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Clinical Ethics: Consultation

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Encyclopedia of Global Bioethics

Abstract

Several key developments in the United States in the practice of clinical ethics consultation have occurred since the New Jersey Supreme Court recommended such a service in the case of Quinlan in 1976 and the first requirements of such services for hospital accreditation by the Joint Commission in 1992. Research and scholarship have attempted to define what an ethics consultation is and its goals, the competencies that need to be enjoyed by those who provide consultation, and tools to provide quantitative and qualitative measures of a consultation effectiveness. More recently, different proposals have attempted to provide for a mechanism by which those who perform consultations can be certified as qualified to be an ethics consultant. In spite of the tremendous amount of such scholarship, there is no consensus on these issues, nor especially on the manner in which the facts of a case ought to be analyzed to come to some conclusion. More work will need to be done to bring some form of commonality to a discipline that by definition admits to a wide variety of approaches.

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References

  • Dubler, N. N., Webber, M. P., & Swiderski, D. M. (2009). Charting the future: Credentialing, privileging, quality and evaluation in clinical ethics consultation. Hastings Center Report, 39(6), 23–33.

    Article  Google Scholar 

  • Duval, G. (2001). What triggers requests for ethics consultations? Journal of Medical Ethics, 27, 124–129.

    Article  Google Scholar 

  • Fletcher, J. C., & Siegler, M. (1996). What are the goals of ethics consultation? A consensus statement. The Journal of Clinical Ethics, 7(2), 122–126.

    Google Scholar 

  • Fox, E., Myers, S., & Pearlman, A. (2006). Ethics consultation in United States hospitals: A national survey. American Journal of Bioethics, 7(2), 168–175.

    Google Scholar 

  • Geppert, C. M. A., & Shelton, W. N. (2012). A comparison of general medical and clinical ethics consultations: What can we learn from each other? Mayo Clinic Proceedings, 87(4), 381–389.

    Article  Google Scholar 

  • Gordon, E. J. (2007). A better way to evaluate clinical ethics consultations? An ecological approach. American Journal of Bioethics, 7(2), 26–50.

    Article  Google Scholar 

  • Puma, J. L., Stocking, C. B., Silverstein, M. D., DiMartini, A., & Siegler, M. (1988). An ethics consultation service in a teaching hospital: Utilization and evaluation. JAMA, 260(6), 808–811.

    Article  Google Scholar 

  • Reiter-Theil, S. (2001). The Freiburg approach to ethics consultations: Process, outcomes and competencies. Journal of Medical Ethics, 27(suppl I), i21–i23.

    Article  Google Scholar 

  • Schneiderman, L., Gilmer, T., Teetzel, H. D., Dugan, D. O., Blustein, J., Cranford, R., Briggs, K. B., Komatsu, G. I., Goodman-Crews, P., Cohn, F., & Young, E. W. D. (2003). Effect of ethics consultations on non-beneficial life-sustaining treatment in the intensive care setting: A randomized controlled trial. JAMA, 290(9), 1166–1172.

    Article  Google Scholar 

  • Steinkamp, N., & Gordijn, B. (2003). Ethical case deliberation on the ward. A comparison of four methods. Medicine, Health Care and Philosophy, 6, 235–246.

    Article  Google Scholar 

  • Swetz, K. M., Crowley, M. E., Hok, C., & Mueller, P. S. (2007). Report of 255 clinical ethics consultations and review of the literature. Mayo Clinic Proceedings, 82(6), 106–112.

    Article  Google Scholar 

  • Tao, J. (2003). Autonomy and care: A Chinese approach to the art of informed consent. In S. Song, Y. M. Koo, & D. R. J. Mace (Eds.), Asian bioethics in the 21st century. Tsukuba Science City: Eubios Ethics Institute.

    Google Scholar 

  • Tuohey, J., & Kockler, N. (2012). Ethics education enhances skills of doctors in training. Health Progress, 93, 29–37.

    Google Scholar 

  • White, B. D., Jankowski, J. B., & Shelton, W. N. (2014). Structuring a written examination to assess ASBH health care ethics consultation core knowledge competencies. American Journal of Bioethics, 14(1), 5–17.

    Article  Google Scholar 

Further Readings

  • Beauchamp, T. L., & Childress, J. F. (2008). Principles of biomedical ethics (6th ed.). New York: Oxford University Press.

    Google Scholar 

  • Jonsen, A. R. (1998). The birth of bioethics. New York: Oxford University Press.

    Google Scholar 

  • Schildmann, J., Gordon, J. S., & Vollmann, J. (Eds.). (2010). Clinical ethics consultation: Theories and methods, implementation, evaluation. Surrey: Ashgate.

    Google Scholar 

  • Zaner, R. M. (2014). Conversations in the edge: Narratives of ethics and illness. Georgetown: Georgetown University Press.

    Google Scholar 

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Correspondence to John F. Tuohey .

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Tuohey, J.F., Dirksen, K.M. (2015). Clinical Ethics: Consultation. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_90-1

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  • DOI: https://doi.org/10.1007/978-3-319-05544-2_90-1

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