48 found
Order:
  1.  57
    Ethical difficulties in clinical practice: experiences of European doctors.S. A. Hurst, A. Perrier, R. Pegoraro, S. Reiter-Theil, R. Forde, A.-M. Slowther, E. Garrett-Mayer & M. Danis - 2007 - Journal of Medical Ethics 33 (1):51-57.
    Background: Ethics support services are growing in Europe to help doctors in dealing with ethical difficulties. Currently, insufficient attention has been focused on the experiences of doctors who have faced ethical difficulties in these countries to provide an evidence base for the development of these services.Methods: A survey instrument was adapted to explore the types of ethical dilemma faced by European doctors, how they ranked the difficulty of these dilemmas, their satisfaction with the resolution of a recent ethically difficult case (...)
    Direct download (9 more)  
     
    Export citation  
     
    Bookmark   66 citations  
  2.  78
    Development of clinical ethics services in the UK: a national survey.Anne Marie Slowther, Leah McClimans & Charlotte Price - 2012 - Journal of Medical Ethics 38 (4):210-214.
    Background In 2001 a report on the provision of clinical ethics support in UK healthcare institutions identified 20 clinical ethics committees. Since then there has been no systematic evaluation or documentation of their work at a national level. Recent national surveys of clinical ethics services in other countries have identified wide variation in practice and scope of activities. Objective To describe the current provision of ethics support in the UK and its development since 2001. Method A postal/electronic questionnaire survey administered (...)
    Direct download (9 more)  
     
    Export citation  
     
    Bookmark   41 citations  
  3.  14
    European physicians' experience with ethical difficulties in clinical practice.S. A. Hurst, A. Perrier, R. Pegoraro, S. Reiter-Theil, R. Forde, A.-M. Slowther, E. Garrett-Mayer & M. Danis - 2006 - Journal of Medical Ethics 33 (1):51-7.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   43 citations  
  4.  19
    Clinical ethics support services in the UK: an investigation of the current provision of ethics support to health professionals in the UK.A. Slowther - 2001 - Journal of Medical Ethics 27 (90001):2i-8.
  5.  81
    Physicians' Access to Ethics Support Services in Four European Countries.Samia A. Hurst, Stella Reiter-Theil, Arnaud Perrier, Reidun Forde, Anne-Marie Slowther, Renzo Pegoraro & Marion Danis - 2007 - Health Care Analysis 15 (4):321-335.
    Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as clinical ethics committees (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   27 citations  
  6.  43
    Integrating Theory and Data in Evaluating Clinical Ethics Support. Still a Long Way to Go.Bert Molewijk, Jan Schildmann & Anne Slowther - 2017 - Bioethics 31 (4):234-236.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   10 citations  
  7.  44
    Should ethics consultants help clinicians face scarcity in their practice?S. A. Hurst, S. Reiter-Theil, A.-M. Slowther, R. Pegoraro, R. Forde & M. Danis - 2008 - Journal of Medical Ethics 34 (4):241-246.
    In an international survey of rationing we have found that European physicians encounter scarcity-related ethical difficulties, and are dissatified with the resolution of many of these cases. Here we further examine survey results to explore whether ethics support services would be potentially useful in addressing scarcity related ethical dilemmas. Results indicate that while the type of help offered by ethics support services was considered helpful by physicians, they rarely referred difficulties regarding scarcity to ethics consultation. We propose that ethics consultants (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   21 citations  
  8.  39
    Moral Expertise in the Clinic: Lessons Learned from Medicine and Science.Leah McClimans & Anne Slowther - 2016 - Journal of Medicine and Philosophy 41 (4):401-415.
    Philosophers and others have questioned whether or not expertise in morality is possible. This debate is not only theoretical, but also affects the perceived legitimacy of clinical ethicists. One argument against moral expertise is that in a pluralistic society with competing moral theories no one can claim expertise regarding what another ought morally to do. There are simply too many reasonable moral values and intuitions that affect theory choice and its application; expertise is epistemically uniform. In this article, we discuss (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  9.  52
    Regulation of healthcare ethics committees in Europe.Norbert Steinkamp, Bert Gordijn, Ana Borovecki, Eugenijus Gefenas, Jozef Glasa, Marc Guerrier, Tom Meulenbergs, Joanna Różyńska & Anne Slowther - 2007 - Medicine, Health Care and Philosophy 10 (4):461-475.
    In this article, the question is discussed if and how Healthcare Ethics Committees (HECs) should be regulated. The paper consists of two parts. First, authors from eight EC member countries describe the status quo in their respective countries, and give reasons as to the form of regulation they consider most adequate. In the second part, the country reports are analysed. It is suggested that regulation of HECs should be central and weak. Central regulation is argued to be apt to improve (...)
    Direct download (8 more)  
     
