Author: Linda Farber Post
Publisher: JHU Press
ISBN: 1421442353
Category : Medical
Languages : en
Pages : 489
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Book Description
How can dedicated health care ethics committees increase their effectiveness and demonstrate their value as essential moral resources for their organizations? Among the most effective and increasingly valued resources in the health care decision-making process is the institutional ethics committee. The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. As a condition of accreditation, TJC requires health care organizations to have available a standing multidisciplinary ethics committee, composed of physicians, nurses, attorneys, ethicists, administrators, and interested lay citizens. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to effectively address the range and complexity of the ethical issues that arise in clinical and organizational settings. Handbook for Health Care Ethics Committees was conceived in 2007 to address the myriad responsibilities assumed by ethics committees. Using sample cases and accessible language, Linda Farber Post and Jeffrey Blustein explored applied bioethics, including informed consent and refusal, decision making and decisional capacity, truth telling, care at the beginning and end of life, palliation, justice in and access to health care services, and organizational ethics. In the third edition, Post and Blustein have thoroughly updated and reorganized the content and expanded the scope of the material, with special attention to changes in the health care landscape since the second edition was published in 2015. They also focus on communication between and among patients, care providers, and families, the demands of professionalism, the essential role that ethics committees can and should play, and how their effectiveness and value can be assessed. An entirely new chapter examines research ethics. The book also addresses the challenging ethical issues raised by the ongoing COVID-19 pandemic. This guide remains an essential resource for all health care ethics committee and their members.
Author: John La Puma
Publisher: Jones & Bartlett Learning
ISBN: 9780867207972
Category : Medical consultation
Languages : en
Pages : 260
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Book Description
This is a book about clinical ethics consultation by two practitioners who together have done more than 700 consultations. There is not another authoritative book like it. Practical rather than theoretical in scope, the book addresses strategies for conducting consultations, relating to patients at the bedside, investigating the ethical issues, making recommendations, following up on cases, and keeping records. Chapters include issues such as the need for training, the skills needed, the problem of certification, how to set up a practice, financial compensation and billing, and the relation of the consultant to committees, particularly ethics committees. The authors include reflections about learning clinical ethics and education of committees, hospital staff, and the general public about issues that arise. The purpose is to help ethics consultants improve their conscious assessment of their work, both how they go about it and its legitimacy for patients, health care providers, and hospitals. The orientation is primarily on clinical care of patients, because the goal of such consultations is always aimed to improve patient care. Other ethics consultants might work to develop institutional policies. Although that is touched on in the book, it is not the primary goal of the authors. The book is aimed at the practitioner in bioethics in a clinical setting.
Author: Courtenay R. Bruce
Publisher: Createspace Independent Publishing Platform
ISBN: 9781514809181
Category : Medical ethics
Languages : en
Pages : 0
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Book Description
To our knowledge, no existing book or article describes how to establish and operate a vibrant and sustainable clinical ethics consultation service (ECS) from the ground up. As a result, ECS directors and ethics consultants may be charged with building or reinvigorating and sustaining a high-quality, successful service without sufficient practical guidance on how to plan, implement, and monitor their efforts. This lack of guidance can give rise to problems, including wasted time and effort, as well as misalignments in expectations and goals between hospital administrators and ethics consultants on what constitutes "success" and "failure" in service activities. Toward the goal of providing this much-needed guidance, we describe key considerations and strategies for developing, implementing, and monitoring a high-quality, successful service. It is important to note that in responding to hospital administrators' expectations and establishing a successful service, it is necessary but not sufficient to demonstrate the competence of individual consultants. Thus, some portions of this guide are addressed to the individual or individuals leading an ECS, but many chapters will be useful to anyone engaging in clinical ethics consultation or playing a role in overseeing or otherwise advocating for an ECS. Our focus is on building and sustaining high-quality, successful services in ways that go well beyond the traditional focus on how to conduct an ethics consultation. Specifically, we have chapters and sections devoted to working through a case, mediation skills, and conducting and facilitating family meetings that should be useful for any ethics consultant, particularly individuals who are new to ethics consultation or seasoned consultants who wish to reflect on their practices, but we also have chapters and sections devoted to "selling points to hospital administrators on the value of ECSs," building an ECS infrastructure, launching a service, etc., that are aimed more towards ECS directors, with the goal of providing essential guidance on ECS development and maintenance. Finally, our goal is to be as practical and clinically-oriented as possible by addressing everyday nuts-and-bolts concerns that apply across demographically- and geographically-diverse hospital settings, subject to some individual variation that we will underscore for our readership. In particular, we arrange this guide according to phases of an ECS. Part 1 will focus on planning for an ECS. Part 2 will discuss how to implement an ECS. Part 3 will then conclude with information about how to monitor an ECS once it is established, and how to address common challenges. We believe that much of the advice we provide can be extended to other consultative or hospital services that are based in hospitals, such as palliative medicine, chaplaincy, or social work services. We hope you find this useful!
Author: D. Micah Hester
Publisher: Cambridge University Press
ISBN: 1139510274
Category : Medical
Languages : en
Pages : 201
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Book Description
Every accredited American hospital is required to have a mechanism for handling ethical concerns; most hospitals satisfy this requirement by constituting an institutional healthcare ethics committee (HEC), a pattern which is repeated in most western countries. This text provides definitive, comprehensive guidance for members of healthcare ethics committees who find themselves confronted with ethically challenging situations. Each chapter includes learning objectives, clinical case studies and questions to stimulate discussion among committee members. Particular emphasis is given to consultation, as this often presents the greatest challenges to committee members. Each chapter stands alone as a teaching module, as well as forming part of a comprehensive volume. Written and edited by nationally and internationally recognized experts in bioethics, this is essential reading for every member of a healthcare ethics committee.
