BARRIERS AND CHALLENGES IN CLINICAL ETHICS CONSULTATIONS: THE EXPERIENCES OF NINE CLINICAL ETHICS COMMITTEES
Article first published online: 28 JUN 2008
© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd.
Volume 23, Issue 8, pages 460–469, October 2009
How to Cite
PEDERSEN, R., AKRE, V. and FØRDE, R. (2009), BARRIERS AND CHALLENGES IN CLINICAL ETHICS CONSULTATIONS: THE EXPERIENCES OF NINE CLINICAL ETHICS COMMITTEES. Bioethics, 23: 460–469. doi: 10.1111/j.1467-8519.2008.00664.x
- Issue published online: 25 AUG 2009
- Article first published online: 28 JUN 2008
- Clinical ethics committees;
- ethics consultation;
- qualitative research;
Clinical ethics committees have recently been established in nearly all Norwegian hospital trusts. One important task for these committees is clinical ethics consultations. This qualitative study explores significant barriers confronting the ethics committees in providing such consultation services. The interviews with the committees indicate that there is a substantial need for clinical ethics support services and, in general, the committee members expressed a great deal of enthusiasm for the committee work. They also reported, however, that tendencies to evade moral disagreement, conflict, and ‘outsiders’ are common in the hospitals. Sometimes even the committees comply with some of these tendencies. The committees agree that there is a need to improve their routines and procedures, clarify the committees' profile and field of responsibility, to make the committees well-known, to secure adequate operating conditions, and to develop organizational integration and support. Various strategies to meet these challenges on a local, regional or national level are also explored in this paper.