Toward a Model That Encourages the Recruitment of Ethics Consultants With Clinical Experience

Altisent, Rogelio; Delgado-Marroquín, Maria Teresa; Martín-Espildora, Nieves

doi:10.1080/15265161.2013.861037

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…CEC trainees are assessed using self-assessments2 3 60 using Likert Scales as well as through assessment by faculty with the use of written and oral examinations3 to evaluate case analysis 6 24 60 81–83. These may involve role-playing and mock consultations to evaluate ‘the degree of which a participant has mastered’ skills needed to conduct clinical ethics case consultations 9.…”

Section: Resultsmentioning

confidence: 99%

“…These may involve role-playing and mock consultations to evaluate ‘the degree of which a participant has mastered’ skills needed to conduct clinical ethics case consultations 9. Recent reports suggest the use of holistic and longitudinal assessments9 60 through the use of portfolios 6 17 24 60 81 83. Of note is an ongoing debate on whether individuals should be certified, or if training programmes should be accredited 60…”

Section: Resultsmentioning

confidence: 99%

“…Increasingly complicated medical care brings with it more difficult ethical issues for healthcare professionals (HCP)s 1. To help HCPs address these increasingly complex ethical, moral and sociocultural concerns, there are clinical ethics committees (CECs) 1–6. Defined as individuals or a team that are considered experts on medical ethics within a healthcare institution… due to their experience in clinical practice, their reputation for being wise, or prior experience in clinical ethics training programmes, 1 2 4 5 7–10 CECs ‘help patients, families, surrogates, healthcare providers, or other involved parties address uncertainty or conflict regarding value-laden concerns that emerge in healthcare’ 11.…”

Section: Introductionmentioning

confidence: 99%

“…Members of CECs may also be mobilised in reaction to requests for advice 4. Here members of CECs provide expert knowledge21 and facilitate discussions5 6 12 22 23 without imposing ethical, moral or religious values22 23 in their recommendations 16 21 24…”

Section: Introductionmentioning

confidence: 99%

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Training clinical ethics committee members between 1992 and 2017: systematic scoping review

et al. 2019

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IntroductionClinical ethics committees (CECs) support and enhance communication and complex decision making, educate healthcare professionals and the public on ethical matters and maintain standards of care. However, a consistent approach to training members of CECs is lacking. A systematic scoping review was conducted to evaluate prevailing CEC training curricula to guide the design of an evidence-based approach.MethodsArksey and O’Malley’s methodological framework for conducting scoping reviews was used to evaluate prevailing accounts of CEC training published in six databases. Braun and Clarke’s thematic analysis approach was adopted to thematically analyse data across different healthcare and educational settings.Results7370 abstracts were identified, 92 full-text articles were reviewed and 55 articles were thematically analysed to reveal four themes: the design, pedagogy, content and assessment of CEC curricula.ConclusionFew curricula employ consistent approaches to training. Many programmes fail to provide CEC trainees with sufficient knowledge, skills and experience to meet required competencies. Most programmes do not inculcate prevailing sociocultural, research, clinical and educational considerations into training processes nor provide longitudinal support for CEC trainees. Most CEC training programmes are not supported by host institutions threatening the sustainability of the programme and compromising effective assessment and longitudinal support of CEC trainees. While further reviews are required, this review underlines the need for host organisations to support and oversee a socioculturally appropriate ethically sensitive, clinically relevant longitudinal training, assessment and support process for CEC trainees if CECs are to meet their roles effectively.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Training clinical ethics committee members between 1992 and 2017: systematic scoping review

et al. 2019

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“…20 han defendido una cualificación mínima para la pertenencia a un comité de ética clínica, quizás esos requisitos deban de ser aún mayores para los integrantes futuros de los CEIs 21 .…”

Section: Valores Epistémicosunclassified

La evaluación axiológica de los Proyectos en los Comités de Ética de la investigación

et al. 2015

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LICENSE 3.0 UNPORTED. RESUMENEl objetivo de este trabajo es demostrar que la existencia de los Comités de Ética de la Investigación (CEIs) es congruente con el tiempo histórico que nos ha tocado vivir. La idea de una ciencia neutra se remonta a la creación de la Royal Society. Putnam y otros investigadores propusieron el término de valores epistémicos para los valores propios de la ciencia. A esta transformación axiológica se le ha denominado de varias formas: modo 2 de conocimiento, ciencia postnormal, ciencia postacadémica y también tecnociencia. No hay innovación sin valoración previa, e incluso sin múltiples valoraciones previas. La existencia actual de los Comités de Ética de la Investigación (CEIs) es un hecho congruente con el desarrollo histórico de la epistemología durante el siglo XX. Una de las funciones más importantes de los CEIs, es la evaluación axiológica (valores epistémicos) de los proyectos de investigación.Palabras clave: conocimiento, ética de la investigación, comités de ética, estudios de evaluación. ABSTRACT

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Clinical Ethics Committees in Africa: lost in the shadow of RECs/IRBs?

et al. 2020

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Background Clinical Ethics Committees (CECs) are well established at healthcare institutions in resource-rich countries. However, there is limited information on established CECs in resource poor countries, especially in Africa. This study aimed to establish baseline data regarding existing formal CECs in Africa to raise awareness of and to encourage the establishment of CECs or Clinical Ethics Consultation Services (CESs) on the continent. Methods A descriptive study was undertaken using an online questionnaire via SunSurveys to survey healthcare professionals and bioethicists in Africa. Data were subjected to descriptive analysis and Fischer's exact test was applied to determine associations. Texts from the open-ended questions were thematically analysed. Results In total 109 participants from 37 African countries completed the survey in December 2019. A significant association was found between participants’ bioethics qualification or training and involvement in clinical ethics (p = 0.005). All participants were familiar with Research Ethics Committees (RECs), and initially conflated RECs with CECs. When CECs were explained in detail, approximately 85.3% reported that they had no formal CECs in their institutions. The constraints to developing CECs included lack of training, limited resources, and lack of awareness of CECs. However, the majority of participants (81.7%) were interested in establishing CECs. Participants listed assistance required in establishing CECs including funding, resources, capacity building and collaboration with other known CECs. The results do not reflect CECs established since the onset of COVID-19 in Africa. Conclusions This study provides a first look into CECs in Africa and found very few formal CECs on the continent indicating an urgent need for the establishment of CECs or CESs in Africa. While the majority of healthcare professionals and bioethicists are aware of ethical dilemmas in healthcare, the concept of formal CECs is foreign. This study served to raise awareness of CECs. Research ethics and RECs overshadow CECs in Africa because international funders from the global north support capacity development in research ethics and establish RECs to approve the research they fund in Africa. Raising awareness via educational opportunities, research and conferences about CECs and their role in improving the quality of health care in Africa is sorely needed.

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Toward a Model That Encourages the Recruitment of Ethics Consultants With Clinical Experience

Cited by 3 publications

References 9 publications

Training clinical ethics committee members between 1992 and 2017: systematic scoping review

Training clinical ethics committee members between 1992 and 2017: systematic scoping review

La evaluación axiológica de los Proyectos en los Comités de Ética de la investigación

Clinical Ethics Committees in Africa: lost in the shadow of RECs/IRBs?

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