Ensuring Quality in Clinical Ethics Consultations: Perspectives of Ethicists Regarding Process and Prior Training of Consultants

Silverman, Henry; Bellavance, Emily; Childs, Brian H.

doi:10.1080/15265161.2012.750393

Cited by 7 publications

(5 citation statements)

References 8 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%

“…Braun and Clarke’s approach to thematic analysis59 was adopted in the absence of an a priori framework of CEC practice, and to circumnavigate the diverse range of research methodologies adopted among the included articles and the context-specific nature of CEC practice, which restricts studies of CEC training programmes to similar healthcare and practice settings and educational, cultural and social context 4 9 28 60 61…”

Section: Methodsmentioning

confidence: 99%

“…An inductive approach allowed themes to be ‘defined from the raw data without any predetermined classification’ 65. Braun and Clarke59 describe themes as ‘something important about the data… and represents some level of patterned response or meaning within the data set’ 60. Each reviewer reviewed and refined their themes to ensure they were coherent and representative of the whole data set.…”

Section: Methodsmentioning

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: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2019

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“…A recent study asked a convenience sample of people who subscribe to national bioethics listservs about their preferred methods for assessing and improving the competence of HCEC practitioners [29], but most respondents were ASBH members and 70 percent had received advanced training in medical ethics (27 percent at the doctoral level, 26 percent at the master's level, and 17 percent in a certificate program or fellowship). These respondents are not at all representative of US hospitals, in which, one sample indicated, only 5 percent of HCEC practitioners had completed a fellowship or graduate degree program in bioethics [1].…”

mentioning

confidence: 99%

Strategies to Improve Health Care Ethics Consultation: Bridging the Knowledge Gap

Fox

2016

AMA Journal of Ethics

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Quality in ethics consultations

Magill

2013

Med Health Care and Philos

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There is an increasing need for quality in ethics consultations, though there have been significant achievements in the United States and Europe. However, fundamental concerns that place the profession in jeopardy are discussed from the perspective of the U.S. in a manner that will be helpful for other countries. The descriptive component of the essay (the first two points) explains the achievements in ethics quality (illustrated by the IntegratedEthics program of the Veterans Health Administration) and the progress on standards and competencies for ethics consultations (represented by the Core Competencies of the American Society for Bioethics and Humanities). Based on these achievements, the analytical component of the essay (the final three points) identifies and seeks to resolve three fundamental concerns (with increasing levels of importance) that compromise quality in ethics consultations: standards of quality; professionalism; and credentialing. The analysis argues for clearer standards of quality in ethics consultation and urges further professionalism by explaining the need for the following: interpreting the ASBH core competencies in a normative manner, developing a Code of Ethics, and clarifying the meaning of best practices. However, the most serious concern that threatens quality in ethics consultations is the lack of a credentialing process. This concern can be resolved effectively by developing an independent Ethics Consultation Accreditation Council to accredit and standardize graduate degree programs, fellowship experiences, and qualifying examinations. This credentialing process is indispensable if we are to strategically enhance quality in ethics consultations.

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Ensuring Quality in Clinical Ethics Consultations: Perspectives of Ethicists Regarding Process and Prior Training of Consultants

Cited by 7 publications

References 8 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

Strategies to Improve Health Care Ethics Consultation: Bridging the Knowledge Gap

Quality in ethics consultations

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