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The ‘Big Five’ in 100 Clinical Ethics Consultation Cases. Evaluating three years of ethics support in the Basel University Hospitals
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3706523
Author(s) Reiter-Theil, Stella; Schürmann, Jan
Author(s) at UniBasel Reiter-Theil, Stella
Schürmann, Jan Matthias
Year 2016
Title The ‘Big Five’ in 100 Clinical Ethics Consultation Cases. Evaluating three years of ethics support in the Basel University Hospitals
Journal Bioethica Forum
Volume 9
Number 2
Pages / Article-Number 12-22
Abstract Abstract Background: The study aims at shedding light into the practice of Clinical Ethics Consultation (EC) thereby making a contribution to bet - ter understanding its triggers, contents and outcomes. It was carried out in 2 (out of 3) local University Hospitals. Material and method: 100 full ECs (50 ECs conducted at the somatic/ USB, 50 at the Psychiatric University Hospital/UPK) over 3 years were analysed on the basis of its rich and highly standardised documentation. Results: Overall, the majority of all ECs (84%) feature ethical issues referring to at least one of the following 5 topics: coercion (28%), care management (24%), treatment-plan evaluation (17%), end-of-life care (16%), or pregnancy / assisted reproduction (12%). In USB ECs, the top 3 main ethical issues concern end-of-life care (28%), pregnancy / assisted reproduction (22%), and coercion (20%), followed by treatment limitation (8%), and care management (6%). The single most significant main ethical issue in UPK ECs is coercion (34%), fol - lowed by care management and treatment-plan evaluation (both 20%). Discussion: The prevalence of end-of-life issues in somatic health care is in line with previous research, while the evidence for coercion as a major topic in ECs in general is new. Comparable studies are hardly available from other European centres, and the existing North American papers do not display a prevalence of this concern. Conclusions: The thematic shift to a double focus on end-of-life deci - sions and coercion and the “big five” themes revealed altogether stim- ulate the catalogue of clinical ethics education, both for ethics consul - tants and health care professions.
Publisher Schwabe
ISSN/ISBN 1662-6001 ; 1662-601X
URL http://www.bioethica-forum.ch/docs/16_2/03_Reiter_BF9_2.pdf
edoc-URL http://edoc.unibas.ch/52804/
Full Text on edoc No
 
   

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