Ethics committees in long-term care facilities

Hogstel, Mildred O.; Curry, Linda Cox; Walker, Charles A.; Burns, Paulette

doi:10.1016/j.gerinurse.2004.09.011

Cited by 13 publications

(13 citation statements)

References 4 publications

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“…Most CECs serve multiple purposes, varying from a narrow focus on assisting in the decision-making process1 10 11 to a broader scope of fostering an institutional milieu that is sensitive to ethical priorities 7. Early publications also refer to a legal base, pointing at developments in the 1980s (eg, the passage of the Natural Death Act in 1983) which motivated institutions to establish a CEC 3 12 13.…”

Section: Resultsmentioning

confidence: 99%

“…This “opened up myriad issues (…) that usually deemed too mundane to consider seriously or outside the purview of ethics” 18. The majority of the 32 publications do not go into the method that is applied in reviewing cases, with the exception of the decision-making trees developed for case managers,17 the framework proposed by Hogstel et al 11 and the mediation model presented by Wood 20…”

Section: Resultsmentioning

confidence: 99%

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Ethics support in institutional elderly care: a review of the literature

et al. 2014

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Clinical ethics support mechanisms in healthcare are increasing but little is known about the specific developments in elderly care. The aim of this paper is to present a systematic literature review on the characteristics of existing ethics support mechanisms in institutional elderly care. A review was performed in three electronic databases (Pubmed, CINAHL/PsycINFO, Ethxweb). Sixty papers were included in the review. The ethics support mechanisms are classified in four categories: 'institutional bodies' (ethics committee and consultation team); 'frameworks' (analytical tools to assist care professionals); 'educational programmes and moral case deliberation'; and 'written documents and policies'. For each category the goals, methods and ways of organising are described. Ethics support often serves several goals and can be targeted at various levels: case, professional or organisation. Over the past decades a number of changes have taken place in the development of ethics support in elderly care. Considering the goals, ethics support has become more outreaching and proactive, aiming to qualify professionals to integrate ethics in daily care processes. The approaches in clinical ethics support have become more diverse, more focused on everyday ethical issues and better adapted to the concrete learning style of the nursing staff. Ethics support has become less centrally organised and more connected to local contexts and primary process within the organisation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Ethics support in institutional elderly care: a review of the literature

et al. 2014

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“…Several issues have been analysed since the late 1990s: civic responsibility of the healthcare organisation ; the evaluation of the ethical program (Neft-Smith, Scott, Edward & Fletcher, 1997); good practices in the ethics of hospital units (Cassidy, 1998); ethical leadership (Johnston, Cruess & Cruess, 2001;Dolan, 2004;) and the challenges raised by ethics and the responsibilities of leaders in the healthcare system (Squazzo, 2012); ethical dimensions in public healthcare policies (Roberts & Reich, 2002); ethics and the safety of hospitals (Weinstein, 2002) and ethics and patient safety (Lachman, 2008); challenges of ethical committees (Collier & Sandborg, 2006;Hogstel & Curry, 2004); the ethics of decision-making (Maddalena, 2007;Slosar, 2004); ethical transparency and economic medicalisation (Poitras & Meredith, 2009); the organisational costs of ethical conflicts (Nelson, Weeks & Campfield, 2008;Hofmann, 2012); and the ethics of decisions concerning the allocation of resources (Hofmann, 2011). The aforementioned issues have the commonality that if they are not considered properly, they can weaken quality of care and organisational performance.…”

Section: And Its Institutionsmentioning

confidence: 99%

Why is an ethical and integrated audit accreditation process required for Romanian hospitals

Agheorghiesei

Iliescu

Gavrilovici

et al. 2014

SAJEMS

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Nowadays, a third generation of ethics has come to the fore, whereby ethical issues are approached in an integrated manner, emphasising the management of ethics, which entails a cause-effect relation. One of its evaluation instruments is the ethical audit.This paper presents the findings of research focused on 47 executives involved in the management of quality in Romanian hospitals. The research concerns, in particular, the relevance and the opportunity for an ethical audit and the assessment of its possible effects.The data were gathered using a questionnaire. The research shows that Romanian managers consider the introduction of the ethical audit within the accreditation process as being relevant and pertinent. They believe that ethical monitoring is beneficial for the activity of healthcare institutions, but also that these institutions are as yet not sufficiently prepared to implement ethical audits. This study might be useful for sounding an alarm bell or for suggesting a direction for the qualitative and quantitative improvement of accreditation criteria and for the management of change in healthcare institutions worldwide.

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“…16 For example, when the Ethics Committee accepted the role of oversight, members of the committee developed a program. 16 For example, when the Ethics Committee accepted the role of oversight, members of the committee developed a program.…”

Section: Educationmentioning

confidence: 99%

Ethical Perspectives of Sustaining Residents’ Autonomy

Dunbar

Sink²,

Alsobrook³

et al. 2011

Nursing Administration Quarterly

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Baby boomers are demanding changes in care delivery models that reflect patient autonomy, individuality, and dignity. To meet this challenge, the Veterans Administration has adopted a cultural transformation model of patient-centered care. Veterans Administration nursing homes are now community living centers; the staff's mission is to deliver patient-centered care in a homelike environment. How the challenge was met and how the ethics committee helps to sustain the changes, are discussed in this article.

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Ethics committees in long-term care facilities

Cited by 13 publications

References 4 publications

Ethics support in institutional elderly care: a review of the literature

Ethics support in institutional elderly care: a review of the literature

Why is an ethical and integrated audit accreditation process required for Romanian hospitals

Ethical Perspectives of Sustaining Residents’ Autonomy

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