    Export citation  
     
    Bookmark   10 citations  
  10.  80
    Institutional Challenges for Clinical Ethics Committees.Andrea Dörries, Pierre Boitte, Ana Borovecki, Jean-Philippe Cobbaut, Stella Reiter-Theil & Anne-Marie Slowther - 2011 - HEC Forum 23 (3):193-205.
    Clinical ethics committees (CECs) have been developing in many countries since the 1980s, more recently in the transitional countries in Eastern Europe. With their increasing profile they are now faced with a range of questions and challenges regarding their position within the health care organizations in which they are situated: Should CECs be independent bodies with a critical role towards institutional management, or should they be an integral part of the hospital organization? In this paper, we discuss the organizational context (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   7 citations  
  11. The concept of autonomy and its interpretation in health care.Anne-Marie Slowther - 2007 - Clinical Ethics 2 (4):173-175.
  12.  47
    Health policy, patient‐centred care and clinical ethics.Leah M. McClimans, Michael Dunn & Anne-Marie Slowther - 2011 - Journal of Evaluation in Clinical Practice 17 (5):913-919.
  13.  60
    Can UK Clinical Ethics Committees Improve Quality of Care?Leah McClimans, Anne-Marie Slowther & Michael Parker - 2012 - HEC Forum 24 (2):139-147.
    Failings in patient care and quality in NHS Trusts have become a recurring theme over the past few years. In this paper, we examine the Care Quality Commission’s Guidance about Compliance: Essential Standards of Quality and Safety and ask how NHS Trusts might be better supported in fulfilling the regulations specified therein. We argue that clinical ethics committees (CECs) have a role to play in this regard. We make this argument by attending to the many ethical elements that are highlighted (...)
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  14.  19
    Ethical conflicts during the process of deciding about ICU admission: an empirically driven ethical analysis.Mia Svantesson, Frances Griffiths, Catherine White, Chris Bassford & AnneMarie Slowther - 2021 - Journal of Medical Ethics 47 (12):e87-e87.
    BackgroundBesides balancing burdens and benefits of intensive care, ethical conflicts in the process of decision-making should also be recognised. This calls for an ethical analysis relevant to clinicians. The aim was to analyse ethically difficult situations in the process of deciding whether a patient is admitted to intensive care unit.MethodsAnalysis using the ‘Dilemma method’ and ‘wide reflective equilibrium’, on ethnographic data of 45 patient cases and 96 stakeholder interviews in six UK hospitals.Ethical analysisFour moral questions and associated value conflicts were (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  15.  79
    Clinical ethics: Best interests, dementia and the Mental Capacity Act.T. Hope, A. Slowther & J. Eccles - 2009 - Journal of Medical Ethics 35 (12):733-738.
    The Mental Capacity Act is an impressive piece of legislation that deserves serious ethical attention, but much of the commentary on the Act has focussed on its legal and practical implications rather than the underlying ethical concepts. This paper examines the approach that the Act takes to best interests. The Act does not provide an account of the underlying concept of best interests. Instead it lists factors that must be considered in determining best interests, and the Code of Practice to (...)
    Direct download (7 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  16.  16
    Clinical ethics committees: a worldwide development.A. Slowther - 2001 - Journal of Medical Ethics 27 (90001):1i-1.
  17.  72
    Euthanasia.Heather Draper & Anne Slowther - 2008 - Clinical Ethics 3 (3):113-115.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  18. Clinical ethics and systems thinking.Susan K. MacRae, Ellen Fox & Anne Slowther - 2008 - In Peter A. Singer & A. M. Viens (eds.), The Cambridge textbook of bioethics. New York: Cambridge University Press. pp. 313.
     
