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  1. Vulnerability: Reflection on its ethical implications for the protection of participants in SAMHSA programs.Thomas F. Mcgovern - 1998 - Ethics and Behavior 8 (4):293 – 304.
    The vulnerability of participants in Substance Abuse and Mental Health Services Administration (SAMHSA) programs is a consequence of the illnesses that they are experiencing; ethical guarantees must be in place that ensure the dignity of the persons involved in such programs. Dignity is more than an individual concern; it has individual, institutional, and societal dimensions. An ethical framework is proposed that involves the interrelated vulnerabilities and needs of individuals and communities and our societal response to them. Among the issues given (...)
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  • Is organizational ethics the remedy for failure to thrive? Toward an understanding of mission leadership.Patrick McCruden & Mark Kuczewski - 2006 - HEC Forum 18 (4):342-348.
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  • (2 other versions)Ethics Consultation in U.S. Hospitals: New Findings about Consultation Practices.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - AJOB Empirical Bioethics 13 (1):1-9.
    BackgroundWhile previous research has examined various aspects of ethics consultation (EC) in U.S. hospitals, certain EC practices have never been systematically studied.MethodsTo address this gap, we surveyed a random stratified sample of 600 hospitals about aspects of EC that had not been previously explored.ResultsNew findings include: in 26.0% of hospitals, the EC service performs EC for more than one hospital; 72.4% of hospitals performed at least one non-case consultation; in 56% of hospitals, ECs are never requested by patients or families; (...)
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  • The quality of bioethics debate: implications for clinical ethics committees.L. Williamson - 2008 - Journal of Medical Ethics 34 (5):357-360.
    Bioethicists have recently expressed concern over a lack of quality control within the field. This apprehension focuses on bioethics expanding in ways that obscure its distinctive ethical remit and the specialist reasoning skills it requires. This thesis about the quality and conduct of bioethics may have particular relevance for clinical ethics. As one of the youngest offshoots of bioethics, the field focuses on the ethical issues that arise specifically in a clinical context. However, non-ethics specialists are increasingly involved in this (...)
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  • 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 (...)
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  • Regulation of healthcare ethics committees in Europe.Norbert Steinkamp, Bert Gordijn, Ana Borovecki, Eugenijus Gefenas, Jozef Glasa, Marc Guerrier, Tom Meulenbergs, Joanna Różyńska & Anne Slowther - 2007 - Medicine, Health Care and Philosophy 10 (4):461-475.
    In this article, the question is discussed if and how Healthcare Ethics Committees (HECs) should be regulated. The paper consists of two parts. First, authors from eight EC member countries describe the status quo in their respective countries, and give reasons as to the form of regulation they consider most adequate. In the second part, the country reports are analysed. It is suggested that regulation of HECs should be central and weak. Central regulation is argued to be apt to improve (...)
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  • Needs assessment for healthcare ethics education.Barbara Lewthwaite & Sharon Erickson-Nesmith - 1998 - HEC Forum 10 (1):86-101.
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  • Strange, but not stranger: The peculiar visage of philosophy in clinical ethics consultation. [REVIEW]Mark J. Bliton & Stuart G. Finder - 1999 - Human Studies 22 (1):69-97.
    Baylis, Tomlinson, and Hoffmaster each raise a number of critiques in response to Bliton's manuscript. In response, we focus on three themes we believe run through each of their critiques. The first is the ambiguity between the role of ethics consultation within an institution and the role of the actual ethics consultant in a particular situation, as well as the resulting confusion when these roles are conflated. We explore this theme by revisiting the question of What's going on? in clinical (...)
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  • Collaboration of Ethics and Patient Safety Programs: Opportunities to Promote Quality Care.William A. Nelson, Julia Neily, Peter Mills & William B. Weeks - 2008 - HEC Forum 20 (1):15-27.
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  • Ethics consultation: Is it enough to mean well? [REVIEW]Mark P. Aulisio - 1999 - HEC Forum 11 (3):208-217.
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  • Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):28-36.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly (...)
