Health Care Ethics Consultation. Individual Consultant or Committee Model?: Pros and Cons

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

doi:10.1080/15265161.2012.750394

Cited by 8 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the USA, the roles of the ethics consultant have traditionally been in the realms of case consultation during ongoing patient care, 1 education of healthcare professionals in ethics 5 and policy development. 6 Additionally, ethics consultants have also been given the authority to assume the role of a professional with knowledge and skills in clinical ethics who at times has been involved in giving advice to the healthcare professionals regarding the best course of action concerning the care and treatment process. 2 In contrast over the last decade in Europe, predominately in the Netherlands, Moral case deliberation (MCD) has been introduced in healthcare.…”

Section: Introductionmentioning

confidence: 99%

‘It’s like sailing’ – Experiences of the role as facilitator during moral case deliberation

2017

View full text Add to dashboard Cite

This is the published version of a paper published in Clinical Ethics. Citation for the original published paper (version of record):Rasoal, D., Kihlgren, A., Svantesson, M. (2017) 'It's like sailing': experiences of the role as facilitator during moral case deliberation. Moral case deliberation is one form of clinical ethics support, and there seems to be different ways of facilitating the dialogue. This paper aimed to explore the personal experiences of Swedish facilitators of their role in moral case deliberations. Being a facilitator was understood through the metaphor of sailing: against the wind or with it. The role was likened to a sailor's set of skills: to promote security and well-being of the crew, to help crew navigate their moral reflections, to sail a course into the wind against homogeneity, to accommodate the crew's needs and just sail with the wind, and to steer towards a harbour with authority and expertise. Balancing the disparate roles of being accommodative and challenging may create a free space for emotions and ideas, including self-reflection and consideration of moral demands. This research opens the question of whether all these skills can be taught through systematic training or whether facilitators need to possess the characteristics of being therapeutic, pedagogical, provocative, sensitive and authoritarian.

show abstract

Section: Introductionmentioning

confidence: 99%

‘It’s like sailing’ – Experiences of the role as facilitator during moral case deliberation

2017

View full text Add to dashboard Cite

show abstract

Quality in ethics consultations

Magill

2013

Med Health Care and Philos

View full text Add to dashboard Cite

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.

show abstract

Role of a Clinical Ethics Committee in Residential Aged Long-Term Care Settings: A Systematic Review

Holmes

Bugeja

Ibrahim

2020

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Health Care Ethics Consultation. Individual Consultant or Committee Model?: Pros and Cons

Cited by 8 publications

References 8 publications

‘It’s like sailing’ – Experiences of the role as facilitator during moral case deliberation

‘It’s like sailing’ – Experiences of the role as facilitator during moral case deliberation

Quality in ethics consultations

Role of a Clinical Ethics Committee in Residential Aged Long-Term Care Settings: A Systematic Review

Contact Info

Product

Resources

About