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Andrea Frolic [24]Andrea Nadine Frolic [2]
  1.  42
    Becoming a medical assistance in dying (MAiD) provider: an exploration of the conditions that produce conscientious participation.Allyson Oliphant & Andrea Nadine Frolic - 2021 - Journal of Medical Ethics 47 (1):51-58.
    The availability of willing providers of medical assistance in dying in Canada has been an issue since a Canadian Supreme Court decision and the subsequent passing of federal legislation, Bill C14, decriminalised MAiD in 2016. Following this legislation, Hamilton Health Sciences in Ontario, Canada, created a team to support access to MAiD for patients. This research used a qualitative, mixed methods approach to data collection, obtaining the narratives of providers and supporters of MAiD practice at HHS. This study occurred at (...)
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  2.  36
    Implementation of Medical Assistance in Dying as Organizational Ethics Challenge: A Method of Engagement for Building Trust, Keeping Peace and Transforming Practice.Andrea Frolic & Paul Miller - 2022 - HEC Forum 34 (4):371-390.
    This paper focuses on the _ethics of how_ to approach the introduction of MAiD as an organizational ethics challenge, a focus that diverges from the traditional focus in healthcare ethics on the _ethics of why_ MAiD is right or wrong. It describes a method co-designed and implemented by ethics and medical leadership at a tertiary hospital to develop a values-based, grassroots response to the decriminalization of assisted dying in Canada. This organizational ethics engagement method embodied core tenants that drew inspiration (...)
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  3.  27
    Getting Beyond Pros and Cons: Results of a Stakeholder Needs Assessment on Physician Assisted Dying in the Hospital Setting.Andrea Frolic, Leslie Murray, Marilyn Swinton & Paul Miller - 2022 - HEC Forum 34 (4):391-408.
    This study assessed the attitudes and needs of physicians and health professional staff at a tertiary care hospital in Canada regarding the introduction of physician assisted dying (PAD) during 2015–16. This research aimed to develop an understanding of the wishes, concerns and hopes of stakeholders related to handling requests for PAD; to determine what supports/structures/resources health care professionals (HCP) require in order to ensure high quality and compassionate care for patients requesting PAD, and a supportive environment for all healthcare providers (...)
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  4.  50
    Ethical issues experienced by healthcare workers in nursing homes.Deborah H. L. Preshaw, Kevin Brazil, Dorry McLaughlin & Andrea Frolic - 2016 - Nursing Ethics 23 (5):490-506.
    Background: Ethical issues are increasingly being reported by care-providers; however, little is known about the nature of these issues within the nursing home. Ethical issues are unavoidable in healthcare and can result in opportunities for improving work and care conditions; however, they are also associated with detrimental outcomes including staff burnout and moral distress. Objectives: The purpose of this review was to identify prior research which focuses on ethical issues in the nursing home and to explore staffs’ experiences of ethical (...)
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  5.  25
    Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program.Andrea Frolic, Marilyn Swinton, Allyson Oliphant, Leslie Murray & Paul Miller - 2022 - HEC Forum 34 (4):429-455.
    Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families (...)
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  6.  24
    MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services.Andrea Frolic, Paul Miller, Will Harper & Allyson Oliphant - 2022 - HEC Forum 34 (4):409-428.
    This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A “care ecology” strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians. This program exemplifies a (...)
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  7.  28
    What are the views of Quebec and Ontario citizens on the tiebreaker criteria for prioritizing access to adult critical care in the extreme context of a COVID-19 pandemic?Claudia Calderon Ramirez, Yanick Farmer, Andrea Frolic, Gina Bravo, Nathalie Orr Gaucher, Antoine Payot, Lucie Opatrny, Diane Poirier, Joseph Dahine, Audrey L’Espérance, James Downar, Peter Tanuseputro, Louis-Martin Rousseau, Vincent Dumez, Annie Descôteaux, Clara Dallaire, Karell Laporte & Marie-Eve Bouthillier - 2024 - BMC Medical Ethics 25 (1):1-14.
    Background The prioritization protocols for accessing adult critical care in the extreme pandemic context contain tiebreaker criteria to facilitate decision-making in the allocation of resources between patients with a similar survival prognosis. Besides being controversial, little is known about the public acceptability of these tiebreakers. In order to better understand the public opinion, Quebec and Ontario’s protocols were presented to the public in a democratic deliberation during the summer of 2022. Objectives (1) To explore the perspectives of Quebec and Ontario (...)
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  8.  52
    (1 other version)Exploring a Model Role Description for Ethicists.Paula Chidwick, Jennifer Bell, Eoin Connolly, Michael D. Coughlin, Andrea Frolic, Laurie Hardingham & Randi Zlotnik Shaul - 2010 - HEC Forum 22 (1):31-40.
    This paper provides a description of the role of the clinical ethicist as it is generally experienced in Canada. It examines the activities of Canadian ethicists working in healthcare institutions and the way in which their work incorporates more than ethics case consultation. The Canadian Bioethics Society established a Taskforce on Working Conditions for Bioethics (hereafter referred to as the Taskforce), to make recommendations on a number of issues affecting ethicists and to develop a model role description. This essay carefully (...)
