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  1. Quality in ethics consultations.Gerard Magill - 2013 - Medicine, Health Care and Philosophy 16 (4):761-774.
    There is an increasing need for quality in ethics consultations, though there have been significant achievements in the United States and Europe. However, fundamental concerns that place the profession in jeopardy are discussed from the perspective of the U.S. in a manner that will be helpful for other countries. The descriptive component of the essay (the first two points) explains the achievements in ethics quality (illustrated by the IntegratedEthics program of the Veterans Health Administration) and the progress on standards and (...)
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  • Health policy, patient‐centred care and clinical ethics.Leah M. McClimans, Michael Dunn & Anne-Marie Slowther - 2011 - Journal of Evaluation in Clinical Practice 17 (5):913-919.
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  • Aims and harvest of moral case deliberation.Froukje C. Weidema, Bert Ac Molewijk, Frans Kamsteeg & Guy Am Widdershoven - 2013 - Nursing Ethics 20 (6):617-631.
    Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (...)
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  • Under the knife and under the lens: ethical issues in broadcasting live surgery.Richard Huxtable - 2013 - Clinical Ethics 8 (1):9-14.
    Live broadcasts of surgical procedures are most common at professional conferences, but they are not uncommon in the wider public arena, with operations having recently been transmitted in realtime on public television in the UK. This phenomenon raises ethical concerns familiar from the professional context, along with some distinct considerations which merit further attention. In this article I aim to examine the issues in terms of patient autonomy, patient welfare and the public interest. Prompted by the interest recently expressed by (...)
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  • Are Ethics Committees in Tune With the “Epidemiology of Ethical Issues”?Rogelio Altisent, Begoña Buil & Maria Teresa Delgado-Marroquín - 2012 - American Journal of Bioethics 12 (11):27-29.
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  • Dilemmas of ethics committees' effectiveness: a management and team theory contribution.A. Shetach - 2012 - Clinical Ethics 7 (2):94-100.
    This paper attempts to draw on management theory and practice and, more specifically, on know-how from the study of teamwork, to seek insights into enhancing the effectiveness of hospital ethics committees and clinical ethics committees (CECs), with the aim of contributing to heath-care organizations’ effective and efficient decision-making and operation. Based on an analysis of the obstacles that stand in the way of ethics committees’ (ECs’) efficient functioning, five specific conditions for EC success are brought forth. A couple of practical (...)
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  • Development of clinical ethics services in the UK: a national survey.Anne Marie Slowther, Leah McClimans & Charlotte Price - 2012 - Journal of Medical Ethics 38 (4):210-214.
    Background In 2001 a report on the provision of clinical ethics support in UK healthcare institutions identified 20 clinical ethics committees. Since then there has been no systematic evaluation or documentation of their work at a national level. Recent national surveys of clinical ethics services in other countries have identified wide variation in practice and scope of activities. Objective To describe the current provision of ethics support in the UK and its development since 2001. Method A postal/electronic questionnaire survey administered (...)
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  • The development and function of Clinical Ethics Committees (CECs) in the United Kingdom.Vic Larcher - 2009 - Diametros 22:47-63.
    In the UK an increasing number of Clinical Ethics Committees (CECs) have been developed mainly in response to local need and interest. Their functions include education of health professionals, of policy and guideline development, and case review (both retrospective analysis of topics and advice on acute cases). The UK Clinical Ethics Network, a charitable foundation provides CEC s with help, support and advice and enables them to share their experience The legal status of UK CECs is unclear but some legal (...)
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  • Clinical ethics consultation in Europe: a comparative and ethical review of the role of patients.Véronique Fournier, Eirini Rari, Reidun Førde, Gerald Neitzke, Renzo Pegoraro & Ainsley J. Newson - 2009 - Clinical Ethics 4 (3):131-138.
