Characterisation of organisational issues in paediatric clinical ethics consultation: A qualitative study

Journal of Medical Ethics

Volumn 35, Issue 8, 2009, Pages 477-482

  Opel, D J ^a,b   Wilfond, B S ^a,b   Brownstein, D ^b   Diekema, D S ^a,b   Pearlman, R A ^b,c  

^a SEATTLE CHILDREN S HOSPITAL   (United States)

^b UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^c VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; ETHICS; HUMAN; INFANT; MEDICAL ETHICS; NEWBORN; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PEDIATRICS; POLICY; PRESCHOOL CHILD; QUALITATIVE RESEARCH; STANDARD; UNITED STATES;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; ETHICS CONSULTATION; ETHICS, CLINICAL; HUMANS; INFANT; INFANT, NEWBORN; ORGANIZATIONAL CULTURE; ORGANIZATIONAL OBJECTIVES; ORGANIZATIONAL POLICY; PEDIATRICS; QUALITATIVE RESEARCH; WASHINGTON;

EID: 72449140548     PISSN: 03066800     EISSN: 14734257     Source Type: Journal    
DOI: 10.1136/jme.2008.027896     Document Type: Article

References (32)

1. Siegler M, Singer PA. Clinical ethics consultation: Godsend or "God squad"? Am J Med 1988;85:759-60.
2. Forrow L, Arnold RM, Parker LS. Preventive ethics: expanding the horizons of clinical ethics. J Clin Ethics 1993;4:287-94.
3. Foglia MB, Pearlman RA. Integrating clinical and organizational ethics. A systems perspective can provide an antidote to the "silo" problem in clinical ethics consultations. Health Progress (St Louis, MO) 2006;87:31-35.
4. DuVal G, Sartorius L, Clarridge B, et al. What triggers requests for ethics consultations? J Med Ethics 2001;27(Suppl 1):i24-9.
5. Orr RD, Perkin RM. Clinical ethics consultations with children. J Clin Ethics 1994;5:323-8.
6. Swetz KM, Crowley ME, Hook C, et al. Report of 255 clinical ethics consultations and review of the literature. Mayo Clin Proc 2007;82:686-91.
7. Rushton CH. Defining and addressing moral distress: tools for critical care nursing leaders. AACN Adv Crit Care 2006;17:161-8.
8. Wilkinson JM. Moral distress in nursing practice: experience and effect. Nurs Forum 1988;23:16-29.
9. Nelson WA, Weeks WB, Campfield JM. The organizational costs of ethical conflicts. J Healthcare Manage/Am Coll Healthcare Exec 2008;53:41-52; discussion 52-3.
10. Institute of Medicine (US). Committee on Quality of Health Care in America, National Academies Press (US). Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press, 2001.
11. Blake DC. Reinventing the Healthcare Ethics Committee. HEC Forum 2000;12:8-32.
12. National Center for Ethics in Health Care. Preventive ethics: addressing health care ethics issues on a systems level. Washington, DC, USA, 2007. http://www. ethics.va.gov/ETHICS/docs/integratedethics/Ethics_Consultation_Responding_to_ Ethics_Questions_in_Health_Care_20070808.pdf (accessed Jun 2009).
13. Nelson WA. Addressing organizational ethics. How to expand the scope of a clinical ethics committee to include organizational issues. Healthcare Exec 2008;23:43, 46.
14. Nelson WA, Neily J, Mills P, et al. Collaboration of ethics and patient safety programs: opportunities to promote quality care. HEC Forum 2008;20:15-27.
15. Nilson EG, Acres CA, Tamerin NG, et al. Clinical ethics and the quality initiative: a pilot study for the empirical evaluation of ethics case consultation. Am J Med Qual 2008;23:356-64.
16. Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethics 2009; in press.
17. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitat Health Res 2005;15:1277-88.
18. Mayring P. Qualitative content analysis. Forum: Qualitat Soc Res 2000;1:1-10.
19. Fox E, Myers S, Pearlman RA. Ethics consultation in United States hospitals: a national survey. Am J Bioeth 2007;7:13-25.
20. Krippendorff K. Content analysis: an introduction to its methodology. Beverly Hills: Sage Publications, 1980.
21. The Joint Commission. Sentinel event policy and procedures. Updated: July 2007. http://www.jointcommission.org/SentinelEvents/PolicyandProcedures/se_pp.htm (accessed Jun 2009).
22. National Quality Forum. Standardizing a patient safety taxonomy. Washington, DC: National Quality Forum, 2006.
23. La Puma J, Stocking CB, Silverstein MD, et al. An ethics consultation service in a teaching hospital. Utilization and evaluation. JAMA 1988;260:808-11.
24. DuVal GSL, Clarridge B, Gensler G, et al. What triggers requests for ethics consultations? J Med Ethics 2001;27:24-9.
25. MacQueen K, McLellan E, et al. Codebook development for team-based qualitative analysis. Cult Anthropol Meth 1998;10:31-6.
26. Burla L, Knierim B, Barth J, et al. From text to codings: intercoder reliability assessment in qualitative content analysis. Nurs Res 2008;57:113-17.
27. Bernard HR. Research methods in anthropology: qualitative and quantitative methods, 3rd edn. Walnut Creek, CA: AltaMira Press, 2002.
28. Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook, 2nd edn. Thousand Oaks: Sage Publications, 1994.
29. The Joint Commission. Sentinel event forms and tools. Sentinel event root cause analysis tool guide. 1 April 2009. http://www.jointcommission.org/SentinelEvents/Forms/?HTTP___JCSEARCH.JCAHO.ORG_CGI_BIN_MSMFIND.EXE?RESMASK=MssResEN.mskhttp%3A//jcsearch.jcaho.org/cgi-bin/MsmFind.exe%3Fhttp%3A//jcsearch.jcaho.org/cgi-bin/MsmFind.exe%3FRESMASK%3DMssResEN.msk (accessed Jun 2009).
30. US Department of Veterans Affairs. National Center for Patient Safety. Root cause analysis tools. http://www.va.gov/ncps/CogAids/RCA/index.html (accessed Jun 2009).
31. Bischoff SJ, DeTienne KB, Quick B. Effects of ethics stress on employee burnout and fatigue: an empirical investigation. J Health Hum Serv Admin 1999;21:512-32.
32. Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ 2008;42:733-41.