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Evidence - competence - discourse: the theoretical framework of the multi-centre clinical ethics support project METAP
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 1555817
Author(s) Reiter-Theil, Stella; Mertz, Marcel; Schürmann, Jan; Stingelin Giles, Nicola; Meyer-Zehnder, Barbara
Author(s) at UniBasel Schürmann, Jan Matthias
Stingelin, Nicola
Reiter-Theil, Stella
Year 2011
Title Evidence - competence - discourse: the theoretical framework of the multi-centre clinical ethics support project METAP
Journal Bioethics
Volume 25
Number 7
Pages / Article-Number 403-412
Keywords evidence, competence, discourse, theoretical framework of the multi-centre clinical ethics support project, METAP, resource microallocation
Mesh terms Decision Making, ethics; Ethics Consultation; Europe; Evidence-Based Practice, ethics; Health Care Rationing, ethics; Humans; Models, Theoretical; North America; Patient Care Team, ethics; Patient Rights, ethics
Abstract In this paper we assume that 'theory' is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES. A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES that exist in North-America and in Europe show their underlying theory more or less explicitly, with most of them referring to some kind of theoretical components including 'how-to' questions (methodology), organizational issues (implementation), problem analysis (phenomenology or typology of problems), and related ethical issues such as end-of-life decisions (major ethical topics). In order to illustrate and explain the theoretical framework that we are suggesting for our own CES project METAP, we will outline this project which has been established in a multi-centre context in several healthcare institutions. We conceptualize three 'pillars' as the major components of our theoretical framework: (1) evidence, (2) competence, and (3) discourse. As a whole, the framework is aimed at developing a foundation of our CES project METAP. We conclude that this specific integration of theoretical components is a promising model for the fruitful further development of CES.
Publisher Wiley
ISSN/ISBN 0269-9702 ; 1467-8519
edoc-URL http://edoc.unibas.ch/dok/A6083594
Full Text on edoc No
Digital Object Identifier DOI 10.1111/j.1467-8519.2011.01915.x
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/21790694
ISI-Number 000293175500007
Document type (ISI) Article
 
   

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