What is it about?
Clinical ethics support services are an important tool to solve ethical conflicts in healthcare and to improve patient care. Evaluation of effectivness of clinical ethics support interventions is crucial to ensure quality and development of services. In this review we systematically gathered existing empirical evidence of qualitative studies and survey regarding the outcomes of clinical ethics support services. We show that existing evidence points to overall positive outcomes of services. However, methodological quality of studies has to be improved.
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Why is it important?
Our findings show that studies with qualitative design or survey studies may contribute to the understanding and successful evaluation of clinical ethics support service. We conclude that this study types may help to broaden the range of appropriate outcomes.
Perspectives
Writing this article was part of the joint effort of an international research team to systematically gather all existing empirical evidence on the evaluation of clinical ethics support services. This includes a review of controlled studies according to cochrane standards and this review on qualitative and survey evidence. To the best of my knowledge this ist the first comprehensive overview in this field.
Dr. Joschka Haltaufderheide
University of Potsdam
Read the Original
This page is a summary of: Outcomes of clinical ethics support near the end of life: A systematic review, Nursing Ethics, November 2019, SAGE Publications,
DOI: 10.1177/0969733019878840.
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Resources
Ethical case interventions for adult patients
Results of a Cochrane-review on conctrolled evidence regarding outcomes of clinical ethics support services
Do we understand the intervention? What complex intervention research can teach us for the evaluation of clinical ethics support services (CESS)
Some of the conceptual foundations of our review efforts published in BMC Medical ethics
Contributors
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