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Ethics Consultation in United States Hospitals: A National Survey

Fox, Ellen ; Myers, Sarah ; Pearlman, Robert A.

American journal of bioethics, 2007-02, Vol.7 (2), p.13-25 [Periódico revisado por pares]

United States: Taylor & Francis Group

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  • Título:
    Ethics Consultation in United States Hospitals: A National Survey
  • Autor: Fox, Ellen ; Myers, Sarah ; Pearlman, Robert A.
  • Assuntos: Bioethics ; ethics ; ethics committees ; Ethics Committees, Clinical - statistics & numerical data ; ethics consultation ; Ethics Consultation - statistics & numerical data ; Hospital Bed Capacity ; Humans ; Patient Rights ; survey ; Surveys and Questionnaires ; United States
  • É parte de: American journal of bioethics, 2007-02, Vol.7 (2), p.13-25
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Context: Although ethics consultation is commonplace in United States (U.S.) hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the "best informant" within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services (ECSs) were found in 81% of all general hospitals in the U.S., and in 100% of hospitals with more than 400 beds. The median number of consults performed by ECSs in the year prior to survey was 3. Most individuals performing ethics consultation were physicians (34%), nurses (31%), social workers (11%), or chaplains (10%). Only 41% had formal supervised training in ethics consultation. Consultation practices varied widely both within and between ECSs. For example, 65% of ECSs always made recommendations, whereas 6% never did. These findings highlight a need to clarify standards for ethics consultation practices.
  • Editor: United States: Taylor & Francis Group
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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