Everyday Clinical Ethics: Essential Skills and Educational Case Scenarios.

Autor: Meyer EC; Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA. elaine_meyer@hms.harvard.edu.; Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA. elaine_meyer@hms.harvard.edu., Lamiani G; Department of Health Sciences, University of Milan, Milan, Italy., Uveges M; Connell School of Nursing, Boston College, Chestnut Hill, MA, USA., McLeod-Sordjan R; Division of Medical Ethics, Department of Medicine, Northwell Health, Hofstra Northwell School of Nursing and Physician Assistant Studies and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA., Mitchell C; Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA., Truog RD; Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA.; Department of Anesthesiology, Critical Care and Pain, Boston Children's Hospital, Boston, MA, USA., Marron JM; Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA.; Dana-Farber/Boston Children's Cancer Center and Blood Disorders Center, Boston, MA, USA., Kennedy KO; Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA.; Office of Ethics, Boston Children's Hospital, Boston, MA, USA., Ritholz M; Behavioral Medicine, Joslin Diabetes Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA., Teti SL; Inova Health System, Falls Church, VA, USA., Milliken AB; Connell School of Nursing, Boston College, Chestnut Hill, MA, USA.
Jazyk: angličtina
Zdroj: HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues [HEC Forum] 2024 Jul 09. Date of Electronic Publication: 2024 Jul 09.
DOI: 10.1007/s10730-024-09533-6
Abstrakt: Bioethics conjures images of dramatic healthcare challenges, yet everyday clinical ethics issues unfold regularly. Without sufficient ethical awareness and a relevant working skillset, clinicians can feel ill-equipped to respond to the ethical dimensions of everyday care. Bioethicists were interviewed to identify the essential skills associated with everyday clinical ethics and to identify educational case scenarios to illustrate everyday clinical ethics. Individual, semi-structured interviews were conducted with a convenience sample of bioethicists. Bioethicists were asked: (1) What are the essential skills required for everyday clinical ethics? And (2) What are potential educational case scenarios to illustrate and teach everyday clinical ethics? Participant interviews were analyzed using qualitative content analysis. Twenty-five (25) bioethicists completed interviews (64% female; mean 14.76 years bioethics experience; 80% white). Five categories of general skills and three categories of ethics-specific skills essential for everyday clinical ethics were identified. General skills included: (1) Awareness of Core Values and Self-Reflective Capacity; (2) Perspective-Taking and Empathic Presence; (3) Communication and Relational Skills; (4) Cultural Humility and Respect; and (5) Organizational Understanding and Know-How. Ethics-specific skills included: (1) Ethical Awareness; (2) Ethical Knowledge and Literacy; and (3) Ethical Analysis and Interaction. Collectively, these skills comprise a Toolbox of Everyday Clinical Ethics Skills. Educational case scenarios were identified to promote everyday ethics. Bioethicists identified skills essential to everyday clinical ethics. Educational case scenarios were identified for the purpose of promoting proficiency in this domain. Future research could explore the impact of integrating educational case scenarios on clinicians' ethical competencies.
(© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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