly’: a qualitative study on values-based leadership in health care.Yvonne Denier, Lieve Dhaene & Chris Gastmans - 2019 - BMC Medical Ethics 20 (1):1-17.
    Within contemporary health care, many of the decisions affecting the health and well-being of patients are not being made by the clinicians or health professionals, but by those involved in health care management. Existing literature on organizational ethics provides insight into the various structures, processes and strategies - such as mission statement, ethics committees, ethical rounds … - that exist to create an organizational climate, which fosters ethical practices and decision-making It does not, however, show how health care managers experience (...)
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  • Developing clinical ethics support for an Australian Health Service: A survey of clinician’s experiences and views.Giuliana Fuscaldo, Melissa Cadwell, Kristin Wallis, Lisa Fry & Margaret Rogers - 2019 - AJOB Empirical Bioethics 10 (1):44-54.
    Background: International developments suggest that providing clinical ethics services to help clinicians negotiate ethical issues that arise in clinical practice is beneficial and reflects best practice in promoting high ethical standards and patient-centered care. The aim of this study was to explore the needs and experiences of clinical staff members to inform the development of future clinical ethics support. Methods: Health professionals at a large regional health service completed an online survey containing questions about the frequency of ethical and legal (...)
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  • Using symbiotic empirical ethics to explore the significance of relationships to clinical ethics: findings from the Reset Ethics research project.Caroline A. B. Redhead, Lucy Frith, Anna Chiumento, Sara Fovargue & Heather Draper - 2024 - BMC Medical Ethics 25 (1):1-15.
    Background At the beginning of the coronavirus (Covid-19) pandemic, many non-Covid healthcare services were suspended. In April 2020, the Department of Health in England mandated that non-Covid services should resume, alongside the continuing pandemic response. This ‘resetting’ of healthcare services created a unique context in which it became critical to consider how ethical considerations did (and should) underpin decisions about integrating infection control measures into routine healthcare practices. We draw on data collected as part of the ‘NHS Reset Ethics’ project, (...)
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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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  • Ethical issues in oncology practice: a qualitative study of stakeholders’ experiences and expectations.Gabriella Pravettoni, Paolo G. Casali, Virginia Sanchini & Chiara Crico - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundClinical Ethics Support Services have been established to support healthcare professionals in addressing ethically sensitive issues in clinical practice and, in many countries, they are under development. In the context of growing CESS, exploring how healthcare professionals experience and address clinical ethics issues in their daily practice represents a fundamental step to understand their potential needs. This is even more relevant in the context of extremely sensitive diseases, such as cancer. On this basis, we carried out a qualitative study conducting (...)
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  • (1 other version)Systemic approach to clinical ethics—impact of systems thinking and practice on the design of effective ethics consultations.Katharina Woellert - 2022 - Ethik in der Medizin 34 (4):529-548.
    Definition of the problemQuality of care also includes a professional approach to ethical challenges. This involves the moral interpretation of an issue and the management of intra- and interpersonal reflection processes. Combining both is the central task of clinical ethics consultation (CEC). Despite its importance only a few studies have dealt with the appropriate methods for steering reflection processes.ArgumentsCEC requires a theory-based and methodological approach. The argumentation shows the effects that systems theory and systemic methods have on the effectiveness of (...)
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  • Registered nurses’ exposure to high stress of conscience in long-term care.Hilde Munkeby, Grete Bratberg & Siri Andreassen Devik - 2023 - Nursing Ethics 30 (7-8):1011-1024.
    Background In long-term care, registered nurses and other care providers often experience tensions between ideals and realities in the delivery of services, which can result in stress of conscience. Burnout, low quality of care and a tendency to leave the profession are perceived as consequences. Objectives This study aimed to identify the socio-demographic and work-related factors associated with a high level of stress of conscience, particularly between nursing occupations. Research design A cross-sectional survey was conducted among care providers who worked (...)
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  • Research, education, ethics consultation: evaluating a Bioethics Unit in an Oncological Research Hospital.Marta Perin, Elena Turola, Giovanna Artioli, Luca Ghirotto, Massimo Costantini, Morten Magelssen & Ludovica De Panfilis - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundThis study aims to quantitatively and qualitatively evaluate the activities of a Bioethics Unit (BU) 5 years since its implementation (2016–2020). The BU is a research unit providing empirical research on ethical issues related to clinical practice, clinical ethics consultation, and ethical education for health care professionals (HPS).MethodsWe performed an explanatory, sequential, mixed-method, observational study, using the subsequent qualitative data to explain the initial quantitative findings. Quantitative data were collected from an internal database and analyzed by descriptive analysis. Qualitative evaluation (...)
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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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  • Specific Trends in Pediatric Ethical Decision-Making: An 18-Year Review of Ethics Consultation Cases in a Pediatric Hospital.Yaa Bosompim, Julie Aultman & John Pope - forthcoming - HEC Forum:1-17.
