Document Detail


Barriers and challenges in clinical ethics consultations: the experiences of nine clinical ethics committees.
MedLine Citation:
PMID:  18549426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical ethics committees have recently been established in nearly all Norwegian hospital trusts. One important task for these committees is clinical ethics consultations. This qualitative study explores significant barriers confronting the ethics committees in providing such consultation services. The interviews with the committees indicate that there is a substantial need for clinical ethics support services and, in general, the committee members expressed a great deal of enthusiasm for the committee work. They also reported, however, that tendencies to evade moral disagreement, conflict, and 'outsiders' are common in the hospitals. Sometimes even the committees comply with some of these tendencies. The committees agree that there is a need to improve their routines and procedures, clarify the committees' profile and field of responsibility, to make the committees well-known, to secure adequate operating conditions, and to develop organizational integration and support. Various strategies to meet these challenges on a local, regional or national level are also explored in this paper.
Authors:
Reidar Pedersen; Victoria Akre; Reidun Førde
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Publication Detail:
Type:  Journal Article     Date:  2008-06-28
Journal Detail:
Title:  Bioethics     Volume:  23     ISSN:  1467-8519     ISO Abbreviation:  Bioethics     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-08-28     Completed Date:  2009-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704792     Medline TA:  Bioethics     Country:  England    
Other Details:
Languages:  eng     Pagination:  460-9     Citation Subset:  IM    
Affiliation:
Medical Ethics, University of Oslo, Oslo 0318, Norway. reidar.pedersen@medisin.uio.no
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MeSH Terms
Descriptor/Qualifier:
Conflict (Psychology)
Data Collection
Ethical Analysis
Ethics Committees, Clinical* / standards,  trends,  utilization
Ethics Consultation* / standards,  trends,  utilization
Ethics, Clinical
Hospital Administration / ethics*
Hospitals / ethics
Humans
Norway
Organizational Culture
Practice Guidelines as Topic
Qualitative Research

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