    Clinical ethics has developed significantly in Europe over the past 15 years and remains an evolving process. While sharing our experiences in different European settings, we were surprised to discover marked differences in our practice, especially regarding the position and role of patients. In this paper, we describe these differences, such as patient access to and participation or representation in ethics consults. We propose reasons to explain these differences, hypothesizing that they relate to the historic and sociocultural context of implementation (...)
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  • The role of patients in clinical ethics support: a snapshot of practices and attitudes in the United Kingdom.Ainsley J. Newson - 2009 - Clinical Ethics 4 (3):139-145.
    Clinical ethics committees (CECs) in the United Kingdom (UK) have developed significantly over the past 15 years. The issue of access to and participation in clinical ethics consultation by patients and family members has, however, gone largely unrecognized. There are various dimensions to this kind of contact, including patient notification, consent and participation. This study reports the first specific investigation of patient contact with UK CECs. A questionnaire study was carried out with representatives from UK CECs. Results suggest that patient (...)
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  • Use or ornament? Clinical ethics committees in infertility units: a qualitative study.Lucy Frith - 2009 - Clinical Ethics 4 (2):91-97.
    This paper examines the role of clinical ethics committees (CECs) in infertility clinics in the UK, focusing on whether they usefully support infertility clinicians' ethical decision-making. The overall aim of the study reported here was to investigate how infertility clinicians approached and handled ethical problems in their everyday practice and this paper reports on one aspect of these data – what they thought about the use of CECs. This paper gives an overview of what arrangements there are for such committees (...)
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  • Before Putting the Knife to Skin: Choosing the Patient Carefully.Ramkumar Aishworiya & Roy Joseph - 2017 - Asian Bioethics Review 9 (3):257-264.
    This case report illustrates the ethical issues involved in paediatric liver transplantation, especially in terms of assessing recipient suitability and the role of parents as donors. Ms. X was a child with advanced chronic liver disease who undergone an elective living donor liver transplant with her father as the donor. Post-operatively, she was in a critically ill state as a result of acute liver graft failure with resultant multi-organ dysfunction. A re-transplant was done at 36 hours after the first one, (...)
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  • Implementation of Clinical Ethics Consultation in German Hospitals.Maximilian Schochow, Dajana Schnell & Florian Steger - 2019 - Science and Engineering Ethics 25 (4):985-991.
    In order to build on the information that was obtained in the course of the first study, a follow-up survey was conducted first by phone and subsequently in a written form between August and October 2014. We contacted 1.858 hospitals in all of Germany for the follow-up survey by phone. In cases where a hospital had not participated in the first study, the willingness to participate in the follow-up survey was established in advance. The survey’s dispatch was ensured in the (...)
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  • Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems.Annette Rogge, Alena Buyx, Rainer Petzina, Eva Kuhn & Kai Wehkamp - 2021 - BMC Medical Ethics 22 (1):1-8.
    BackgroundCritical Incident Reporting Systems (CIRS) provide a well-proven method to identify clinical risks in hospitals. All professions can report critical incidents anonymously, low-threshold, and without sanctions. Reported cases are processed to preventive measures that improve patient and staff safety. Clinical ethics consultations offer support for ethical conflicts but are dependent on the interaction with staff and management to be effective. The aim of this study was to investigate the rationale of integrating an ethical focus into CIRS.MethodsA six-step approach combined the (...)
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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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  • COVID-19 underscores the important role of Clinical Ethics Committees in Africa.Adetayo Emmanuel Obasa, Anita Kleinsmidt, Siti Mukaumbya Kabanda & Keymanthri Moodley - 2021 - BMC Medical Ethics 22 (1):1-9.
    BackgroundThe COVID-19 pandemic has magnified pre-existing challenges in healthcare in Africa. Long-standing health inequities, embedded in the continent over centuries, have been laid bare and have raised complex ethical dilemmas. While there are very few clinical ethics committees (CECs) in Africa, the demand for such services exists and has increased during the COVID-19 pandemic. The views of African healthcare professionals or bioethicists on the role of CECs in Africa have not been explored or documented previously. In this study, we aim (...)
