Clinical ethics support services: An evolving model
Ethical issues arising in clinical practice are complex and clinicians must be able to manage the needs of ethically vulnerable patients and families. This paper describes a model for providing Clinical Ethics Support Services as a broad spectrum of care for management of conflict and ethically diff...
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| Veröffentlicht in: | Nursing outlook 2012-09, Vol.60 (5), p.309-315 |
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| creator | Schlairet, Maura C. Kiser, Ken Norris, Stephen |
| description | Ethical issues arising in clinical practice are complex and clinicians must be able to manage the needs of ethically vulnerable patients and families. This paper describes a model for providing Clinical Ethics Support Services as a broad spectrum of care for management of conflict and ethically difficult situations in health care and describes how an ethics consultation process was transformed to a Holistic Care Continuum for managing the needs of ethically vulnerable patients. During a 4-year journey at a regional medical center, a Family Support Team played a central role in identification of ethically vulnerable patients/family, interdisciplinary connectivity, and iterative engagement in the clinical milieu. Concepts of professional advocacy and interdisciplinary perspectives resulted in a model for ethically sound patient care promoting communication among patients/family, staff, and professionals; clarification of interdisciplinary roles and responsibilities; establishment of mutually derived goals and shared solutions; and implementation of interventions maximizing institutional resources. |
| doi_str_mv | 10.1016/j.outlook.2012.01.002 |
| format | Article |
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Concepts of professional advocacy and interdisciplinary perspectives resulted in a model for ethically sound patient care promoting communication among patients/family, staff, and professionals; clarification of interdisciplinary roles and responsibilities; establishment of mutually derived goals and shared solutions; and implementation of interventions maximizing institutional resources.</description><subject>Advocacy</subject><subject>Clinical ethics model</subject><subject>Clinical medicine</subject><subject>Ethical issues</subject><subject>Ethics</subject><subject>Ethics consultation</subject><subject>Ethics Consultation - organization & administration</subject><subject>Ethics support services</subject><subject>Ethics, Clinical</subject><subject>Family support</subject><subject>Health promotion</subject><subject>Holistic Health</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Interdisciplinary approach</subject><subject>Leadership</subject><subject>Medical ethics</subject><subject>Models, Organizational</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Care - ethics</subject><subject>Nursing practice</subject><subject>Responsibilities</subject><subject>Roles</subject><subject>Social Support</subject><subject>Support services</subject><subject>Vulnerable people</subject><issn>0029-6554</issn><issn>1528-3968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkUtrGzEQgEVpqB23P6FhoZdedjN67Uq9FGOaBxhySc5C1o5bueuVI-0a8u8r104Oufg0MHzz_Aj5SqGiQOvrTRXGoQvhb8WAsgpoBcA-kCmVTJVc1-ojmeaMLmspxYRcprQBACEa_YlMGOOy4VRMCV90vvfOdgUOf7xLRRp3uxCHImHce4fpRzHvC9yHbu_738U2tNh9Jhdr2yX8cooz8nTz63FxVy4fbu8X82XphNRDKRRIxaXVlimnGLSrNUihBG8aqyhgI6DmUFsla6oRJVDQNSiqreNOCc1n5Pux7y6G5xHTYLY-Oew622MYk6GcCS0bxpvzKGX5L4LVcB4FzSXT9P8C396hmzDGPt-cKcU4k1zwTMkj5WJIKeLa7KLf2viSIXNwZTbm5MocXBmgJpvJdVen7uNqi-1b1aucDPw8ApifvPcYTXIee4etj-gG0wZ_ZsQ_5xmjLQ</recordid><startdate>201209</startdate><enddate>201209</enddate><creator>Schlairet, Maura C.</creator><creator>Kiser, Ken</creator><creator>Norris, Stephen</creator><general>Mosby, Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201209</creationdate><title>Clinical ethics support services: An evolving model</title><author>Schlairet, Maura C. ; Kiser, Ken ; Norris, Stephen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-4805835a9a28c820dbf05484377a810e7406306a85619ee5010960819ac3c8493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Advocacy</topic><topic>Clinical ethics model</topic><topic>Clinical medicine</topic><topic>Ethical issues</topic><topic>Ethics</topic><topic>Ethics consultation</topic><topic>Ethics Consultation - organization & administration</topic><topic>Ethics support services</topic><topic>Ethics, Clinical</topic><topic>Family support</topic><topic>Health promotion</topic><topic>Holistic Health</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Interdisciplinary approach</topic><topic>Leadership</topic><topic>Medical ethics</topic><topic>Models, Organizational</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nursing Care - ethics</topic><topic>Nursing practice</topic><topic>Responsibilities</topic><topic>Roles</topic><topic>Social Support</topic><topic>Support services</topic><topic>Vulnerable people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schlairet, Maura C.</creatorcontrib><creatorcontrib>Kiser, Ken</creatorcontrib><creatorcontrib>Norris, Stephen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing outlook</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schlairet, Maura C.</au><au>Kiser, Ken</au><au>Norris, Stephen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical ethics support services: An evolving model</atitle><jtitle>Nursing outlook</jtitle><addtitle>Nurs Outlook</addtitle><date>2012-09</date><risdate>2012</risdate><volume>60</volume><issue>5</issue><spage>309</spage><epage>315</epage><pages>309-315</pages><issn>0029-6554</issn><eissn>1528-3968</eissn><abstract>Ethical issues arising in clinical practice are complex and clinicians must be able to manage the needs of ethically vulnerable patients and families. This paper describes a model for providing Clinical Ethics Support Services as a broad spectrum of care for management of conflict and ethically difficult situations in health care and describes how an ethics consultation process was transformed to a Holistic Care Continuum for managing the needs of ethically vulnerable patients. During a 4-year journey at a regional medical center, a Family Support Team played a central role in identification of ethically vulnerable patients/family, interdisciplinary connectivity, and iterative engagement in the clinical milieu. 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| fulltext | fulltext |
| identifier | ISSN: 0029-6554 |
| ispartof | Nursing outlook, 2012-09, Vol.60 (5), p.309-315 |
| issn | 0029-6554 1528-3968 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Advocacy Clinical ethics model Clinical medicine Ethical issues Ethics Ethics consultation Ethics Consultation - organization & administration Ethics support services Ethics, Clinical Family support Health promotion Holistic Health Humans Inpatient care Interdisciplinary approach Leadership Medical ethics Models, Organizational Nurses Nursing Nursing care Nursing Care - ethics Nursing practice Responsibilities Roles Social Support Support services Vulnerable people |
| title | Clinical ethics support services: An evolving model |
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