José María Galván Román, Julia Fernández Bueno, Miguel Ángel Sánchez González, Diego Real de Asúa Cruzat
{"title":"[Clinical Ethics Consultation: current European models and novel approaches in Spain].","authors":"José María Galván Román, Julia Fernández Bueno, Miguel Ángel Sánchez González, Diego Real de Asúa Cruzat","doi":"10.30444/CB.89","DOIUrl":null,"url":null,"abstract":"<p><p>To date, healthcare ethics committees (HEC) have been the only ethics consultation model in the hospital setting in Spain, though their usefulness for ethical conflict resolution in daily practice has been questioned. Individual clinical ethics consultation (CEC) is a complementary ethics consultation model, which has proved efficacious in real-time ethical problem-solving. Although CEC is widely used in North America, its implementation in Europe is still marginal. In this document we present the general characteristics of CEC services, comparing their potential advantages and risks to those of HECs. We will then share relevant European experiences in CEC, as well as review the few CEC initiatives in Spain. Finally, we will share our recent CEC implementation strategy in a national, medium-sized, teaching hospital. We will summarise the minimum requirements that such a CEC service must meet in order to carry out its consulting activity: organisational flexibility, well-trained professionals, with sufficient clinical experience, economical support, and organisational dependency on HECs.</p>","PeriodicalId":42510,"journal":{"name":"Cuadernos de Bioetica","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cuadernos de Bioetica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30444/CB.89","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 1
Abstract
To date, healthcare ethics committees (HEC) have been the only ethics consultation model in the hospital setting in Spain, though their usefulness for ethical conflict resolution in daily practice has been questioned. Individual clinical ethics consultation (CEC) is a complementary ethics consultation model, which has proved efficacious in real-time ethical problem-solving. Although CEC is widely used in North America, its implementation in Europe is still marginal. In this document we present the general characteristics of CEC services, comparing their potential advantages and risks to those of HECs. We will then share relevant European experiences in CEC, as well as review the few CEC initiatives in Spain. Finally, we will share our recent CEC implementation strategy in a national, medium-sized, teaching hospital. We will summarise the minimum requirements that such a CEC service must meet in order to carry out its consulting activity: organisational flexibility, well-trained professionals, with sufficient clinical experience, economical support, and organisational dependency on HECs.
期刊介绍:
La revista Cuadernos de Bioética, órgano oficial de la Asociación Española de Bioética y Ética Médica, publica cuatrimestralmente artículos y recensiones bibliográficas sobre todas las áreas de la bioética: fundamentación, ética de la investigación, bioética clínica, biojurídica, etc. Estos proceden de los aceptados en la revisión tutelada por los editores de la revista como de otros que por encargo el comité editorial solicite a sus autores. La edicion de la revista se financia con las aportaciones de los socios de AEBI.