Emotional Support for Health Care Professionals: A Therapeutic Role for the Hospital Ethics Committee

Chooljian, David M; Hallenbeck, James; Ezeji-Okoye, Stephen C.; Sebesta, Robert; Hasan, Iqbal; Kuschner, Ware G.

doi:10.1080/15524256.2016.1200519

Cited by 4 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emerging evidence shows that colleagues may offer support to staff via ethics team, palliative care team, or moral distress consult service. 62,70,76 Outside of work, humanistic experiences, such as the participation in a museum education program may provide alternative lenses to contextualize suffering and dying. 47 Similarly, the practice of narrative medicine offers new perspectives on compassionate care, meeting a patient where they are, and potentially growing personally and professionally as a clinician.…”

Section: Discussionmentioning

confidence: 99%

Clinician distress in seriously ill patient care: A dimensional analysis

Foxwell

Meghani²,

Ulrich

2021

Nurs Ethics

View full text Add to dashboard Cite

Background: Caring for patients with serious illness may severely strain clinicians causing distress and probable poor patient outcomes. Unfortunately, clinician distress and its impact historically has received little attention. Research purpose: The purpose of this article was to investigate the nature of clinician distress. Research design: Qualitative inductive dimensional analysis. Participants and research context: After review of 577 articles from health sciences databases, a total of 33 articles were eligible for analysis. Ethical considerations: This study did not require ethical review and the authors adhered to appropriate academic standards in their analysis. Findings: A narrative of clinician distress in the hospital clinician in the United States emerged from the analysis. This included clinicians’ perceptions and sense of should or the feeling that something is awry in the clinical situation. The explanatory matrix consequence of clinician distress occurred under conditions including: the recognition of conflict, the recognition of emotion, or the recognition of a mismatch; followed by a process of an inability to feel and act according to one’s values due to a precipitating event. Discussion: This study adds three unique contributions to the concept of clinician distress by (1) including the emotional aspects of caring for seriously ill patients, (2) providing a new framework for understanding clinician distress within the clinician’s own perceptions, and (3) looking at action outside of a purely moral lens by dimensionalizing data, thereby pulling apart what has been socially constructed. Conclusion: For clinicians, learning to recognize one’s perceptions and emotional reactions is the first step in mitigating distress. There is a critical need to understand the full scope of clinician distress and its impact on the quality of patient-centered care in serious illness.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinician distress in seriously ill patient care: A dimensional analysis

Foxwell

Meghani²,

Ulrich

2021

Nurs Ethics

View full text Add to dashboard Cite

show abstract

“…Medical oncologists must take sole responsibility for decisions, which could lead to the burnout syndrome . Hospital ethics committees play an important role in resolving ethical dilemmas and providing emotional support to clinical health care professionals . Most medical oncologists participating in our study reported a requirement of clinical ethical consultation for guidance when faced with ethical dilemmas.…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards and experiences of ethical dilemmas in treatment decision‐making process among medical oncologists

Küreci

Tanrıverdi

Özcan

2019

Evaluation Clinical Practice

View full text Add to dashboard Cite

Aim:This study aimed to evaluate the attitudes towards and experiences of ethical dilemmas in the treatment decision-making process among medical oncologists who are the members of the Turkish Society of Medical Oncology. Materials and methods:A questionnaire was developed based on related literature.Between April 1 and May 1, 2016, questionnaires were electronically sent to 412 medical oncologists who were the members of the Turkish Society of Medical Oncology. Overall, 125 of 412 medical oncologists (30.33%) filled the questionnaire.Results: Most medical oncologists encountered dilemmas, such as a lack of comprehension among the patients and family members regarding the information provided, a lack of clarity regarding the identity and role of individuals in the decision-making process, and demands for futile treatment. The most common problem (70.4%) was the lack of available clinical ethics consultancy services to guide medical oncologists when facing an ethical dilemma. Legal concerns regarding withholding or withdrawing futile treatments were high. More than half of the medical oncologists (56.8%) reported the preservation of the quality of life as their primary professional duty. Conclusion:Our results demonstrate that medical oncologists tend to adopt an approach that respects patient autonomy and that adheres to the principle of proportionality rather than a paternalistic approach when facing ethical dilemmas. Within this context, we suggest an increased use of a multidisciplinary team approach, ethics consultancy services, and training programmes as well as the publication of ethical guidelines tailored to the oncology field.

show abstract

“…1,5 In this regard, systemic concerns and the ethics of high-profile medical cases have a prominent role in the provision of care. 6 Healthcare organizations increasingly find themselves facing a new set of business-oriented ethical issues due to changes in the delivery and financing of healthcare. 7,8 Indeed, the recent restructuring in healthcare, imprinted by increasing attention to administrative aspects, has raised many issues concerning whether the "right" organizational response has been given to new stressors and aspects affecting patient care workers' well-being.…”

Section: Analyzing Ethics Through Employee Well-beingmentioning

confidence: 99%

Professional status and well-being in healthcare organizations

Tomo

Simone

2019

Health Serv Manage Res

View full text Add to dashboard Cite

This paper aims to explore what aspects of work-life affect healthcare professionals’ well-being and if these aspects may explain a possible categorization considering different professional status. We administered a slightly altered version of the Copenhagen Psychosocial Questionnaire to assess the well-being of patient care workers in a government-funded healthcare organization in Southern Italy. Then, we run an analysis of variance test to explore the aspects affecting the well-being of patient care workers, and to understand if these aspects vary per different professional status (physicians, nurses, and health technicians). Results show important differences among the various professional categories of patient care workers, thus providing the basis for reflections and interventions to improve employee well-being, relevant from a theoretical, practical, and above all policy-making perspectives.

show abstract

Emotional Support for Health Care Professionals: A Therapeutic Role for the Hospital Ethics Committee

Cited by 4 publications

References 15 publications

Clinician distress in seriously ill patient care: A dimensional analysis

Clinician distress in seriously ill patient care: A dimensional analysis

Attitudes towards and experiences of ethical dilemmas in treatment decision‐making process among medical oncologists

Professional status and well-being in healthcare organizations

Contact Info

Product

Resources

About