Paediatrics at the Cutting Edge: Do We Need Clinical Ethics Committees?
Larcher, Victor F.
McCarthy, Jean M.
Journal of Medical Ethics. 1997 Aug; 23(4): 245-249.
OBJECTIVES: To investigate the need for hospital clinical ethics committees by studying the frequency with which ethical dilemmas arose, the perceived adequacy of the process of their resolution, and the teaching and training of staff in medical ethics. DESIGN: Interviews with individuals and three multidisciplinary teams; questionnaire to randomly selected individuals. SETTING: Two major London children's hospitals. RESULTS: Ethical dilemmas arose frequently but were resolved in a relatively unstructured fashion. Ethical concerns included: the validity of consent for investigations and treatment; lack of children's involvement in consent; initiation of heroic or futile treatments; resource allocation. Staff expressed the need for a forum which would provide consultation on ethical issues, develop guidelines for good ethical practice, undertake teaching and training, and provide ethical reflection outside the acute clinical setting. CONCLUSION: Multidisciplinary, accountable and audited clinical ethics committees with predominantly advisory, practice development and educational roles could provide a valuable contribution to UK clinical practice and perhaps in other countries that have not developed hospital clinical ethics committees.
Accountability; Attitudes; Children; Clinical Ethics; Clinical Ethics Committees; Committee Membership; Communication; Consent; Consultation; Education; Ethicists; Ethics; Ethics Committees; Evaluation; Evaluation Studies; Goals; Guidelines; Health; Health Personnel; Hospitals; Human Experimentation; Informed Consent; Interviews; Legal Aspects; Medical Ethics; Organization and Administration; Patient Care; Patient Care Team; Pediatrics; Research; Research Ethics; Resource Allocation; Survey; Withholding Treatment;
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Larcher, Victor F.; Lask, Bryan; McCarthy, Jean M. (1997-08)
Larcher, Victor; Slowther, Anne-Marie; Watson, Alan R (2010-02)Clinical ethics committees (CECs) are increasing in number in the UK and have mostly developed in response to local interest, as opposed to being mandated as in the USA. However, there is no regulatory framework for UK ...
Informed Consent/assent in Children. Statement of the Ethics Working Group of the Confederation of European Specialists in Paediatrics (CESP) De Lourdes Levy, Maria; Larcher, Victor; Kurz, Ronald (Confederation of European Specialists in Paediatrics [CESP]. Ethics Working Group, 2003-09)