Experiences in Clinical Ethics: A Project for Meetings on Clinical Ethics in Palliative Medicine

Comoretto, Nunziata; Centeno, Carlos

doi:10.5294/pebi.2016.20.1.4

Cited by 2 publications

(7 citation statements)

References 4 publications

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“…We integrated theoretical-interactive lessons [12,28], workshops based on daily clinical practice cases [9,[29][30][31] and ethics consultation activity [5] with the aim to facilitate the transition from theory to practice. Nevertheless, results highlighted a lack of a more applicative practice.…”

Section: Discussionmentioning

confidence: 99%

“…We trained a multidisciplinary palliative care team, made up of physicians, nurses and psycho-oncologists who worked together and this represents a novel aspect, compared to most of the literature [8][9][10][11]. Taking care of a patient's needs requires a multidisciplinary team: consequently, the team's members should be trained together and not in different programmes related to their profession [5,12,13]. Despite this, we have to take into account that this is a small multidisciplinary team is used to working together: future studies will have to demonstrate how it can be implemented with a larger group.…”

Section: Discussionmentioning

confidence: 99%

“…"all the decisions I made..(were based on ) consultation with the bioethicist, because we deal with hard care path, there are many implications … " (cod. 5,[7][8] After the training programme, some participants referred to a 'more conscious reflection', asking 'more precise questions' (c. 2,29) but also better managing the content of the answers, applying the skills acquired during the programme.…”

Section: Being Aware Of Ethical Thinking: Individual and Shared Compamentioning

confidence: 99%

“…Training can take a theoretical approach to medical ethics, based on the idea that moral skills can arise through conceptual theories, and in doing so, they aim to develop the human side of health care professionals [4]. Alternatively, an empirical approach to teaching medical ethics aims at providing the basis for developing ethical skills, such as how to conduct moral reasoning, how to perform an ethical analysis, or how to manage ethical dilemmas [5].…”

Section: Introductionmentioning

confidence: 99%

“…The students involved are primarily medical and nursing students [8][9][10][11]. There are few experiences described in the literature involving other health care professionals [5,12,13]. Moreover, the training programmes for already qualified doctors or nurses use different educational methodologies, and there is no apparent consistency with regard to methods, content, or length.…”

Section: Introductionmentioning

confidence: 99%

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“Teach for ethics in palliative care”: a mixed-method evaluation of a medical ethics training programme

et al. 2020

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Background Training in medical ethics aims to educate health care professionals in dealing with daily care ethical issues. To guarantee quality of life and spiritual and emotional support, palliative care professionals have to develop ethical and relational skills. We propose the implementation and evaluation of a specialized training programme in medical ethics dedicated to a hospital-based Palliative Care Unit. Methods This study is a mixed-method before-after evaluation with data triangulation. Results The results highlight that participants developed their ethical knowledge, and a deeper ethical awareness. They also felt more confident and motivated to widely apply ethical reflections and reasonings in their daily practice. Conclusion The participants appreciated the innovative structure of the training, especially regarding the integration of the theoretical-interactive and practical parts. However, they recommended increasing the number of concrete occasions for ethical supervision and practical application of what they learned during the programme. The training programme also has some potential practical implications: the development of advanced ethical skills within a hospital-based PC team may improve the quality of life of the patients and their families. In addition, health care professionals with advanced ethical competencies are able to educate patients and their families towards more active participation in the decision-making process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Being Aware Of Ethical Thinking: Individual and Shared Compamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“Teach for ethics in palliative care”: a mixed-method evaluation of a medical ethics training programme

et al. 2020

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Lesson Learned From Hospital Palliative Care Service in a Cancer Research Center in Italy: Results of 5 Years of Experience

Alquati

Peruselli²,

Turrà³

et al. 2022

Front. Oncol.

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BackgroundInternational studies have documented that over a third of all hospital beds are occupied by patients with palliative care needs in their last year of life. Experiences of Palliative Care Services that take place prevalently or exclusively in hospital settings are very few in Italy.ObjectiveDescribe clinical, educational and research activities performed by a hospital PCS and discussing opportunities and critical issues encountered in an Italian Cancer Center.MethodRetrospective data regarding adults with advanced stage diseases referred from January 2015 to December 2019.ResultsClinical activity - The PCS performed 2422 initial consultations with an average of 484 initial consultations per year. A majority of patients had advanced cancer, from 85% to 72%, with an average of 2583 total consultations per year and an average of 4.63 consultations per patient. The penetrance has increased over time from 6.3% to 15.75%. Educational and research activity - Since 2015, PCS has provided training to health professionals (HPs) of different departments of our hospital. Most of the educational projects for HPs were part of research projects, for example the communication training program, management of pain and end-of-life symptoms and the training program for PC-based skills.ConclusionOur data suggests that a PCS able to provide palliative care to inpatients and outpatient and continuous training support to other hospital specialists can relatively quickly improve the level of its penetrance in hospital activities.

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Experiences in Clinical Ethics: A Project for Meetings on Clinical Ethics in Palliative Medicine

Cited by 2 publications

References 4 publications

“Teach for ethics in palliative care”: a mixed-method evaluation of a medical ethics training programme

“Teach for ethics in palliative care”: a mixed-method evaluation of a medical ethics training programme

Lesson Learned From Hospital Palliative Care Service in a Cancer Research Center in Italy: Results of 5 Years of Experience

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