...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Herz >[Bioethics in medical institutions - new custom or help? : The example of clinical ethics consultation at a University Medical Center].
【24h】

[Bioethics in medical institutions - new custom or help? : The example of clinical ethics consultation at a University Medical Center].

机译：[医疗机构中的生物伦理学-新习惯还是新帮助？ ：在大学医学中心进行临床伦理咨询的示例]。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Although ethics committees are well established in the medical sciences for human clinical trials, animal research and scientific integrity, the development of clinical ethics in German hospitals started much later during the first decade of the twenty-first century. Clinical ethics consultation should be pragmatic and problem-centered and can be defined as an ethically qualified and informed conflict management within a given legal framework to deal with and resolve value-driven, normative problems in the care of patients. Clinical ethics consultations enable shared clinical decision-making of all parties (e.g. clinicians, patients, family and surrogates) involved in a particular patient's care. The clinical ethicist does not act as an ethics expert by making independent recommendations or decisions; therefore, the focus is different from other medical consultants. Ethics consultation was first established by healthcare ethics committees (HEC) or clinical ethics consultation (CEC) groups which were called in to respond to an ethically problematic situation. To avoid ethical dilemmas or crises and to act preventively with regard to ethical issues in individual patients, an ethics liaison service is an additional option to ethics case consultations which take place on a regular basis by scheduled ethics rounds during the normal ward rounds. The presence of the ethicist offers some unique advantages: it allows early recognition of even minor ethical problems and accommodates the dynamics of ethical and clinical goal-setting in the course of patient care. Most importantly, regular and non-authoritative participation of the ethicist in normal ward rounds allows continuous ethical education of the staff within the everyday clinical routine. By facilitating clinical ethical decision-making, the ethicist seeks to empower physicians and medical staff to deal appropriately with ethical problems by themselves. Because of this proactive approach, the ethics liaison service can make a significant contribution to preventative ethics in reducing the number of emerging ethical problems to the satisfaction of all parties involved.
机译：尽管医学界已经建立了完善的伦理委员会来进行人类临床试验，动物研究和科学诚信，但是在二十一世纪的前十年中，德国医院开始发展临床伦理。临床伦理咨询应务实且以问题为中心，并且可以定义为在给定的法律框架内符合道德标准且知情的冲突管理，以处理和解决患者护理中价值驱动的规范性问题。临床伦理咨询使参与特定患者护理的所有各方（例如临床医生，患者，家庭和代理人）可以共同制定临床决策。临床伦理学家不会通过提出独立的建议或决定来充当伦理专家;因此，重点与其他医疗顾问不同。伦理咨询首先由医疗伦理委员会（HEC）或临床伦理咨询（CEC）组建立，它们被要求对伦理问题做出回应。为避免道德困境或危机，并就个别患者的道德问题采取预防措施，在常规病房巡回检查期间，定期进行道德检查会定期进行道德病例咨询，这是道德联络服务的另一种选择。伦理学家的存在提供了一些独特的优势：它可以使早期的伦理问题早日得到识别，并在患者护理过程中适应伦理和临床目标设定的动态变化。最重要的是，伦理学家在常规病房中的定期和非权威性参与可以在日常临床工作中对员工进行持续的道德教育。通过促进临床伦理决策，伦理学家寻求授权医师和医务人员自行适当处理伦理问题。由于采取了这种积极主动的方法，道德操守联络处可以为预防性道德操守做出重大贡献，从而减少新出现的道德操守问题，使有关各方满意。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号