Importance of systematic deliberation and stakeholder presence: a national study of clinical ethics committees.

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  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 7513619 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-4257 (Electronic) Linking ISSN: 03066800 NLM ISO Abbreviation: J Med Ethics Subsets: MEDLINE
    • Publication Information:
      Publication: <2004->: London : BMJ Publishing Group
      Original Publication: London, Society for the Study of Medical Ethics.
    • Subject Terms:
      Attitude* ; Ethics Committees, Clinical* ; Ethics Consultation* ; Ethics, Clinical* ; Stakeholder Participation*; Decision Making/*ethics; Attitude of Health Personnel ; Ethical Analysis ; Family ; Humans ; Norway ; Physicians ; Surveys and Questionnaires
    • Abstract:
      Background: Case consultation performed by clinical ethics committees (CECs) is a complex activity which should be evaluated. Several evaluation studies have reported stakeholder satisfaction in single institutions. The present study was conducted nationwide and compares clinicians' evaluations on a range of aspects with the CEC's own evaluation.
      Methods: Prospective questionnaire study involving case consultations at 19 Norwegian CECs for 1 year, where consultations were evaluated by CECs and clinicians who had participated.
      Results: Evaluations of 64 case consultations were received. Cases were complex with multiple ethical problems intertwined. Clinicians rated the average CEC consult highly, being both satisfied with the process and perceiving it to be useful across a number of aspects. CEC evaluations corresponded well with those of clinicians in a large majority of cases. Having next of kin/patients present was experienced as predominantly positive, though practised by only half of the CECs. The educational function of the consult was evaluated more positively when the CEC used a systematic deliberation method.
      Conclusions: CEC case consultation was found to be a useful service. The study is also a favourable evaluation of the Norwegian CEC system, implying that it is feasible to implement well-functioning CECs on a large scale. There are good reasons to involve the stakeholders in the consultations as a main rule.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
    • Contributed Indexing:
      Keywords: clinical ethics; ethics committees/consultation
    • Publication Date:
      Date Created: 20190907 Date Completed: 20210414 Latest Revision: 20210414
    • Publication Date:
      20231215
    • Accession Number:
      10.1136/medethics-2018-105190
    • Accession Number:
      31488518