Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults

Moeller, Jessica Richmond; Albanese, Teresa; Garchar, Kimberly; Aultman, Julie M.; Radwany, Steven; Frate, Dean

doi:10.1007/s10730-011-9170-9

Cited by 23 publications

(16 citation statements)

References 16 publications

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“…Most studies of ethics support services have sought to establish aspects such as: the prevalence of support services, their type, structure, composition, main functions, activities and processes (see for example McGee et al, 2001;Slowther et al, , 2004Slowther, McClimans, and Price, 2012;Godkin et al, 2005;Milmore, 2006;Fox, Myers, and Pearlman, 2007;Frewer and Fahr, 2007;Swetz et al, 2007;Pedersen, Akre, and Førde, 2009;Romano et al, 2009;Whitehead et al, 2009;Kesselheim, Johnson, and Joffe, 2010;Gaudine et al, 2010;Nelson et al, 2010b;Tapper et al, 2010;Moeller et al, 2012). What these studies mostly show is the diversity of CES services.…”

Section: Evaluation Of Ces Servicesmentioning

confidence: 99%

Clinical Ethics Support in Contemporary Health Care

Doran¹,

Kerridge²,

Jordens³

et al. 2016

Oxford Handbooks Online

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This chapter discusses clinical ethics support services (CES Services), the development of which has arisen to help respond to ethical issues arising in health care settings. CES services are comprised of an individual or group, usually in an organization, who can provide a suite of services to support all stakeholders in identifying and managing ethical issues they face. While there is a degree of consensus about the potential value of such services, they are also the focus of ongoing theoretical, methodological and political debates. The aim of this chapter is to provide health care managers with an account of how and why CES services are becoming a part of the contemporary organizational landscape of health care, and describe the concerns that bioethicists and others have raised regarding their role, function and dissemination.

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Section: Evaluation Of Ces Servicesmentioning

confidence: 99%

Clinical Ethics Support in Contemporary Health Care

Doran¹,

Kerridge²,

Jordens³

et al. 2016

Oxford Handbooks Online

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“…In this study, limitation of life-sustaining medical treatment (LSTs), conflict within families, and decisional capacity were less common reasons for EC than previously reported (Table 4) (Duval et al 2001; La Puma et al 1988 and 1992; Moeller et al 2012; Opel et al 2009; Orr and Perkin 1994; Shuman et al 2007; Swetz et al 2007; Tapper et al 2010). Parents are considered the de facto decision-makers for their children; therefore, distress about a patient’s decisional capacity, or about which family member is the decision maker of record, are less likely to occur in pediatrics when the patient is a minor child.…”

Section: Discussionmentioning

confidence: 48%

Ethics Consultation in Pediatrics: Long-Term Experience From a Pediatric Oncology Center

Johnson

Church

Metzger

et al. 2015

The American Journal of Bioethics

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There is little information about the content of ethics consultations (EC) in pediatrics. We sought to describe the reasons for consultation and ethical principles addressed during EC in pediatrics through retrospective review and directed content analysis of EC records (2000–2011) at St. Jude Children’s Research Hospital. Patient-based EC were highly complex and often involved evaluation of parental decision making, particularly consideration of the risks and benefits of a proposed medical intervention, and the physician’s fiduciary responsibility to the patient. Non-patient consultations provided guidance in the development of institutional policies that would broadly affect patients and families. This is one of the few existing reviews of the content of pediatric EC and indicates the distribution of ethical issues and reasons for moral distress are different than with adults. Pediatric EC often facilitates complex decision-making among multiple stakeholders and further prospective research is needed on the role of ethics consultation in pediatrics.

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“…In their study on how HCPs solve ethical dilemmas, Moeller et al reviewed 100 cases of ethical consultations. They found that the reasons for consultations could be divided into one of eight general categories: conflict over withholding treatment, conflict over withdrawing treatment, futility issues, and the decisional capacity of the patient in question, wishes of the patient unknown, patient non-compliant with the medical regimen, issues with DNR status, and other [55].…”

Section: Plos Onementioning

confidence: 99%

The first nationwide study on facing and solving ethical dilemmas among healthcare professionals in Slovenia

et al. 2020

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Background Healthcare professionals (HCPs), patients and families are often faced with ethical dilemmas. The role of healthcare ethics committees (HECs) is to offer support in these situations. Aim The primary objective was to study how often HCPs encounter ethical dilemmas. The secondary objective was to identify the main types of ethical dilemmas encountered and how HCPs solve them. Subjects and methods We conducted a cross-sectional, survey-based study among HCPs in 14 Slovenian hospitals. A questionnaire was designed and validated by HCPs who were selected by proportional stratified sampling. Data collection took place between April 2015 and April 2016. Results The final sample size was n = 485 (385 or 79.4%, female). The response rates for HCPs working in secondary and tertiary level institutions were 45% and 51%, respectively. Three hundred and forty (70.4%) of 485 HCPs (very) frequently encountered ethical dilemmas. Frequent ethical dilemmas were waiting periods for diagnostics or treatment, suboptimal working conditions due to poor interpersonal relations on the ward, preserving patients' dignity, and relations between HCPs and patients. Physicians and nurses working in secondary level institutions, compared to their colleagues working in tertiary level institutions, more

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Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults

Abstract: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined.

Cited by 23 publications

References 16 publications

Clinical Ethics Support in Contemporary Health Care

Clinical Ethics Support in Contemporary Health Care

Ethics Consultation in Pediatrics: Long-Term Experience From a Pediatric Oncology Center

The first nationwide study on facing and solving ethical dilemmas among healthcare professionals in Slovenia

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