Development of clinical ethics services in the UK: a national survey

Slowther, Anne; McClimans, Leah; Price, Charlotte L

doi:10.1136/medethics-2011-100173

Cited by 74 publications

(80 citation statements)

References 24 publications

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“…In a study conducted in England, the most common issues taken to HECs were competence, consent and withholding and withdrawing treatment (29). Therefore, the findings of the present study agree with reports in the literature.…”

Section: Original Articlesupporting

confidence: 75%

Proposal for a Hospital Ethics Committee at the Hacettepe University Hospitals, Turkey: A Mixed Method Study

Demir¹,

Büken²

2016

Acta Med Anatol

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Introduction: Hospital Ethics Committees (HECs) were established to solve the ethical dilemmas experienced by health personnel in clinics. However, HECs also provide training on ethics, and develop ethics guidelines and institutional policies. HECs first appeared in the USA in the 1960s and had become widespread in Europe by the 1990s. In Turkey, the introduction of HECs is relatively recent and the number of committees is limited. The aim of this study was to identify the need for a HEC at the Hacettepe University Hospitals (HUHs) and to develop an appropriate model for the HEC. Methods:Both qualitative and quantitative research methods were used. As a part of the qualitative research, focus group interviews were conducted with physicians in the intensive care unit of the HUHs. Survey forms were prepared, with reference to the data, which were collected during these interviews. The quantitative research was conducted by distributing survey forms to all physicians working at the HUHs. Data were evaluated using SPSS v.11.5 software. Results: In total, 250 surveys were completed (participation ratio 25%). Physicians who participated in the research confirmed the need for an organization to provide training on ethics, to prepare ethics guidelines and to help solve ethical dilemmas. Conclusion: Here a model for a HEC is proposed, with reference to the needs and suggestions of the physicians who work at the HUHs. Keywords: Medical ethics, clinical ethics committee, hospital ethics committee, ethics consultation.

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Section: Original Articlesupporting

confidence: 75%

Proposal for a Hospital Ethics Committee at the Hacettepe University Hospitals, Turkey: A Mixed Method Study

Demir¹,

Büken²

2016

Acta Med Anatol

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“…In Canada, a survey by Gaudine and colleagues found that in 2008 85% of hospitals had an ethics committee compared to 58% in 198958% in and 18% in 198458% in (Gaudine et al, 2010. A recent survey of clinical ethics committees in the UK showed the number of identified committees to have risen from 20 in 2001 to 82 in 2010 (Slowther, McClimans, and Price, 2012). Clinical ethics networks have also been established in Europe with the European Clinical Ethics Network (Fournier et al, 2009) and in the UK with the United Kingdom Clinical Ethics Network (UKCEN) in an attempt to embed clinical ethics as a core element of health care systems (Slowther, 2008).…”

Section: The Origins Of Ces Servicesmentioning

confidence: 99%

“…CES support is now a feature of at least some hospitals in Australia, Belgium, Bulgaria, Canada, Croatia, Finland, France, Germany, Israel, Italy, Japan, Lithuania, Netherlands, New Zealand, Switzerland and the United Kingdom, to name just a few (McNeill, 2001;Meulenbergs, Vermylen, and Schotsmans, 2005;Aleksandrova, 2008;Gaudine et al, 2010;Frikovic and Gosic, 2006;Guerrier, 2006;Louhiala et al, 2011;Wenger et al, 2002;Hurst et al, 2007a;Akabayashi et al, 2008;Bankauskaite and Jakusovaite, 2006;Dauwerse et al, 2011;Macdonald and Worthington, 2012;Hurst et al, 2008;Slowther, McClimans, and Price, 2012).…”

Section: The Origins 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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“…Three domains feature prominently in discussions of bioethics expertise: courts (McAllen and Delgado, 1984;Agich and Spielman, 1997;Kipnis, 1997;Wildes, 1997;Spielman and Agich, 1999); the clinical setting (Meyers, 2007;Steinkamp, Gordijn, and ten Have, 2008;Kovács, 2010;Rasmussen, 2011;Slowther and McClimans, 2012); and public policymaking and government commissions (Brock, 1987;Kamm, 1990;Powers, 2005). As with general ethics expertise, critical questions here include: what is bioethics expertise?…”

Section: The Nature Possibility and Implications Of Ethics Expertismentioning

confidence: 99%