Abstract
BackgroundClinical ethics support (CES) aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study in which we offered CES to a team that provides transgender health care and reflecting on the theoretical underpinnings of our work stemming from pragmatism, hermeneutics and organizational and educational sciences.ResultsIn this paper we describe five key characteristics of an integrative approach to CES; 1. Positioning CES more within care practices, 2. Involving new perspectives, 3. Creating co-ownership of CES, 4. Paying attention to follow up, and 5. Developing innovative CES activities through an emerging design.ConclusionsIn the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada. Furthermore, we reflect on how an integrative approach to CES can help to handle some of the challenges of current CES.
Highlights
Clinical ethics support (CES) aims to support health care professionals in dealing with ethical issues in clinical practice
This integrative approach was developed in an iterative process, by combining the insights we gained from our experience in a case study in which we offered CES to a team of professionals with the reflection on the theoretical underpinnings of our work
In the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada
Summary
Clinical ethics support (CES) aims to support health care professionals in dealing with ethical issues in clinical practice. The prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. Regulatory agencies, who issue health care organizations their accreditation, increasingly mention the importance of CES services for the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization [12, 39, 46]. There is uncertainty about the role of the CES professional, Hartman et al BMC Medical Ethics (2020) 21:79 and discussion whether the CES professional should take an insider or an outsider position with regards to the team or health care organization. Should the CES professional be independent, and have the role of critically highlighting moral issues or should the CES professional have a position in the team or health care organization [39]?
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