    Export citation  
     
    Bookmark   4 citations  
  19.  25
    Use of cadavers to train surgeons: respect for donors should remain the guiding principle.Anne Marie Slowther - 2020 - Journal of Medical Ethics 46 (7):472-473.
    Hannah James makes a persuasive case for the use of donated bodies and body parts in surgical training, enabling high fidelity training, improved competency of surgeons and reduced risk of harm to patients from trainees ‘learning on the job’.1 She also identifies some pertinent ethical questions that arise from this practice that should be considered by training organisations, regulatory authorities and the trainees themselves. Many countries throughout the world have regulated programmes, governed by strict ethical principles, for donating bodies, usually (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  20. Medical futility and 'Do Not Attempt Resuscitation' orders.Anne-Marie Slowther - 2006 - Clinical Ethics 1 (1):18-20.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  21.  51
    Ethics Case Consultation in Primary Care: Contextual Challenges for Clinical Ethicists.Anne Slowther - 2009 - Cambridge Quarterly of Healthcare Ethics 18 (4):397.
    The development of ethics case consultation over the past 30 years, initially in North America and recently in Western Europe, has primarily taken place in the secondary or tertiary healthcare settings. The predominant model for ethics consultation, in some countries overwhelmingly so, is a hospital-based clinical ethics committee. In the United States, accreditation boards suggest the ethics committee model as a way of meeting the ethics component of the accreditation requirement for payment by Health Maintenance Organizations, and in some European (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  22.  42
    Is there a demand for a clinical ethics advisory service in the UK?A. Slowther & M. Underwood - 1998 - Journal of Medical Ethics 24 (3):207-207.
    Direct download (8 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  23. Focusing clinicians on ethics.A. Slowther - 2009 - Clinical Ethics 4 (4):163-164.
  24.  30
    The practical importance of theory in clinical ethics support services.Bert Molewijk, Anne Slowther & Mark Aulisio - 2011 - Bioethics 25 (7):ii-iii.
  25.  16
    Co-payment for medical treatment.Anne Slowther - 2008 - Clinical Ethics 3 (4):168-170.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  26. Determining best interests in patients who lack capacity to decide for themselves.Anne-Marie Slowther - 2007 - Clinical Ethics 2 (1):19-21.
  27.  61
    The role of the family in patient care.Anne-Marie Slowther - 2006 - Clinical Ethics 1 (4):191-193.
    Direct download  
     
