Dealing with the Normative Dimension in Clinical Ethics Consultation

Clinical ethics consultation (CEC) not only interprets moral issues at the bedside and is not restricted to giving support for the “technical” handling of these moral issues, but it has to substantively address moral values, norms, and conflicts in the process of discussing cases and problems. We call this the normative dimension and use normative in the sense of embracing moral values and convictions of persons and groups, norms, and relevant professional and ethical guidelines as well as legal frameworks. The roles and activities of the consultant as a person and the quality of CEC as a process are discussed in the American Society of Bioethics and Humanities’ (ASBH) Core Competences for Healthcare Ethics Consultation.

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Clinical Ethics as Liaison Service: Concepts and Experiences in Collaboration with Operative Medicine

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180109090562 ◽

2009 ◽

Vol 18 (4) ◽

pp. 360-370 ◽

Cited By ~ 6

Author(s):

GERD RICHTER

Keyword(s):

Clinical Ethics ◽

Ethics Consultation ◽

Ethics Committees ◽

European Countries ◽

Clinical Ethics Consultation ◽

Research Ethics Committees ◽

Healthcare Ethics ◽

The Past ◽

Medical Centers ◽

Operative Medicine

Over the past decade, clinical ethics has received growing attention in Germany as in most European countries. In the mid-1990s, most European countries made efforts to establish healthcare ethics committees (HEC) and clinical ethics consultation (CEC) services. The development of clinical ethics discourse and activities in Germany, however, was delayed and, consequently, is still in its natal phase. Until the end of the 1990s, the only institutionalized bodies of ethical reflection were the research ethics committees at university medical centers and at the State Physician Chambers. In March 1997, the Catholic and Protestant hospital association in Germany recommended the implementation of HECs, modeled after the American HECs. Consequently, the establishment of clinical ethics consultation in the form of HECs started in Germany in denominational hospitals, followed by a small but increasing number of community hospitals.

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American Society for Bioethics and Humanities. Core Competencies for Health Care Ethics Consultation (1ª Ed., 1998; 2ª Ed., 2011). ASBH, Improving Competence in Clinical Ethics Consultation: An Education Guide (1ª Ed. 2009; 2ª Ed. 2015). Eric Kodish, Joseph J. Fins, Clarence Braddock III, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner, Mark G. Kuczewski, (2013). Quality Attestation for Clinical Ethics Consultants: A Two-Step Model from the American Society for Bioethics and Humanities, The Hastings Center Report 43(5): 26-36. ASBH, Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants (2014)

EIDON ◽

10.13184/eidon.47.2017.161-183 ◽

2017 ◽

Author(s):

Carlos Pose

Keyword(s):

Clinical Ethics ◽

Code Of Ethics ◽

Core Competencies ◽

Ethics Consultation ◽

Health Care Ethics ◽

Healthcare Ethics ◽

Center Report ◽

Step Model ◽

American Society ◽

Clinical Ethics Consultants

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Review of American Society for Bioethics and Humanities' Clinical Ethics Consultation Affairs Committee, Addressing Patient-Centered Ethical Issues in Health Care: A Case-Based Study Guide1

The American Journal of Bioethics ◽

10.1080/15265161.2017.1409839 ◽

2018 ◽

Vol 18 (2) ◽

pp. W1-W2

Author(s):

Joseph B. Fanning

Keyword(s):

Health Care ◽

Clinical Ethics ◽

Ethical Issues ◽

Ethics Consultation ◽

Clinical Ethics Consultation ◽

Patient Centered ◽

American Society ◽

Case Based

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Response to “Paradigms for Clinical Ethics Consultation Practice” by Mark D. Fox, Glenn McGee, and Arthur L. Caplan (CQ Vol 7, No 3)

Cambridge Quarterly of Healthcare Ethics ◽

10.1017/s0963180199003114 ◽

1999 ◽

Vol 8 (3) ◽

pp. 351-357

Author(s):

Edward Rudin

Keyword(s):

Clinical Ethics ◽

Ethics Consultation ◽

Clinical Ethics Consultation

Fox, McGee, and Caplan's “Paradigms for Clinical Ethics Consultation Practice”, in the Summer 1998 issue of CQ, evoked memories and an image.

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Race and Power at the Bedside: Counter Storytelling in Clinical Ethics Consultation

The American Journal of Bioethics ◽

10.1080/15265161.2020.1861369 ◽

2021 ◽

Vol 21 (2) ◽

pp. 77-79

Author(s):

Aleksandra E. Olszewski ◽

Maya Scott ◽

Arika Patneaude ◽

Elliott M. Weiss ◽

Aaron Wightman

Keyword(s):

Clinical Ethics ◽

Ethics Consultation ◽

Clinical Ethics Consultation

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Professionalizing the practice of clinical ethics consultation: problems and perspectives

Bioethica Forum ◽

10.24894/bf.2016.09016 ◽

2016 ◽

Author(s):

Marta Spranzi

Keyword(s):

Clinical Ethics ◽

Ethics Consultation ◽

Clinical Ethics Consultation

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An Ethics Expertise for Clinical Ethics Consultation

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2011.00632.x ◽

2011 ◽

Vol 39 (4) ◽

pp. 649-661 ◽

Cited By ~ 22

Author(s):

Lisa M. Rasmussen

Keyword(s):

Clinical Ethics ◽

Professional Training ◽

Ethics Consultation ◽

Clinical Ethics Consultation ◽

Moral Truth ◽

List Type ◽

Type Number ◽

Moral Expertise ◽

In Virtue Of ◽

Ethics Expertise

A major obstacle to broad support of clinical ethics consultation (CEC) is suspicion regarding the nature of the moral expertise it claims to offer. The suspicion seems to be confirmed when the field fails to make its moral expertise explicit. In this vacuum, critics suggest the following:(1)Clinical ethics consultation's legitimacy depends on its ability to offer an expertise in moral matters.(2)Expertise in moral matters is knowledge of a singular moral truth which applies to everyone.(3)The claim that a clinical ethics consultant can offer knowledge of a singular moral truth in virtue of her professional training is absurd, false, or gravely immoral.Therefore,(4)The field is illegitimate.

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