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  9.  47
    Opening the Black Box of Ethics Policy Work: Evaluating a Covert Practice.Andrea Frolic, Katherine Drolet, Kim Bryanton, Carole Caron, Cynthia Cupido, Barb Flaherty, Sylvia Fung & Lori McCall - 2012 - American Journal of Bioethics 12 (11):3-15.
    Hospital ethics committees (HECs) and ethicists generally describe themselves as engaged in four domains of practice: case consultation, research, education, and policy work. Despite the increasing attention to quality indicators, practice standards, and evaluation methods for the other domains, comparatively little is known or published about the policy work of HECs or ethicists. This article attempts to open the ?black box? of this health care ethics practice by providing two detailed case examples of ethics policy reviews. We also describe the (...)
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  10.  65
    Who are we when we are doing what we are doing? The case for mindful embodiment in ethics case consultation.Andrea Frolic - 2011 - Bioethics 25 (7):370-382.
    This paper explores the theory and practice of embodied epistemology or mindful embodiment in ethics case consultation. I argue that not only is this epistemology an ethical imperative to safeguard the integrity of this emerging profession, but that it has the potential to improve the quality of ethics consultation (EC). It also has implications for how ethics consultants are trained and how consultation services are organized. My viewpoint is informed by ethnographic research and by my experimental application of mindful embodiment (...)
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  11.  17
    Introducing Medical Assistance in Dying in Canada: Lessons on Pragmatic Ethics and the Implementation of a Morally Contested Practice.Andrea Frolic & Allyson Oliphant - 2022 - HEC Forum 34 (4):307-319.
    Medical Assistance in Dying (MAiD) in Canada has had a tumultuous social and legal history. In the 6 years since assisted dying was decriminalized by the Canadian Parliament in June 2016, the introduction of this practice into the Canadian healthcare system has been fraught with ethical challenges, practical hurdles and grass-roots innovation. In 2021, MAiD accounted for approximately 3.3% of all Canadian deaths annually, and more patients are seeking MAiD year over year as this option becomes more widely know. Unfortunately, (...)
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  12.  36
    Ethics policy review: a case study in quality improvement.Andrea Nadine Frolic & Katherine Drolet - 2013 - Journal of Medical Ethics 39 (2):98-103.
    Policy work is often cited as one of the primary functions of Hospital Ethics Committees (HECs), along with consultation and education. Hospital policies can have far reaching effects on a wide array of stakeholders including, care providers, patients, families, the culture of the organisation and the community at large. In comparison with the wealth of information available about the emerging practice of ethics consultation, relatively little attention has been paid to the policy work of HECs. In this paper, we hope (...)
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  13.  7
    Do Clinical Ethicists Improve with Experience? And, If So, How Would We Know?Victoria Seavilleklein, Jennifer Flynn, Andrea Frolic, Frank Wagner & Katarina Lee-Ameduri - unknown
    During our workshop at the 2023 CBS-SCB Workshop and Community Forum, we explored and problematized the concept of “improvement” of clinical ethicists, situated within the larger context of discussions about the professionalization of clinical ethics. This summary provides key insights on this topic by clinical ethicists from across Canada and includes suggestions for steps that we might want to take in the field to enable and support the improvement of clinical ethicists going forward.
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  14.  5
    Clinical Ethics Training in Canada: Moving Towards Standardization.Winifred Badaiki & Andrea Frolic - unknown
    This paper summarizes the presentation and stakeholder feedback gathered from the Canadian Bioethics Society Workshop and Community Forum in May 2023, in a session entitled, “Clinical Ethics Fellowship in Canada: Making the Move Towards Standardization”. This summary provides insight into the clinical ethics fellowship landscape across Canada, including current gaps in the training of Canadian healthcare ethicists and opportunities to advance the journey towards standardization.
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  15.  8
    Critical Self-Reflection as Moral Practice: A Collaborative Meditation on Peer Review in Ethics Consultation.Andrea Frolic & Susan B. Rubin - 2018 - In Stuart G. Finder & Mark J. Bliton (eds.), Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project. Cham: Springer Verlag. pp. 47-61.
    With “The Zadeh Scenario,” Finder offers us a gift…a rich and thoughtful first-person account of the gradual unfolding of a specific ethics consultation conducted by a specific ethics consultant in a specific context. This is not your average case report, stripped to the bare facts and devoid of the ambiguity of real-time human interactions. It’s also not simply an example of thick description, offering the reader a detailed account of the context out of which an abstract ethical dilemma has emerged, (...)
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  16.  14
    Nationalism and canadian bioethics.Andrea Frolic, Michael D. Coughlin & Bernard Keating - 2011 - In Catherine Myser (ed.), Bioethics Around the Globe. Oxford University Press. pp. 191.
