Teaching ethics on rounds: The ethicist as teacher, consultant, and decision-maker

Glover, Jacqueline J.; Ozar, David T.; Thomasma, David C.

doi:10.1007/bf00489419

Cited by 39 publications

(12 citation statements)

References 5 publications

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“…The requesting physician and the consultant independently completed structured questionnaires. Fifty-one consultation requests were received from 45 physicians from seven departments between July 1,1986, and June 30,1987. Seventeen …”

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confidence: 99%

An Ethics Consultation Service in a Teaching Hospital

Puma

Stocking²,

Silverstein³

et al. 1988

JAMA

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A newly established formal ethics consultation service in a university teaching hospital was prospectively evaluated. A physician-ethicist interviewed and examined patients, interviewed family and others as needed, and entered a formal consultation note in the medical record. The requesting physician and the consultant independently completed structured questionnaires. Fifty-one consultation requests were received from 45 physicians from seven departments between July 1, 1986, and June 30, 1987. Seventeen (33%) of 51 patients were in the intensive care unit, and 19 patients (37%) were fully oriented at the time of consultation. Overall, 61% of the patients survived to leave the hospital. The requesting physician sought assistance with withholding or withdrawing life-sustaining treatment in 49% of cases, with resuscitation issues in 37%, and with legal issues in 31%. Assistance with more than one issue was sought in 39 cases (76%). In 36 cases (71%), the requesting physician stated that the consultation was "very important" in patient management, in clarifying ethical issues, or in learning about medical ethics. We conclude that ethics consultation performed by physician-ethicists provides useful, clinically acceptable assistance in a teaching hospital.

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confidence: 99%

An Ethics Consultation Service in a Teaching Hospital

Puma

Stocking²,

Silverstein³

et al. 1988

JAMA

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“…Such contact with other professions can provide useful insights with respect to possible formats and goals for ethics consultation in social work. Identifying relevant literature produced by members of these professions can also be valuable (Fletcher, 1986;Fletcher, Quist, & Jonsen, 1989;Glover, Ozar, & Thomasama, 1986;Skeel & Self, 1989).…”

Section: An Agenda For Social Workmentioning

confidence: 98%

Ethics consultation in social work

Reamer

1995

Social Thought

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In recent years, social workers have paid increased attention to ethical issues in the profession. Unlike other allied professions, however, social work has not yet cultivated a cadre of ethics consultants to assist practitioners who encounter difficult ethical dilemmas. This article describes the development of ethics consultation in other professions and presents a framework for ethics consultation in social work. Particular attention is paid to the ethical issues on which social workers may find consultation useful; the various settings in which ethics consultation should be offered; possible roles for ethics consultants; and the skills required for competent consultation. A case illustration is included, along with recommendations to enhance the development of ethics consultation in social work. [Article copies available from The Haworth Document Delivery Service: 1-800- 342-9678.]

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“…The idea that ethics consultation is different from what the medical model requires is also proposed by others, among them Glover, Ozar, and Thomasma, who specifically wish to differentiate the "individual expert" model that has been an important part of medicine from another which they believe is more appropriate for clinical ethics: the "decision facilitator" (Glover et al 1986).…”

Section: The Facilitatormentioning

confidence: 99%

A Critical Examination of Ethics in Health Care and Biomedical Research

Zaner¹

2015

International Library of Ethics, Law, and the New Medicine

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The book series International Library of Ethics, Law and the New Medicine comprises volumes with an international and interdisciplinary focus. The aim of the Series is to publish books on foundational issues in (bio) ethics, law, international health care and medicine. The 28 volumes that have already appeared in this series address aspects of aging, mental health, AIDS, preventive medicine, bioethics and many other current topics. This Series was conceived against the background of increasing globalization and interdependency of the world's cultures and governments, with mutual influencing occurring throughout the world in all fields, most surely in health care and its delivery. By means of this Series we aim to contribute and cooperate to meet the challenge of our time: how to aim human technology to good human ends, how to deal with changed values in the areas of religion, society, culture and the self-definition of human persons, and how to formulate a new way of thinking, a new ethic. We welcome book proposals representing the broad interest of the interdisciplinary and international focus of the series. We especially welcome proposals that address aspects of 'new medicine', meaning advances in research and clinical health care, with an emphasis on those interventions and alterations that force us to re-examine foundational issues. More information about this series at

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Teaching ethics on rounds: The ethicist as teacher, consultant, and decision-maker

Cited by 39 publications

References 5 publications

An Ethics Consultation Service in a Teaching Hospital

An Ethics Consultation Service in a Teaching Hospital

Ethics consultation in social work

A Critical Examination of Ethics in Health Care and Biomedical Research

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