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  • Response to Open Peer Commentaries for “Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons”.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):3-4.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients and managers ; semi-structured interviews with managers, clinicians, and ethics committee chairpersons. Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on (...)
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  • Responding to ethical dilemmas in nursing homes: Do we always need an “ethicist”? [REVIEW]David A. Fleming - 2007 - HEC Forum 19 (3):245-259.
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  • (2 other versions)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 (...)
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  • The development of a descriptive evaluation tool for clinical ethics case consultations.R. Pedersen, S. A. Hurst, J. Schildmann, S. Schuster & B. Molewijk - 2010 - Clinical Ethics 5 (3):136-141.
    There is growing interest in clinical ethics. However, we still have sparse knowledge about what is actually going on in the everyday practice of clinical ethics consultations. This paper introduces a descriptive evaluation tool to present, discuss and compare how clinical ethics case consultations are actually carried out. The tool does not aim to define ‘best practice’. Rather, it facilitates concrete comparisons and evaluative discussions of the role, function, procedures and ideals inherent in clinical ethics case consultation practices. The tool (...)
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  • Dialogue to action: Including public expectations in healthcare ethics. [REVIEW]Jay A. Jacobson & Jennifer E. Gully - 1996 - HEC Forum 8 (1):29-43.
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  • What are healthcare ethics committees in wisconsin doing?Janet L. Schaffner & Robert M. Nelson - 1999 - HEC Forum 11 (3):247-253.
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  • The denver community bioethics committee: Healthcare decisions in adult protection and long-term care settings. [REVIEW]Lynn D. Mason - 1995 - HEC Forum 7 (5):284-289.
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  • How HECs can better relate to physicians.Eugene V. Boisaubin - 1996 - HEC Forum 8 (3):157-167.
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  • The Consortium Ethics Program: Continuing Ethics Education for Community Healthcare Professionals.Rosa Lynn B. Pinkus - 1999 - HEC Forum 11 (3):233-246.
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  • The consortium ethics program: An approach to establishing a permanent regional ethics network. [REVIEW]Rosa Lynn Pinkus, Gretchen M. Aumann, Mark G. Kuczewski, Anne Medsger, Alan Meisel, Lisa S. Parker & Mark R. Wicclair - 1995 - HEC Forum 7 (1):13-32.
    This paper describes the first three-year experience of the Consortium Ethics Program (CEP-1) of the University of Pittsburgh Center for Medical Ethics, and also outlines plans for the second three-year phase (CEP-2) of this experiment in continuing ethics education. In existence since 1990, the CEP has the primary goal of creating a cost-effective, permanent ethics resource network, by utilizing the educational resources of a university bioethics center and the practical expertise of a regional hospital council. The CEP's conception and specific (...)
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  • What Motivates Hospital CEOs to Commit to Ethical Integration in Their Organizations.John J. Newhouse & Edward Balotsky - 2013 - Cambridge Quarterly of Healthcare Ethics 22 (4):346-354.
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  • Hospital ethics committees: A survey in upstate new York. [REVIEW]Don Milmore - 2006 - HEC Forum 18 (3):222-244.
    This survey describes in detail ethics committees (ECs) at acute care hospitals in Upstate New York. It finds that in just two years (1984 and 1985), following the Baby Doe controversy and the Report of the President’s Commission, 40% of urban ECs and 37% of university ECs were formed. One half of rural ECs formed in 1992–1995, following the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement of access to ethics consultation. Generally, ECs are committees of the powerful within (...)
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  • Ethics talk; talking ethics: An example of clinical ethics consultation. [REVIEW]Mark J. Bliton - 1999 - Human Studies 22 (1):7-24.
    This written account of a clinical encounter - depicting fragments of a more extensive array of events - attempts to exemplify many facets and associated complexities of clinical ethics consultation. Within the general telling, I provide more detailed portrayals of several key events. In secion 1, I document briefly my initial interactions at the beginning of the consultation, focusing on the information gained - in the context of those interactions - as I read the medical chart of Mrs. Rose. Next (...)
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