scholarly journals Challenges of hospital ethics committees: a phenomenological study

Author(s):  
Samira Raoofi ◽  
Seddighe Arefi ◽  
Rahim Khodayari-Zarnaq ◽  
Bashir Azimi-Nayebi ◽  
Mir Sajjad Seyyed Mousavi

Medical ethics committees play an important role in examining and resolving ethical problems in hospitals by developing ethical guidelines and making ethical decisions. This study aimed at investigating the challenges that these committees typically face. This qualitative phenomenological study was conducted in 2020. Data was collected through semi-structured interviews with purposive sampling and participation of 19 ethics committees’ members in Tehran hospitals. Then, data were analyzed by the content analysis method using MAXQDA-10 software. Challenges of hospital ethics committees were classified into three main themes including external factors, intra-organizational factors, and ethics committee structure, in addition to six sub-themes including inadequate supervision, lack of instructions, organizational culture, human resources, nature of the committee, and ineffectiveness of committees’ decisions. Since many challenges are faced by ethics committees, plans should be developed and implemented to fulfill the following purposes: (i) strengthen the position of these committees in hospitals, (ii) continuous supervision over the formation and holding of the committees, (iii) their operation process, (iv) their decision-making process, and (v) process of sharing committees’ decisions with all hospital stakeholders and staff.

2021 ◽  
pp. 088626052110219
Author(s):  
Aiala Szyfer Lipinsky ◽  
Limor Goldner

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child’s disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers’ experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother’s ability to share her child’s abuse; the effect of the disclosure on the mothers’ mental state and maternal competency; the mothers’ ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers’ coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers’ and children’s well-being.


HEC Forum ◽  
1996 ◽  
Vol 8 (5) ◽  
Author(s):  
EricM. Meslin ◽  
Claire Rayner ◽  
Vic Larcher ◽  
Tony Hope ◽  
Julian Savulescu

1998 ◽  
Vol 7 (1) ◽  
pp. 104-107 ◽  
Author(s):  
ELLEN L. CSIKAI

Interdisciplinary hospital ethics committees have been the most common response to the mandates for ethical review procedures set forth by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO, 1995 Standards), the American Hospital Association, and within institutions themselves. A 1989 national survey reported that 60% of hospitals had ethics committees. However, little is still known about the current state of these committees in hospitals, their composition, what functions are performed, or what issues are discussed.


2020 ◽  
Vol 1 (4) ◽  
pp. 403-407
Author(s):  
Eileen F. Baker ◽  
Joel M. Geiderman ◽  
Chadd K. Kraus ◽  
Rebecca Goett

HEC Forum ◽  
1995 ◽  
Vol 7 (4) ◽  
pp. 252-263
Author(s):  
Nancy Aldrich ◽  
Cheryl Macleod Darling

1994 ◽  
Vol 3 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Roberta Springer Loewy

Today's ever-widening expert/novice gap–in technology generally but in healthcare technology especially–has been implicated as both cause and consequence of a sharp rise in fundamental misunderstandings between medical professionals and lay populace. Recently created social roles (e.g., clinical medical ethicists) and institutions (e.g., hospital ethics committees) have further prompted critics to suggest that a multiplication of “disinterested” experts not only fails to resolve such misunderstandings, it compounds them. As a result, it should come as no surprise that the problem of paternalistic expertise has emerged as an ethical issue of immense interest from both a theoretical and practical standpoint. For this reason, a critical inquiry in healthcare today centers on finding a practical model that most adequately and accurately characterizes patient–physician relationships.


2009 ◽  
Vol 35 (8) ◽  
pp. 512-516 ◽  
Author(s):  
P Zhou ◽  
D Xue ◽  
T Wang ◽  
Z L Tang ◽  
S K Zhang ◽  
...  

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