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  1. Demand and Supply: Association between Pediatric Ethics Consultation Volume and Protected Time for Ethics Work.Meaghann S. Weaver, Christopher Wichman, Shiven Sharma & Jennifer K. Walter - 2023 - AJOB Empirical Bioethics 14 (3):135-142.
    Background Despite national increase in pediatric ethics consultation volume over the past decade, protected time and resources for healthcare ethics consultancy work has lagged.Methods Correlation study investigating potential associations between ethics consult volume reported by recent national survey of consultants at children’s hospitals and five programmatic domains.Results 104 children’s hospitals in 45 states plus Washington DC were included. There was not a statistically significant association between pediatric ethics consult volume and hospital size, rurality of patient population, or number of consultants. (...)
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  • Ethical Challenges Experienced by Clinical Ethicists during COVID-19.Connie M. Ulrich, Janet A. Deatrick, Jesse Wool, Liming Huang, Nancy Berlinger & Christine Grady - 2023 - AJOB Empirical Bioethics 14 (1):1-14.
    Background The COVID-19 pandemic continues to disrupt every society as SARs-CoV-2 variants surge among the populations. Health care providers are exhausted, becoming ill themselves, and in some instances have died. Indeed, hospitals are struggling to find staff to care for critically ill patients most in need. Previous work has reported on the unending work-related conditions that hospital staff are laboring under and their subsequent mental and physical health strains. Health care providers need support, but it is not clear where that (...)
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  • Ethics Consultant Training Standards: Don't Lower the Bar Without Benefit.Lynn Sipsey & Joan Henriksen - 2022 - American Journal of Bioethics 22 (4):67-69.
    In “Ethics Consultation in U.S. Hospitals: Opinions of Ethics Practitioners,” Fox and colleagues note that despite efforts of the American Society for Bioethics and Humanities to impr...
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  • Reimagining Thriving Ethics Programs without Ethics Committees.Hilary Mabel, Joshua S. Crites, Thomas V. Cunningham & Jordan Potter - forthcoming - American Journal of Bioethics:1-16.
    With the increasing professionalization of clinical ethics, some hospitals and health systems utilize both ethics committees and professional clinical ethicists to address their ethics needs. Drawing upon historical critiques of ethics committees and their own experiences, the authors argue that, in ethics programs with one or more professional clinical ethicists, ethics committees should be dissolved when they fail to meet minimum standards of effectiveness. The authors outline several criteria for assessing effectiveness, describe the benefits of a model that places primary (...)
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  • Establishing a clinical ethics support service: lessons from the first 18 months of a new Australian service – a case study.Elizabeth Hoon, Jessie Edwards, Gill Harvey, Jaklin Eliott, Tracy Merlin, Drew Carter, Stewart Moodie & Gerry O’Callaghan - 2023 - BMC Medical Ethics 24 (1):1-9.
    Background Although the importance of clinical ethics in contemporary clinical environments is established, development of formal clinical ethics services in the Australia health system has, to date, been ad hoc. This study was designed to systematically follow and reflect upon the first 18 months of activity by a newly established service, to examine key barriers and facilitators to establishing a new service in an Australian hospital setting. Methods: how the study was performed and statistical tests used A qualitative case study (...)
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  • Ethics Consultation in U.S. Hospitals: New Findings about Consultation Practices.Ellen Fox, Marion Danis, Anita J. Tarzian & Christopher C. Duke - 2022 - AJOB Empirical Bioethics 13 (1):1-9.
    BackgroundWhile previous research has examined various aspects of ethics consultation (EC) in U.S. hospitals, certain EC practices have never been systematically studied.MethodsTo address this gap, we surveyed a random stratified sample of 600 hospitals about aspects of EC that had not been previously explored.ResultsNew findings include: in 26.0% of hospitals, the EC service performs EC for more than one hospital; 72.4% of hospitals performed at least one non-case consultation; in 56% of hospitals, ECs are never requested by patients or families; (...)
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