    This is a qualitative examination of ethics consultation requests, outcomes, and ethics committee recommendations at a tertiary/quaternary pediatric hospital in the U.S. The purpose of this review of consults over an 18-year period is to identify specific trends in the types of ethical dilemmas presented in our pediatric setting, the impact of consultation and committee development on the number and type of consults provided, and any clinical features and/or challenges that emerged and contributed to the nature of ethical situations and (...)
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  • Ethics rounds in the ambulance service: a qualitative evaluation.Catharina Frank, Andreas Rantala, Anders Svensson, Anders Sterner, Jessica Green, Anders Bremer & Bodil Holmberg - 2024 - BMC Medical Ethics 25 (1):1-10.
    Background It is a common ethical challenge for ambulance clinicians to care for patients with impaired decision-making capacities while assessing and determining the degree of decision-making ability and considering ethical values. Ambulance clinicians’ ethical competence seems to be increasingly important in coping with such varied ethical dilemmas. Ethics rounds is a model designed to promote the development of ethical competence among clinicians. While standard in other contexts, to the best of our knowledge, it has not been applied within the ambulance (...)
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  • 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.
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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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  • Outcomes of clinical ethics support near the end of life: A systematic review.Joschka Haltaufderheide, Stephan Nadolny, Marjolein Gysels, Claudia Bausewein, Jochen Vollmann & Jan Schildmann - 2020 - Nursing Ethics 27 (3):838-854.
    Background: Clinical ethics support services have been advocated in recent decades. In clinical practice, clinical ethics support services are often requested for difficult decisions near the end of life. However, their contribution to improving healthcare has been questioned and demands for evaluation have been put forward. Research indicates that there are considerable challenges associated with defining adequate outcomes for clinical ethics support services. In this systematic review, we report findings of qualitative studies and surveys, which have been conducted to evaluate (...)
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  • (1 other version)Klinische Ethik systemisch betrachtet – Vom Einfluss systemischer Grundannahmen und Methoden auf die Gestaltung einer effektiven Ethikberatung.Katharina Woellert - 2022 - Ethik in der Medizin 34 (4):529-548.
    Zusammenfassung Krankenhäuser müssen sich an der ethischen Qualität ihrer Versorgung messen lassen. Es geht dabei um einen Zustand, in dem allgemein anerkannte moralische Normen in der Patient:innenversorgung konsequent berücksichtigt werden. Damit sind zwei Ebenen angesprochen: die der ethisch-normativen Deutung und die der Gestaltung intra- und interpersonaler Prozesse. Die Klinische Ethik ist die Disziplin, die in der Verbindung beider ihre zentrale Aufgabe sieht. Um sie zu erfüllen, muss Ethikarbeit auf der Basis komplexer Kompetenzen erfolgen. Neben fundiertem Ethikwissen ist das Beherrschen von (...)
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  • 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. (...)
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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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  • What is a High-Quality Moral Case Deliberation?-Facilitators’ Perspectives in the Euro-MCD Project.Lena M. Jakobsen, Bert Molewijk, Janine de Snoo-Trimp, Mia Svantesson & Gøril Ursin - 2024 - HEC Forum 36 (4):541-557.
    The evaluation of the European Moral Case Deliberation Outcomes project (Euro-MCD) has resulted in a revised evaluation instrument, knowledge about the content of MCD (moral case deliberation), and the perspectives of those involved. In this paper, we report on a perspective that has been overlooked, the facilitators’. We aim to describe facilitators’ perceptions of high-quality moral case deliberation and their Euro-MCD sessions. The research took place in Norway, Sweden, and the Netherlands using a survey combined with interviews with 41 facilitators. (...)
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  • Postgraduate nursing students’ experiences of practicing ethical communication.Catarina Fischer Grönlund & Margareta Brännström - 2022 - Nursing Ethics 29 (7-8):1709-1720.
    Background Ethics communication has been described as a pedagogical form, promoting development of ethical competence among nursing students. The ‘one to five method’ was developed by this research group as a tool for facilitating ethical communication in groups among healthcare professionals but has not yet been evaluated. Aim To explore post-graduate nursing students’ experiences of practicing ethical communication in groups Research design The study design is qualitative. Participants and research context The study comprised 12 nursing students on a post-graduate course (...)
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  • Nurses’ ethical decision-making during end of life care in South Korea: a cross-sectional descriptive survey.Sanghee Kim & Arum Lim - 2021 - BMC Medical Ethics 22 (1):1-9.
    BackgroundAlthough nurses are crucial to ensure patients’ peaceful death in hospitals, many nurses experience various ethical conflicts during end-of-life care. Therefore, research on nurses’ entire ethical decision-making process is required to improve nurses’ ethical decision-making in end-of-life care. This study aimed to identify Korean nurses’ ethical decision-making process based on their moral sensitivity to end-of-life patients.MethodsIn total, 171 nurses caring for terminal patients responded to the survey questionnaire. To measure the participants’ moral sensitivity and ethical decision-making process, we used the (...)
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  • Ethics rounds: affecting ethics quality at all organisational levels.Dagmar Schmitz, Dominik Groß, Charlotte Frierson, Gerrit A. Schubert, Henna Schulze-Steinen & Alexander Kersten - 2018 - Journal of Medical Ethics 44 (12):805-809.
