New Hampshire Critical Access Hospitals: CEOs’ Report on Ethical Challenges

Nelson, William A.; Rosenberg, Marie-Claire; Weiss, Julie E.; Goodrich, Martha

doi:10.1097/00115514-200907000-00009

Cited by 4 publications

(6 citation statements)

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“…The significant number, 108 (28%) of the respondents without ethics committees that stated they did not need an ethics committee compared to 39 (10%) respondents reporting a need for an ethics committee (Table 1) differed dramatically from previous regional findings. For example, Nelson et al 2009 noted that 100% of the New Hampshire CAH CEOs interviewed indicated there was a need for more ethics resources. This may correlate with the geographical variation noted above and in Fig.…”

Section: Discussionmentioning

confidence: 99%

The Presence of Ethics Programs in Critical Access Hospitals

et al. 2010

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The purpose of this study was to assess the presence of ethics committees in rural critical access hospitals across the United States. Several studies have investigated the presence of ethics committees in rural health care facilities. The limitation of these studies is in the definition of 'rural hospital' and a regional or state focus. These limitations have created large variations in the study findings. In this nation-wide study we used the criteria of a critical access hospital (CAH), as defined by the Medicare Rural Hospital Flexibility Program (Flex Program, 2007), to bring consistency and clarity to the assessment of the presence of ethics committees in rural hospitals. The Flex Monitoring Team conducted a national telephone survey of 381 CAH administrators throughout the United States. The survey covered a wide variety of questions concerning hospitals' community benefit, impact activities, and whether the hospital had a formally established an ethics committee. About 230 (60%) of the respondents indicated they had a formally established ethics committee or ethics consultation program at their CAH. The prevalence of ethics committees declined as the CAH location became increasingly rural along a rural-urban continuum. Unlike CAHs, all rural Department of Veterans Affairs Medical Centers have ethics committees. The results of this study provide an understanding of the limited presence of ethics committee in rural America and the need to consider new approaches for providing ethics assistance. A virtual ethics committee network may be the most efficient and effective way of providing rural hospitals access to a knowledgeable ethics committee or consultant.

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Section: Discussionmentioning

confidence: 99%

The Presence of Ethics Programs in Critical Access Hospitals

et al. 2010

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“…Data were also collected by using vignettes, the Delphi technique and observation, one study for each method. Two studies 44,73 used both questionnaires and interviews as data collection methods. One study used an action research method.…”

Section: Study Methodsmentioning

confidence: 99%

Organizational ethics: A literature review

et al. 2011

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The aim of the study was to report the results of a systematically conducted literature review of empirical studies about healthcare organizations' ethics and management or leadership issues. Electronic databases MEDLINE and CINAHL yielded 909 citations. After a two stage application of the inclusion and exclusion criteria 56 full-text articles were included in the review. No large research programs were identified. Most of the studies were in acute hospital settings from the 1990s onwards. The studies focused on ethical challenges, dilemmas in practice, employee moral distress and ethical climates or environments. Study samples typically consisted of healthcare practitioners, operational, executive and strategic managers. Data collection was mainly by questionnaires or interviews and most of the studies were descriptive, correlational and cross-sectional. There is need to develop conceptual clarity and a theoretical framework around the subject of organizational ethics and the breadth of the contexts and scope of the research needs to be increased.

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“…To help resolve ethical conflicts, there are various ethical resources available which can help to determine which course of action to take: codes of ethics, case studies, ethics committees and personnel, and informal discussions (12). Codes of ethics are formal documents that list ethical principles and duties.…”

Section: Ojphimentioning

confidence: 99%

A Repository of Codes of Ethics and Technical Standards in Health Informatics

Samuel

Zaı̈ane

2014

OJPHI

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We present a searchable repository of codes of ethics and standards in health informatics. It is built using state-of-the-art search algorithms and technologies. The repository will be potentially beneficial for public health practitioners, researchers, and software developers in finding and comparing ethics topics of interest. Public health clinics, clinicians, and researchers can use the repository platform as a one-stop reference for various ethics codes and standards. In addition, the repository interface is built for easy navigation, fast search, and side-by-side comparative reading of documents. Our selection criteria for codes and standards are two-fold; firstly, to maintain intellectual property rights, we index only codes and standards freely available on the internet. Secondly, major international, regional, and national health informatics bodies across the globe are surveyed with the aim of understanding the landscape in this domain. We also look at prevalent technical standards in health informatics from major bodies such as the International Standards Organization (ISO) and the U.

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New Hampshire Critical Access Hospitals: CEOs’ Report on Ethical Challenges

Cited by 4 publications

References 0 publications

The Presence of Ethics Programs in Critical Access Hospitals

The Presence of Ethics Programs in Critical Access Hospitals

Organizational ethics: A literature review

A Repository of Codes of Ethics and Technical Standards in Health Informatics

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