Clinical Ethics Consultants are not “Ethics” Experts—But They do Have Expertise

Rasmussen, Lisa M.

doi:10.1093/jmp/jhw012

Cited by 31 publications

(11 citation statements)

References 19 publications

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“…Journal of Medical Ethics Clinical ethics consultation Theoretical paper To describe experiences from the University Hospital of Freiburg regarding the provision of clinical ethics support Ethics consultation developed as a consequence of increased ethical awareness, expansion of medical interventions, influence of legal aspects, economic constraints, patients dying in hospital and experiences of ethical conflict related to treatment at the end of life. Rasmussen ( 2016 ). Clinical Ethics consultants are not “ethics” experts-but they do have expertise.…”

Section: Methodsmentioning

confidence: 99%

Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review

et al. 2017

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This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they are constructed and their goals in supporting healthcare personnel in clinical practice. This study engages in an integrative literature review. We searched for peer-reviewed academic articles written in English between 2000 and 2016 using specific Mesh terms and manual keywords in CINAHL, MEDLINE and Psych INFO databases. In total, 54 articles worldwide described clinical ethics support approaches that include clinical ethics consultation, clinical ethics committees, moral case deliberation, ethics rounds, ethics discussion groups, and ethics reflection groups. Clinical ethics consultation and clinical ethics committees have various roles and functions in different countries. They can provide healthcare personnel with advice and recommendations regarding the best course of action. Moral case deliberation, ethics rounds, ethics discussion groups and ethics reflection groups support the idea that group reflection increases insight into ethical issues. Clinical ethics support in the form of a “bottom-up” perspective might give healthcare personnel opportunities to think and reflect more than a “top-down” perspective. A “bottom-up” approach leaves the healthcare personnel with the moral responsibility for their choice of action in clinical practice, while a “top-down” approach risks removing such moral responsibility.

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Section: Methodsmentioning

confidence: 99%

Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review

et al. 2017

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“…For example, while the competencies listed in Table represent an emerging consensus for skills required for clinical ethics consultation, there is no normative consensus on what constitutes ethics ‘expertise’. There is important normative work defining clinical ethics expertise emerging, which clinical ethics professional bodies need to engage with in order to develop professional standards that truly reflect the required expertise. A recent special edition of Bioethics identified the need for research that integrates both empirical and normative elements, and there is exciting research of this nature emerging – for example, Jellema, Mackor and Molewijk's study developing a coding scheme for assessing quality in deliberation and Schildmann et al .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a paediatric clinical ethics service

Jansen

Schlapbach

Irving

2018

J Paediatrics Child Health

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“…One drawback of relying on an ethics coordinator involves what it means to be an 'ethics expert' and how the ethics coordinator is appointed by an organization. The skillset required to be considered an 'ethics expert' has historically been ambiguously defined and an ongoing debate centers around whether ethics expertise can exist in healthcare settings (e.g., Brummett & Ostertag, 2018;Ho, 2016;Iltis & Rasmussen, 2016;McClimans & Slowther, 2016;Rasmussen, 2016;Rhodes, 2019). Restated as questions, how do we know someone is qualified to be the ethics coordinator?…”

Section: Systems To Aid Ethical Decision-makingmentioning

confidence: 99%

“…Groups of people can also be more likely to effectively problem solve solutions to workplace challenges when the right contingencies exist around cooperative and creative behavior (e.g., Benbunan-Fich & Hiltz, 1999;Heller, Keith, & Anderson, 1992;Mumford, Feldman, Hein, & Nagao, 2001). Contingencies surrounding contact with the literature, collaboration, and creative problem-solving with ethics-related activities and decision-making may be especially helpful when ethics committee members lack formal training or background in applied ethics (Swetz, Hook, Hellyer, & Mueller, 2013;Rasmussen, 2016).…”

Section: Systems To Aid Ethical Decision-makingmentioning

confidence: 99%

A Guide to Establishing Ethics Committees in Behavioral Health Settings

Cox

2020

Behav Analysis Practice

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Ethical statements typically involve rules. All rules can vary in accuracy and specificity depending on the context to which they are applied. Codes of ethics often involve ethical rules that are written generally to cover the wide-ranging set of possible situations any one member of the profession may encounter. But, despite being written generally, codes of ethics are applied to specific situations that professional members encounter. The application of general rules to specific contexts can sometimes be challenging and complex. Healthcare organizations have several options to help their employees behave ethically. One approach is to appoint a single ethics coordinator (Brodhead & Higbee, 2012). In contrast, the dominant approach in most healthcare organizations is to develop an organizational ethics committee (Moon, 2009). Despite the popularity of the ethics committee in other professions, it is unknown the extent to which organizations that provide ABA services have established and operate ethics committees. Ethics coordinator roles and ethics committees each have benefits and drawbacks. This article reviews the benefits and drawbacks of appointing an ethics coordinator and establishing an ethics committee. And, for interested organizations, this article outlines the steps and considerations that organizations can use to guide the creation of an ethics committee.

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Clinical Ethics Consultants are not “Ethics” Experts—But They do Have Expertise

Abstract: (1988, 8).

Cited by 31 publications

References 19 publications

Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review

Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review

Evaluation of a paediatric clinical ethics service

A Guide to Establishing Ethics Committees in Behavioral Health Settings

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