    Clinical ethics support services are experiencing a phase of flourishing and of growing recognition. At the same time, however, the expectations regarding the acceptance and the integration of traditional CES services into clinical processes are not met. Ethics rounds as an additional instrument or as an alternative to traditional clinical ethics support strategies might have the potential to address both deficits. By implementing ethics rounds, we were able to better address the needs of the clinical sections and to develop a (...)
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  • The fertility of moral ambiguity in precision medicine.Jeanette Bresson Ladegaard Knox & Mette Nordahl Svendsen - 2023 - Medicine, Health Care and Philosophy 26 (3):465-476.
    Although precision medicine cuts across a large spectrum of professions, interdisciplinary and cross-sectorial moral deliberation has yet to be widely enacted, let alone formalized in this field. In a recent research project on precision medicine, we designed a dialogical forum (i.e. ‘the Ethics Laboratory’) giving interdisciplinary and cross-sectorial stakeholders an opportunity to discuss their moral conundrums in concert. We organized and carried out four Ethics Laboratories. In this article, we use Simone de Beauvoir’s concept of moral ambiguity as a lens (...)
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  • Hospital Ethics Committees in accredited hospitals in Poland—availability of information.Patrycja Zurzycka, Grażyna Puto, Katarzyna Czyżowicz & Iwona Repka - 2021 - International Journal of Ethics Education 7 (1):73-85.
    The role of Hospital Ethics Committees is to support patients and their relatives as well as medical staff in solving ethical issues that arise in relation to the implementation of medical care. In Poland there are no clearly formulated legal regulations concerning the establishment and functioning of hospital ethics committees. Hospitals applying for accreditation are obliged to present solutions defining the way of solving ethical issues in a given institution, some of them appoint HECs for this purpose. The aim of (...)
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  • Critical dialogue method of ethics consultation: making clinical ethics facilitation visible and accessible.Clare Delany, Sharon Feldman, Barbara Kameniar & Lynn Gillam - forthcoming - Journal of Medical Ethics.
    In clinical ethics consultations, clinical ethicists bring moral reasoning to bear on concrete and complex clinical ethical problems by undertaking ethical deliberation in collaboration with others. The reasoning process involves identifying and clarifying ethical values which are at stake or contested, and guiding clinicians, and sometimes patients and families, to think through ethically justifiable and available courses of action in clinical situations. There is, however, ongoing discussion about the various methods ethicists use to do this ethical deliberation work. In this (...)
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  • Defining the role of facilitated mediation in medical treatment decision-making for critically ill children in the Australian clinical context.Anne Preisz, Neera Bhatia & Patsi Michalson - 2023 - Clinical Ethics 18 (2):192-204.
    In this article, we explore alternative conflict resolution strategies to assist families and clinicians in cases of intractable dissent in paediatric health care decision-making. We focus on the ethical and legal landscape using cases from the Australian jurisdiction in New South Wales, while referencing some global sentinel cases. We highlight a range of alternative means of addressing conflict, including clinical ethics support, and contrast and contextualise facilitative or interest-based mediation, concluding that legal intervention via the courts can be protracted and (...)
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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 in six databases (PubMed, Ovid (...)
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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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  • Impact of moral case deliberation in healthcare settings: a literature review.Maaike M. Haan, Jelle L. P. van Gurp, Simone M. Naber & A. Stef Groenewoud - 2018 - BMC Medical Ethics 19 (1):85.
    An important and supposedly impactful form of clinical ethics support is moral case deliberation. Empirical evidence, however, is limited with regard to its actual impact. With this literature review, we aim to investigate the empirical evidence of MCD, thereby a) informing the practice, and b) providing a focus for further research on and development of MCD in healthcare settings. A systematic literature search was conducted in the electronic databases PubMed, CINAHL and Web of Science. Both the data collection and the (...)
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  • Positioning Ethics When Direct Patient Care is Prioritized: Experiences from Implementing Ethics Case Reflection Rounds in Childhood Cancer Care.Pernilla Pergert, Bert Molewijk & Cecilia Bartholdson - forthcoming - HEC Forum:1-12.
    Caring for children with cancer involves complex ethical challenges. Ethics Case Reflection (ECR) rounds can be offered to support teams to reflect on challenges and what should be done in patient care. A training course, for facilitators of ECR rounds, has been offered to healthcare professionals (HCPs) in childhood cancer care by a Nordic working group on ethics. During/after the course, the trainees implemented and facilitated ECR rounds in their clinical setting. The aim was to explore the trainees’ experiences 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 aim Clinical Ethics Committees (CECs) aim to support healthcare professionals (HPs) and healthcare organizations to deal with the ethical issues of clinical practice. In 2020, a CEC was established in an Oncology Research Hospital in the North of Italy. This paper describes the development process and the activities performed 20 months from the CEC’s implementation, to increase knowledge about CEC’s implementation strategy. Research design We collected quantitative data related to number and characteristics of CEC activities carried out (...)
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  • 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 (CECs)? 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 context? We describe in depth a (...)
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