Development of clinical ethics committees

Slowther, Anne; Johnston, Carolyn; Goodall, Jane; Hope, Tony

doi:10.1136/bmj.328.7445.950

Cited by 77 publications

(98 citation statements)

References 10 publications

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“…They also aim to embrace, rather than deny, the plurality of values and opinions that can inform such decisions. The effectiveness of ethics support services [13,20,25,26,29,37,46] and development [4,10,16,28,30,34,36,40] has been the object of growing research. The focus of this study, however, has been the examination of existing services [1,7,17] As ethics support services become more prevalent, their growth into entities that are as useful as possible will depend in part on data exploring how well their structure and location fit with the needs of clinicians.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Access to Ethics Support Services in Four European Countries

et al. 2007

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Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as clinical ethics committees (23%), consultation in individual cases (17.6%), and individual ethicists (8.8%), but also to other kinds of less formal ethics support (23.6%). Access to formal ethics support services was associated with work in urban hospitals. Informal ethics resources were more evenly distributed. Although most respondents (81%) reported that they would find help useful in facing ethical difficulties, they reported having used the available services infrequently (14%). Physicians with greater confidence in their knowledge of ethics (P=0.001), or who had had ethics courses in medical school (P=0.006), were more likely to have used available services. Access to help in facing ethical difficulties among general physicians in the surveyed countries is provided by a mix of official ethics support services and other resources. Developing ethics support services may benefit from integration of informal services. Development of ethics education in medical school curricula could lead to improved physicians sensitivity to ethical difficulties and greater use of ethics support services. Such support services may also need to be more proactive in making their help available.

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Section: Introductionmentioning

confidence: 99%

Physicians’ Access to Ethics Support Services in Four European Countries

et al. 2007

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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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“…Zhou et al (2009) report on hospitals in Shanghai, many of which review the ethics of proposed research, in addition to these three functions. Slowther et al (2004) report the standard three functions for clinical ethics committees in the United Kingdom and Pedersen et al (2008) report on the ethics consultation function in nine Norwegian hospital committees.…”

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confidence: 99%

The Functioning of Hospital Ethics Committees: A Multiple-Case Study of Four Canadian Committees

et al. 2011

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A multiple-case study of four hospital ethics committees in Canada was conducted and data collected included interviews with key informants, observation of committee meetings and ethics-related hospital documents, such as policies and committee minutes. We compared the hospital committees in terms of their structure, functioning and perceptions of key informants and found variation in the dimensions of empowerment, organizational culture of ethics, breadth of ethics mandate, achievements, dynamism, and expertise.

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Development of clinical ethics committees

Cited by 77 publications

References 10 publications

Physicians’ Access to Ethics Support Services in Four European Countries

Physicians’ Access to Ethics Support Services in Four European Countries

Clinical Ethics Support in Contemporary Health Care

The Functioning of Hospital Ethics Committees: A Multiple-Case Study of Four Canadian Committees

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