Diversity in Clinical Ethics

Agich, George J.

doi:10.1007/978-3-319-18965-9_2

Cited by 2 publications

(2 citation statements)

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“…This study suggests that a threshold of 70% agreement may be too restrictive, especially when it comes to agreeing about the outcomes of clinical ethics services in the USA. In retrospect, failure to achieve 70% agreement is perhaps not surprising given both the lack of attention to outcomes in the CES literature, and the well-documented diversity of views about and approaches to clinical ethics in the field [eg, 29]. Nonetheless, our findings suggest that 51% is not an overly ambitious level of consensus.…”

Section: Discussionmentioning

confidence: 72%

Objectives and outcomes of clinical ethics services: a Delphi study

2019

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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 to rank them for appropriateness in a top 10 list of objectives and a top 5 list of outcomes.ResultsParticipants came to a high(at least 70%) level of agreement on seven objectives: mediate, educate, develop policy, improve the moral quality of a decision or action, counsel, create a moral space and manage moral distress. Participants came to a moderate (at least 51%) level of agreement on three objectives: empower, awareness of ethics and preventative ethics. Participants also came to a moderate (at least 51%) level of agreement on five outcomes: ethical justification, transformation of institution, improvement of quality of life, principled consensus and satisfaction with the expertise of a CES.ConclusionThis e-Delphi identified 10 objectives and 5 outcomes that are a good starting point for developing outcome measures to evaluate CESs in the USA, while reminding us of the diversity of perspectives still evident in the field.

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Section: Discussionmentioning

confidence: 72%

Objectives and outcomes of clinical ethics services: a Delphi study

2019

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“…Critical reflection on the actions and communications involved in doing ethics consultation is essential not only in retrospective review of cases, but also in the process of actually performing an ethics consultation. I have argued that ethics consultation is best understood as a reflective practice and that the ethics consultant should be a reflective practitioner who is intentionally aware of and responsible for the actions and communications routinely undertaken in the course of an ethics consultation (Agich 2015;Schön 1983). These actions and communications include the phases of gathering information, assessment, interpretation, deciding which clinicians should be interviewed, when and how interviews and/or meetings should be conducted, as well as which individuals should be involved in the meetings.…”

Section: Introductionmentioning

confidence: 99%