Clinicians' evaluation of clinical ethics consultations in Norway: a qualitative study [Book Review]
Medicine, Health Care and Philosophy 11 (1):17-25 (2008)
Abstract |
Clinical ethics committees have existed in Norway since 1996. By now all hospital trusts have one. An evaluation of these committees’ work was started in 2004. This paper presents results from an interview study of eight clinicians who evaluated six committees’ deliberations on 10 clinical cases. The study indicates that the clinicians found the clinical ethics consultations useful and worth while doing. However, a systematic approach to case consultations is vital. Procedures and mandate of the committees should be known to clinicians in advance to ensure that they know what to expect. Equally important is bringing all relevant facts, medical as well as psychosocial, into the discussion. A written report from the deliberation is also important for the committees to be taken seriously by the clinicians. This study indicates that the clinicians want to be included in the deliberation, and not only in the preparation or follow-up. Obstacles for referring a case to the committee are the medical culture’s conflict aversion and its anxiety of being judged by outsiders. The committees were described as a court by some of the clinicians. This is a challenge for the committees in their attempt to balance support and critique in their consultation services
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Keywords | clinical ethics committee clinical ethics consultation conflicts evaluation procedures |
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DOI | 10.1007/s11019-007-9102-2 |
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References found in this work BETA
How Physicians Face Ethical Difficulties: A Qualitative Analysis.S. A. Hurst - 2005 - Journal of Medical Ethics 31 (1):7-14.
What Triggers Requests for Ethics Consultations?G. DuVal - 2001 - Journal of Medical Ethics 27 (suppl 1):24-29.
Clinical Ethics, Information, and Communication: Review of 31 Cases From a Clinical Ethics Committee. [REVIEW]R. Forde - 2005 - Journal of Medical Ethics 31 (2):73-77.
Balancing the Perspectives. The Patient’s Role in Clinical Ethics Consultation.Stella Reiter-Theil - 2003 - Medicine, Health Care and Philosophy 6 (3):247-254.
Why Doctors Use or Do Not Use Ethics Consultation.J. P. Orlowski - 2006 - Journal of Medical Ethics 32 (9):499-503.
Citations of this work BETA
Importance of Systematic Deliberation and Stakeholder Presence: A National Study of Clinical Ethics Committees.Morten Magelssen, Reidar Pedersen, Ingrid Miljeteig, Håvard Ervik & Reidun Førde - 2020 - Journal of Medical Ethics 46 (2):66-70.
Outcomes of Moral Case Deliberation - the Development of an Evaluation Instrument for Clinical Ethics Support (the Euro-MCD).Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk - 2014 - BMC Medical Ethics 15 (1):30.
Evaluation of Clinical Ethics Support Services and its Normativity.Jan Schildmann, Bert Molewijk, Lazare Benaroyo, Reidun Forde & Gerald Neitzke - 2013 - Journal of Medical Ethics 39 (11):681-685.
Ethics Reflection Groups in Community Health Services: An Evaluation Study.Lillian Lillemoen & Reidar Pedersen - 2015 - BMC Medical Ethics 16 (1):25.
Barriers and Challenges in Clinical Ethics Consultations: The Experiences of Nine Clinical Ethics Committees: Country Reports.Reidar Pedersen - 2009 - Bioethics 23 (8):460-469.
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