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  17. The dominion of bioethics : nationalism and Canadian bioethics.Andrea Frolic, Michael D. Coughlin & Bernard Keating - 2011 - In Catherine Myser (ed.), Bioethics Around the Globe. Oxford University Press.
  18.  36
    Grassroots Origins, National Engagement: Exploring the Professionalization of Practicing Healthcare Ethicists in Canada. [REVIEW]Andrea Frolic - 2012 - HEC Forum 24 (3):153-164.
    Canadian ethicists have a long legacy of leadership in advocating for standards and quality in healthcare ethics. Continuing this tradition, a grassroots organization of practicing healthcare ethicists (PHEs) concerned about the lack of standardization in the field recently formed to explore potential options related to professionalization. This group calls itself “practicing healthcare ethicists exploring professionalization” (PHEEP). This paper provides a description of the process by which PHEEP has begun to engage the Canadian PHE community in the development of practice standards (...)
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  19.  64
    From Reactive to Proactive: Developing a Valid Clinical Ethics Needs Assessment Survey to Support Ethics Program Strategic Planning (Part 1 of 2). [REVIEW]Andrea Frolic, Barb Jennings, Wendy Seidlitz, Sandy Andreychuk, Angela Djuric-Paulin, Barb Flaherty & Donna Peace - 2013 - HEC Forum 25 (1):47-60.
    As ethics committees and programs become integrated into the “usual business” of healthcare organizations, they are likely to face the predicament of responding to greater demands for service and higher expectations, without an influx of additional resources. This situation demands that ethics committees and programs allocate their scarce resources (including their time, skills and funds) strategically, rather than lurching from one ad hoc request to another; finding ways to maximize the effectiveness, efficiency, impact and quality of ethics services is essential (...)
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  20.  47
    A pilot qualitative study of “conflicts of interests and/or conflicting interests” among canadian bioethicists. Part 1: Five cases, experiences and lessons learned. [REVIEW]Andrea Frolic & Paula Chidwick - 2010 - HEC Forum 22 (1):5-17.
    In this pilot qualitative study 13 clinical bioethicists from across Canada were interviewed about their experiences of conflicts of interest and/or conflicting interests in their professional roles. The interviews generated five composite cases. Participants reported being significantly impacted by these experiences both personally and professionally.
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  21.  66
    Implementing a Clinical Ethics Needs Assessment Survey: Results of a Pilot Study (Part 2 of 2). [REVIEW]Andrea Frolic, Sandra Andreychuk, Wendy Seidlitz, Angela Djuric-Paulin, Barb Flaherty, Barb Jennings & Donna Peace - 2013 - HEC Forum 25 (1):61-78.
    This paper details the implementation of the Clinical Ethics Needs Assessment Survey (CENAS) through a pilot study in five units within Hamilton Health Sciences. We describe how these pilot sites were selected, how we implemented the survey, the significant results and our interpretation of the findings. The primary goal of this paper is to share our experiences using this tool, specifically the challenges we encountered conducting a staff ethics needs assessment across different units in a large teaching hospital, and the (...)
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  22.  45
    A pilot qualitative study of “conflicts of interests and/or conflicting interests” among canadian bioethicists. Part 2: Defining and managing conflicts. [REVIEW]Andrea Frolic & Paula Chidwick - 2010 - HEC Forum 22 (1):19-29.
    This paper examines one aspect of professional practice for bioethicists: managing conflicts of interest. Drawing from our qualitative study and descriptive analysis of the experiences of conflicts of interest and/or conflicting interests (COI) of 13 Canadian clinical bioethicists (Frolic and Chidwick 2010), this paper examines how bioethicists define their roles, the nature of COIs in their roles, how their COIs relate to conventional definitions of conflicts of interest, and how COIs can be most effectively managed.
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  23.  56
    Education for Ethics Practice: Tailoring Curricula to Local Needs and Objectives. [REVIEW]Cheryl Cline, Ann Heesters, Barbara Secker & Andrea Frolic - 2012 - HEC Forum 24 (3):227-243.
    Currently, there is no authoritative credentialing process for individuals engaged in ethics practice, no accreditation system that sets minimum education standards for programs aiming to prepare these individuals for their work, and little evidence available that any particular training model is actually achieving its pedagogical goals. At the same time, a number of healthcare organizations and universities now routinely offer post-graduate programs, clinical fellowships and in-house training specifically devised to prepare graduates for ethics practice. However, while their numbers appear to (...)
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  24.  55
    Beyond Trail Blazing: A Roadmap for New Healthcare Ethics Leaders (and the People Who Hire Them). [REVIEW]Cheryl Cline, Andrea Frolic & Robert Sibbald - 2013 - HEC Forum 25 (3):211-227.
    This article is intended to serve as a roadmap to help new healthcare ethics leaders establish or renew an ethics program in a healthcare organization. The authors share a systemic step-by-step process for navigating this early career passage. In this paper, we describe five critical success strategies and provide explanations and concrete tools to help get you on the road to success as quickly and painlessly as possible. We will discuss how to define your role; diagnose your organization’s needs; build (...)
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