Role of clinical ethicists in making decisions about levels of care in the intensive care unit

Critical Care Nurse

Volumn 29, Issue 2, 2009, Pages 77-84

  Faith, Karen ^a   Chidwick, Paula ^b  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b William Osler Health Centre   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CONFLICT; CONSENSUS; ETHICIST; ETHICS; HUMAN; HUMAN RELATION; INTENSIVE CARE; INTENSIVE CARE UNIT; INTERPERSONAL COMMUNICATION; LEGAL ASPECT; MORALITY; NORTH AMERICA; NURSING DISCIPLINE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PATIENT CARE PLANNING; PATIENT SELECTION; PROFESSIONAL STANDARD; PSYCHOLOGICAL ASPECT; REVIEW; TIME; TREATMENT OUTCOME;

COMMUNICATION; CONFLICT (PSYCHOLOGY); CONSENSUS; DECISION MAKING, ORGANIZATIONAL; DISSENT AND DISPUTES; ETHICISTS; HUMANS; INTENSIVE CARE; INTENSIVE CARE UNITS; MEDICAL FUTILITY; MORALS; NORTH AMERICA; PATIENT CARE PLANNING; PATIENT CARE TEAM; PATIENT SELECTION; PROFESSIONAL ROLE; PROFESSIONAL-FAMILY RELATIONS; SPECIALTIES, NURSING; TIME FACTORS;

EID: 67650508264     PISSN: 02795442     EISSN: None     Source Type: Journal    
DOI: 10.4037/ccn2009285     Document Type: Article

References (37)

1. Scardoni v. Hawryluck, 69 OR3d700 (Ont SCJ).
2. Duffy A, Tam P. End-of-life dilemma. Ottawa Citizen. April 28, 2005:C1.
3. Meltzer LS, Huckabay LM. Critical care nurses' perceptions of futile care and its effect on burnout. Am J Crit Care. 2004;13(3):202-208.
4. Duffy A, Tam P. Patients, doctors in ethical "grey zone." Ottawa Citizen. April 28, 2005:C6.
5. Chaitin E, Stiller R, Jacobs S, Hershl J, Grogen T, Weinberg J. Physician-patient relationship in the intensive care unit: erosion of the sacred trust? Crit Care Med. 2003;31 (5 suppl):S367-S372.
6. Curtis J. Communicating about end-of-life care with patients and families in the intensive care unit. Crit Care Clin. 2004;20(3): 363-380.
7. Puntillo KA, McAdam JL. Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forward. Crit Care Med. 2006; 34(11 suppl):S332-S340.
8. Abbott KH, Sago JG, Breen CM, Abernethy AP, Tulsky JA. Families looking back: one year after discussion of withdrawal or withholding of life-sustaining support. Crit Care Med. 2001;29(1):197-201.
9. Pattison N. Integration of critical care and palliative care at end of life. Br J Nurs. 2004; 13(3):132-139.
10. White D, Luce J. Palliative care in the intensive care unit: barriers, advances, and unmet needs. Crit Care Clin. 2004;20(3): 329-343.
11. Carlet J, Thijs L, Antonelli M, et al. Challenges in end-of-life care in the ICU: statement of the 5th International Consensus Conference in Critical Care. Intensive Care Med. 2004;30(5):770-784.
12. Levy MM, McBride DL. End-of-life care in the intensive care unit: state of the art in 2006. Crit Care Med. 2006;34(11 suppl): S306-S308.
13. Breen C, Abernethy A, Abbott K, Tulsky J. Conflict association with decisions to limit life-sustaining treatment in intensive care units. J Gen Intern Med. 2001;16(5):283-289.
14. Kissane DW, McKenzie M, Bloch S, Mosko witz C, McKenzie DP, O'Neill I. Family-focused grief therapy: a randomized controlled trial in palliative care and bereavement. Am J Psychiatry. 2006;163(7):1208-1218.
15. Ferrand E, Lemaire F, Regnier B, et al. Discrepancies between perceptions by physicians and nursing staff of intensive care unit end-of-life decisions. Am J Respir Crit Care Med. 2003;167(10): 1310-1315.
16. Kennard MJ, Speroff T, Puopolo AL, et al. Participation of nurses in decision making for seriously ill adults. Clin Nurs Res. 1996; 5(2):199-219.
17. Oberle K, Hughes D. Doctor's and nurses' perceptions of ethical problems in end-of-life decisions. J Adv Nurs. 2001;33(6):707-715.
18. Weijer C, Singer P, Dickens B, Workman S. Dealing with demands for "inappropriate" treatment: medical futility and other approaches. In: Singer P, ed. Bioethics at the Bedside. Ottawa: Canadian Medical Association; 1998:107-115.
19. DeVita M, Groeger J, Truog R. Current controversies in critical care ethics: not just end of life. Crit Care Med. 2003;31(5suppl):S346.
20. Hamric A. Moral distress in everyday ethics. Nurs Outlook. 2000;48(5):199-201.
21. Webster G, Baylis F. Moral residue. In: Rubin S, Zoloth L, eds. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group; 2004:217-230.
22. Badger J. A descriptive study of coping strategies used by medical intensive care unit nurses during transitions from cure- to comfort-oriented care. Heart Lung. 2005;34(1):63-68.
23. Silva M. Organizational and administrative ethics in health care: an ethics gap. Online J Issues Nurs. 1998;3. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol31998/No3Dec1998/EthicsGap.aspx. Published December 31, 1998. Accessed January 28, 2009.
24. Olson L. Hospital nurses' perceptions of the ethical climate of their work setting. Image J Nurs Sch. 1998;30(4):345-349.
25. Erlen J. Wanted-nurses: ethical issues and the nursing shortage. Orthop Nurs. 2004;23(4):289-292.
26. Cooper A. Who gets through the door?: ICU doctors face a moral distress trying to ration unit beds. The Medical Post. March 15, 2005:13.
27. Turner L. A career in clinical ethics. Br Med J. 2002;325:S105.
28. Chidwick P, Faith K, Godkin D, Hardingham L. Clinical education of ethicists: the role of a clinical ethics fellowship. BMC Med Ethics. 2004; 5:E6.
29. Agich G. What kind of doing is clinical ethics? Theor Med Bioeth. 2005:26(1):7-24.
30. Smith M, Bisanz A, Kempfer A, Adams B, Candelari T, Blackburn R. Criteria for determining the appropriate method for an ethics consultation. HEC Forum. 2004;16(2):95-113.
31. Schneiderman L. Effects of ethics consultation in the intensive care unit. Crit Care Med. 2006;34(11 suppl):S359-S363.
32. Schneiderman L, Gilmer T, Teetzel H. Impact of ethics consultations in the intensive care setting: a randomized, controlled trial. Crit Care Med. 2000;28(12):3920-3924.
33. Daniels N. Justice, health, and healthcare. Am J Bioeth. 2001;1(2):2-16.
34. Lautrette A, Ciroldi M, Ksibi H, Azoulay E. End-of-life family conferences: rooted in the evidence. Crit Care Med. 2006;34(11 suppl): S364-S372.
35. Lilly C, Sonna L, Haley K, Massaro A. Intensive communication: four year follow-up from a clinical practice study. Crit Care Med. 2003;31(5 suppl):S394-S399.
36. Sherwin S. Feminist and medical ethics: Two different approaches to contextual ethics. In: Holmes H, Purdy L (eds.). Feminist Perspectives in Medical Ethics. Indiana: University Press.
37. Kälvemark Sporrong S, Arnetz B, Hansson MG, Westerholm P, Höglund AT. Developing ethical competence in health care organizations. Nurs Ethics. 2007;14(6):825-837.