    Export citation  
     
    Bookmark   2 citations  
  28. Sharing information in health care: the nature and limits of confidentiality.Anne-Marie Slowther - 2006 - Clinical Ethics 1 (2):82-84.
  29.  64
    Ethics of evidence based medicine in the primary care setting.A. Slowther - 2004 - Journal of Medical Ethics 30 (2):151-155.
    Evidence based medicine has had an increasing impact on primary care over the last few years. In the UK it has influenced the development of guidelines and quality standards for clinical practice and the allocation of resources for drug treatments and other interventions. It has informed the thinking around patient involvement in decision making with the concept of evidence based patient choice. There are, however, concerns among primary care clinicians that evidence based medicine is not always relevant to primary care (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   2 citations  
  30.  4
    Clinical ethics support services in the UK: an investigation of the current provision of ethics support to health professionals in the UK.Anne Slowther, Chris Bunch, Brian Woolnough & Tony Hope - 2001 - Journal of Medical Ethics 27 (suppl 1):2-8.
    Objective—To identify and describe the current state of clinical ethics support services in the UK.Design—A series of questionnaire surveys of key individuals in National Health Service (NHS) trusts, health authorities, health boards, local research ethics committees and health professional organisations. Interviews with chairmen/women of clinical ethics committees identified in the surveys.Setting—The UK National Health Service.Results—Responses to the questionnaires were received from all but one NHS trust and all but one health authority/board. A variety of models of clinical ethics support were (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  31. Patient requests for specific treatments.Anne-Marie Slowther - 2006 - Clinical Ethics 1 (3):135-137.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  32. Refusal of treatment by patients.Anne-Marie Slowther - 2007 - Clinical Ethics 2 (3):121-123.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  33. Restraint of patients in health care.Anne-Marie Slowther - 2007 - Clinical Ethics 2 (2):71-73.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  34.  17
    Predictive testing and population screening.Anne Slowther - 2008 - Clinical Ethics 3 (1):11-13.
  35.  32
    Clinical Ethics Committee case 3: Should parents be able to request non-therapeutic treatment for their severely disabled child?Anne Slowther - 2008 - Clinical Ethics 3 (3):109-112.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  36.  20
    Selection of embryos.A. Slowther - 2008 - Clinical Ethics 3 (2):60-62.
  37.  39
    The case of Ms B and the "right to die".A. Slowther - 2002 - Journal of Medical Ethics 28 (4):243-243.
    The High Court in England has ruled that doctors are acting illegally if they refuse to comply with a competent patient’s request to switch off their ventilator even if the result would be death. If doctors feel unable to do this then they must arrange for the patient to be transferred to the care of a colleague who is prepared to comply with the request.
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  38.  52
    Ethical implications of digital communication for the patient-clinician relationship: analysis of interviews with clinicians and young adults with long term conditions.Agnieszka Ignatowicz, Anne-Marie Slowther, Patrick Elder, Carol Bryce, Kathryn Hamilton, Caroline Huxley, Vera Forjaz, Jackie Sturt & Frances Griffiths - 2018 - BMC Medical Ethics 19 (1):11.
    Digital communication between a patient and their clinician offers the potential for improved patient care, particularly for young people with long term conditions who are at risk of service disengagement. However, its use raises a number of ethical questions which have not been explored in empirical studies. The objective of this study was to examine, from the patient and clinician perspective, the ethical implications of the use of digital clinical communication in the context of young people living with long-term conditions. (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark  
  39. Organ donation.Anne Slowther - 2009 - Clinical Ethics 4 (2):64-66.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark  
  40.  20
    Planning for and managing pandemic influenza.Anne Slowther - 2009 - Clinical Ethics 4 (3):116-118.
  41.  46
    Resource allocation decisions in U.k. Healthcare: Do ethics committees have a role?Anne Slowther & Tony Hope - 2002 - HEC Forum 14 (1):64-72.
    No healthcare system has sufficient funds to provide the best possible treatment for all patients in all situations. Three new pharmaceutical products are licensed each month, on average, in the U.K. Most have some benefits over existing drugs but many are expensive. When is the extra benefit worth the extra cost? Managed care systems such as seen in the U.S., and publicly funded systems such as the British National Health Service (NHS), face this fundamental issue. Several governments (for example those (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark  
  42.  36
    The development of healthcare (clinical) ethics committees in the U.k.Anne Slowther & John McMillan - 2002 - HEC Forum 14 (1):1-3.
    Direct download (4 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  43.  15
    The Health Care Ethics Committee Experience.A. Slowther - 1998 - Journal of Medical Ethics 24 (6):421-421.
    Direct download (7 more)  
     
    Export citation  
     
    Bookmark  
  44.  39
    Truth-telling in health care.Anne Slowther - 2009 - Clinical Ethics 4 (4):173-175.
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  45.  62
    The Doctrine of Double Effect and end-of-life decisions.Lizzie Tuckey & Anne Slowther - 2009 - Clinical Ethics 4 (1):12-14.
  46.  23
    Evaluating interventions to improve ethical decision making in clinical practice: a review of the literature and reflections on the challenges posed. [REVIEW]Agnieszka Ignatowicz, Anne Marie Slowther, Christopher Bassford, Frances Griffiths, Samantha Johnson & Karen Rees - 2023 - Journal of Medical Ethics 49 (2):136-142.
    Since the 1980s, there has been an increasing acknowledgement of the importance of recognising the ethical dimension of clinical decision-making. Medical professional regulatory authorities in some countries now include ethical knowledge and practice in their required competencies for undergraduate and post graduate medical training. Educational interventions and clinical ethics support services have been developed to support and improve ethical decision making in clinical practice, but research evaluating the effectiveness of these interventions has been limited. We undertook a systematic review of (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  47.  26
    Clinical ethics committees: Opportunity or threat? [REVIEW]Anne Slowther, Donald Hill & John McMillan - 2002 - HEC Forum 14 (1):4-12.
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  48.  23
    Methods in Medical Ethics: Edited by J Sugarman and D P Sulmasy. Georgetown University Press, 2001, US$ 39.95, pp 314. ISBN 0-87840-873-. [REVIEW]A. Slowther - 2003 - Journal of Medical Ethics 29 (4):6-6.
    The editors of this book set out to provide an overview of the various disciplines and methods of inquiry that contribute to medical ethics. The question “what is medical ethics?” is an important and topical one, especially in countries such as the UK where medical ethics has become established as a subject of academic inquiry relatively recently compared to the United States. Sugarman and Sulmasy argue that medical ethics is a single field of inquiry which is shared by several disciplines, (...)
    Direct download (8 more)  
     
    Export citation  
     
    Bookmark