Author: Bashir Jiwani
Publisher: Springer
ISBN: 3319603760
Category : Philosophy
Languages : en
Pages : 71
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Book Description
This book provides a careful and comprehensive, step-by-step method for providing clinical ethics consultation. This Guide can be applied in almost any healthcare setting and takes the reader from establishing an intake process and developing strategies for interviewing those involved in the situation, to undertaking a consultation meeting and following up on a clinical consult. The book is an invaluable resource to any clinical ethicist, or committee or consult team member who is seeking to provide their service with rigour and quality. Written in simple language, the book explores ideas and concepts that will help the reader to understand, think through, and ultimately offer useful ethical consultation when facing ethically challenging issues.
Author: Jan Schildmann
Publisher: Routledge
ISBN: 9781409405115
Category : Medical consultation
Languages : en
Pages : 0
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Book Description
This volume brings together a group of researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides a discussion on the theories and methods underlying CEC and on the issues of implementation and evaluation. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an empirically based well-informed ethical decision. it also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second section deals with the implementation of CEC structures both at the macro and micro levels in both developed and transitional countries. The third section deals with the vital issue of the evaluation of CEC. Evaluation is essential with regard To The question of whether CEC has been successfully implemented and is reliable and promotes the process of ethical decision-making. Evaluation may indicate that the particular method of CEC in operation should be adjusted To The special needs of the place of application. These empirical findings are important For The philosophical evaluation because they could be used to improve the methodology of the particular ethical approach in CEC. The combination of theories and methods, implementation and evaluation of CEC in this volume shows the close connection between philosophical reasoning and empirical findings in medicine. By bringing together theorists and healthcare practitioners, The book addresses the criticism that "clinical ethics" does not appeal appropriately to theories and methods.
Author: Katherine Wasson
Publisher: Springer
ISBN: 9783030919184
Category : Philosophy
Languages : en
Pages : 0
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Book Description
This book addresses new and evolving thorny issues in clinical ethics consultation. It is a book for our time. The contributors provide essential critical reflection on the standards and methods of training clinical ethics consultants as the field seeks to professionalize. This collection incorporates both North American and European experts, offering different perspectives on issues such as marginalized populations, the opioid epidemic, complex discharge, micro-managing families, and continually challenging issues at the end-of-life, such as determinations of brain death, physician-assisted death, and futility. The authors engage the complexities of choosing for others when making decisions for incapacitated adults and pediatric patients. This volume engages with the growing literature in these debates and offers new perspectives from both academics and practitioners. The readings are of particular interest to bioethicists, clinicians, ethics committees, and students in bioethics and beyond. These new essays advance discussions in the professionalization and certification of ethics consultants and offer crucial insights on new and evolving thorny issues in the practice of clinical ethics consultation.
Author: Joseph T. Bertino
Publisher: Springer Nature
ISBN: 3030901823
Category : Medical
Languages : en
Pages : 181
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Book Description
This book provides a robust analysis of the history of clinical ethics, the philosophical theories that support its practice, and the practical institutional criteria needed to become a practicing clinical ethicist. Featuring cases and a step-by-step approach, this book combines knowledge points associated with moral philosophy and medicine with general skill objectives for ethics consultants. The book aids in developing analytic moral reasoning skills for clinical ethicists, fostering the comprehensive education and professional development of clinical ethics consultants. In addition, it offers key components of how an ethics consultation curriculum manifest in an educational venue for clinical ethicists are illustrated. Adaptable and relevant for educating multiple disciplines in health care, this resource enables ethicists to understand the philosophical foundations and practical application of clinical ethics.
Author: Bashir Jiwani
Publisher: Springer
ISBN: 3319603795
Category : Philosophy
Languages : en
Pages : 47
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Book Description
This workbook is a companion to Clinical Ethics Consultation: A Practical Guide to Changing Culture, Building Capacity and Solving Problems Case by Case. The Toolkit lays out the process for clinical ethics consultation in a series of steps within five phases: Pre-Consult, Interviews, Mid-Consult, Consult meeting(s), and Post-Consult. For each step, the Toolkit provides directions for how to complete it, tips for success, and worksheets for capturing data and analysis. The Clinical Ethics Consultation Toolkit is the playbook from which clinical ethics consultants can draw methods and strategies for effectively delivering ethics consultation.
Author: Christopher Meyers
Publisher: Rowman & Littlefield
ISBN: 9780742548282
Category : Ethical Review
Languages : en
Pages : 130
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Book Description
A Practical Guide to Clinical Ethics Consulting reasserts the philosophical method as foundational to ethics consulting. It does so in response to extensive attacks from social scientists, lawyers, theologians, and especially practitioners, all of whom disparage philosophy's reliance on abstract theory and conceptual analysis. Using clinical ethics consulting as an exemplar, Christopher Meyers argues that while many of the attacks are well founded, they are only partly so and not in the most important respects. Ethics consulting that relies too heavily on abstract analysis is of little use to practitioners; consultants must have adequate grounding in, and appreciation of, the concrete reality of working professionals. They must also be experienced enough to have the practical wisdom necessary to assist with real-world problems. Skills of philosophical analysis, when combined with instruction in empirical investigation, political awareness and appropriate character traits, are vital to ethics consulting. Ethicists need the theoretical and conceptual analysis skills that are a standard part of a philosophical education and mindset. The book provides both a defense of this central thesis and a detailed description of the empirical tools--and of the critical independence--necessary to effective consulting.
