Clinical ethics committees in nursing homes: what good can they do? Analysis of a single case consultation.
Case study methods
clinical ethics
clinical ethics committees
clinical ethics support
empirical approaches
nursing homes
Journal
Nursing ethics
ISSN: 1477-0989
Titre abrégé: Nurs Ethics
Pays: England
ID NLM: 9433357
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
pubmed:
14
7
2021
medline:
25
2
2022
entrez:
13
7
2021
Statut:
ppublish
Résumé
Ought nursing homes to establish clinical ethics committees (CECs)? An answer to this question must begin with an understanding of how a clinical ethics committee might be beneficial in a nursing home context - to patients, next of kin, professionals, managers, and the institution. With the present article, we aim to contribute to such an understanding. We ask, in which ways can clinical ethics committees be helpful to stakeholders in a nursing home context? We describe in depth a clinical ethics committee case consultation deemed successful by stakeholders, then reflect on how it was helpful. Case study using the clinical ethics committee's written case report and self-evaluation form, and two research interviews, as data. The nursing home's ward manager and the patient's son participated in research interviews. Data were collected as part of an implementation study. Clinical ethics committee members and interviewed stakeholders consented to study participation, and also gave specific approval for the publication of the present article. Six different roles played by the clinical ethics committee in the case consultation are described: analyst, advisor, support, moderator, builder of consensus and trust, and disseminator. The case study indicates that clinical ethics committees might sometimes be of help to stakeholders in moral challenges in nursing homes. Demanding moral challenges arise in the nursing home setting. More research is needed to examine whether clinical ethics committees might be suitable as ethics support structures in nursing homes and community care.
Sections du résumé
BACKGROUND
BACKGROUND
Ought nursing homes to establish clinical ethics committees (CECs)? An answer to this question must begin with an understanding of how a clinical ethics committee might be beneficial in a nursing home context - to patients, next of kin, professionals, managers, and the institution. With the present article, we aim to contribute to such an understanding.
AIM
OBJECTIVE
We ask, in which ways can clinical ethics committees be helpful to stakeholders in a nursing home context? We describe in depth a clinical ethics committee case consultation deemed successful by stakeholders, then reflect on how it was helpful.
RESEARCH DESIGN
METHODS
Case study using the clinical ethics committee's written case report and self-evaluation form, and two research interviews, as data.
PARTICIPANTS AND RESEARCH CONTEXT
METHODS
The nursing home's ward manager and the patient's son participated in research interviews.
ETHICAL CONSIDERATIONS
METHODS
Data were collected as part of an implementation study. Clinical ethics committee members and interviewed stakeholders consented to study participation, and also gave specific approval for the publication of the present article.
FINDINGS/RESULTS
RESULTS
Six different roles played by the clinical ethics committee in the case consultation are described: analyst, advisor, support, moderator, builder of consensus and trust, and disseminator.
DISCUSSION
CONCLUSIONS
The case study indicates that clinical ethics committees might sometimes be of help to stakeholders in moral challenges in nursing homes.
CONCLUSIONS
CONCLUSIONS
Demanding moral challenges arise in the nursing home setting. More research is needed to examine whether clinical ethics committees might be suitable as ethics support structures in nursing homes and community care.
Identifiants
pubmed: 34254541
doi: 10.1177/09697330211003269
pmc: PMC8866748
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
94-103Références
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