Full Description
This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.
Contents
Chapter 1 Introduction, Jan Schildmann, John-Stewart Gordon, Jochen Vollmann; Part I Theories and Methods; Chapter 2 Ethics as a Method?, John-Stewart Gordon; Chapter 3 Ethics - Empiricism - Consultation: Defining a Complex Relationship, Uwe Fahr, Markus Rothhaar; Chapter 4 Philosophical Foundations of Clinical Ethics: A Hermeneutic Perspective, Guy Widdershoven, Bert Molewijk; Chapter 5 Discourse Ethics and Ethics Consultation, Uwe Fahr; Chapter 6 Implementation of Clinical Ethics Consultation in Conflict with Professional Conscience? Suggestions for Reconciliation, László Kovács; Chapter 7 Ethics Consultation: Facilitating Reflection on Professional Norms in Medicine, Christiane Stüber; Part II Implementation; Chapter 8 The Implementation Process of Clinical Ethics Consultation: Concepts, Resistance, Recommendations, Jochen Vollmann; Chapter 9 What Does the Ethical Expertise of a Moral Philosopher Involve in Clinical Ethics Consultancy?, Beate Herrmann; Chapter 10 Moving Towards Clinical Ethics Consultation in Italy: Practical Experience, Foundational and Methodological Considerations, Nunziata Comoretto; Chapter 11 Demands and Needs in Clinical Ethics Consultation in Georgia, Nino Chikhladze, Nato Pitskhelauri; Chapter 12 Clinical Ethics Consultation in Croatia 1 This research is part of the scientific project, 'The position of patients in the Health Services of the Republic of Croatia in terms of legislation and in reality', financed by the Ministry of Science, Education and Sport of the Republic of Croatia., Ana Borovecki; Chapter 13 Clinical Ethics in the Netherlands: Moral Case Deliberation in Health Care Organizations, Margreet Stolper, Sandra van der Dam, Guy Widdershoven, Bert Molewijk; Chapter 14 Clinical Ethics Consultation and Bedside Rationing, Daniel Strech; Part III Evaluation of Clinical Ethics Consultation; Chapter 15 Experience in Ethical Decision-making and Attitudes Towards Ethics Consultation of Regional Hospital Physicians in Bulgaria, Silviya Aleksandrova; Chapter 16 Ethical Decision-making in Nursing Homes: A Literature Study, Georg Bollig; Chapter 17 Evaluation of Clinical Ethics Consultation: A Systematic Review and Critical Appraisal of Research Methods and Outcome Criteria, Jan Schildmann, Jochen Vollmann;