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  • Patient participation in Dutch ethics support: practice, ideals, challenges and recommendations—a national survey.Marleen Eijkholt, Janine de Snoo-Trimp, Wieke Ligtenberg & Bert Molewijk - 2022 - BMC Medical Ethics 23 (1):1-14.
    Background: Patient participation in clinical ethics support services has been marked as an important issue. There seems to be a wide variety of practices globally, but extensive theoretical or empirical studies on the matter are missing. Scarce publications indicate that, in Europe, patient participation in CESS varies from region to region, and per type of support. Practices vary from being non-existent, to patients being a full conversation partner. This contrasts with North America, where PP seems more or less standard. While (...)
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  • Ethical difficulties in nursing, educational needs and attitudes about using ethics resources.Cinzia Leuter, Cristina Petrucci, Antonella Mattei, Gianpietro Tabassi & Loreto Lancia - 2013 - Nursing Ethics 20 (3):348-358.
    Ethical difficulties arise in healthcare practices. However, despite extensive research findings that demonstrate that most nurses are involved in recurrent ethical problems, institutions are not always able to effectively support nursing care professionals. The limited availability of ethics consultation services and traditional nursing training fails to meet the frequent and strong requests by health workers to support their ethical dilemmas. A questionnaire was administered to 374 nurses attending a specialist training and a lifetime learning programme in Italy. The respondents reported (...)
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  • Ethical difficulties in healthcare: A comparison between physicians and nurses.Cinzia Leuter, Carmen La Cerra, Santina Calisse, Danila Dosa, Cristina Petrucci & Loreto Lancia - 2018 - Nursing Ethics 25 (8):1064-1074.
    Background: Advances in biomedical sciences, technologies and care practices have resulted in an increase in ethical problems and a resulting growth of difficulties encountered by health workers in their professional activity. Objective: The main objective of this study was to analyse knowledge in the ethical field and experience with and the propensity for using ethics consultations by nurses and physicians. Methods: Between March and June 2014, a cross-sectional observational study was conducted on a sample of 351 nurses and 128 physicians (...)
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  • Solving work-related ethical problems.Laura Laukkanen, Riitta Suhonen & Helena Leino-Kilpi - 2016 - Nursing Ethics 23 (8):838-850.
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  • Clinic, courtroom or (specialist) committee: in the best interests of the critically Ill child?Richard Huxtable - 2018 - Journal of Medical Ethics 44 (7):471-475.
    Law’s processes are likely always to be needed when particularly intractable conflicts arise in relation to the care of a critically ill child like Charlie Gard. Recourse to law has its merits, but it also imposes costs, and the courts’ decisions about the best interests of such children appear to suffer from uncertainty, unpredictability and insufficiency. The insufficiency arises from the courts’ apparent reluctance to enter into the ethical dimensions of such cases. Presuming that such reflection is warranted, this article (...)
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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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  • 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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  • Challenging misconceptions about clinical ethics support during COVID-19 and beyond: a legal update and future considerations.Joe Brierley, David Archard & Emma Cave - 2021 - Journal of Medical Ethics 47 (8):549-552.
    The pace of change and, indeed, the sheer number of clinical ethics committees has accelerated during the COVID-19 pandemic. Committees were formed to support healthcare professionals and to operationalise, interpret and compensate for gaps in national and professional guidance. But as the role of clinical ethics support becomes more prominent and visible, it becomes ever more important to address gaps in the support structure and misconceptions as to role and remit. The recent case of Great Ormond Street Hospital for Children (...)
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  • Patient participation in clinical ethics support services – Patient-centered care, justice and cultural competence.Angela J. Ballantyne, Elizabeth Dai & Ben Gray - 2017 - Clinical Ethics 12 (1):11-18.
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  • Moral decisions in (and for) groups.Anita Keshmirian - unknown
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