\Defining Patient Advocacy for the Context of Clinical Ethics Consultation: A Review of the Literature and Recommendations for Consultants.
| Autor: | Brazg T; Treuman Katz Center for Pediatric Bioethics, Seattle Children's Research Institute, Seattle, Washington USA. tbrazg@uw.edu., Lindhorst T; University of Washington School of Social Work, Seattle, Washington USA. tarynlin@uw.edu., Dudzinski D; University of Washington Department of Bioethics and Humanities, Seattle, Washington USA. dudzin@uw.edu., Wilfond B; Treuman Katz Center for Pediatric Bioethics, Seattle Children's Research Institute, Seattle, Washington USA. benjamin.wilfond@seattlechildrens.org. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of clinical ethics [J Clin Ethics] 2016 summer; Vol. 27 (2), pp. 176-84. |
| Abstrakt: | The idea of patient advocacy as a function of clinical ethics consultation (CEC) has been debated in the bioethics literature. In particular, opinion is divided as to whether patient advocacy inherently is in conflict with the other duties of the ethics consultant, especially that of impartial mediator. The debate is complicated, however, because patient advocacy is not uniformly conceptualized. This article examines two literatures that are crucial to understanding patient advocacy in the context of bioethical deliberations: the CEC literature and the literature on advocacy in the social work profession. A review of this literature identifies four distinct approaches to patient advocacy that are relevant to CEC: (1) the best interest approach, (2) the patient rights approach, (3) the representational approach, and (4) the empowerment approach. After providing a clearer understanding of the varied meanings of patient advocacy in the context of CEC, we assert that patient advocacy is not inherently inconsistent with the function of the ethics consultant and the CEC process. Finally, we provide a framework to help consultants determine if they should adopt an advocacy role. (Copyright 2016 The Journal of Clinical Ethics. All rights reserved.) |
| Databáze: | MEDLINE |
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