From Reactive to Proactive: Developing a Valid Clinical Ethics Needs Assessment Survey to Support Ethics Program Strategic Planning (Part 1 of 2)
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As ethics committees and programs become integrated into the “usual business” of healthcare organizations, they are likely to face the predicament of responding to greater demands for service and higher expectations, without an influx of additional resources. This situation demands that ethics committees and programs allocate their scarce resources (including their time, skills and funds) strategically, rather than lurching from one ad hoc request to another; finding ways to maximize the effectiveness, efficiency, impact and quality of ethics services is essential in today’s competitive environment. How can Hospital Ethics Committees (HECs) begin the process of strategic priority-setting to ensure they are delivering services where and how they are most needed? This paper describes the creation of the Clinical Ethics Needs Assessment Survey (CENAS) as a tool to understand interprofessional staff perceptions of the organization’s ethical climate, challenging ethical issues and educational priorities. The CENAS was designed to support informed resource allocation and advocacy by HECs. By sharing our process of developing and validating this ethics needs assessment survey we hope to enable strategic priority-setting in other resource-strapped ethics programs, and to empower HECs to shift their focus to more proactive, quality-focused initiatives.
- Accreditation Canada. (2012). Leading practices in ethics, client rights and consent. http://www.accreditation.ca/LeadingPracticesSearch.aspx. Accessed 29 June 2012.
- American Medical Association. (1998). AMA code of medical ethics: Opinion 9.115: Ethics consultations. http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9115.page. Accessed 29 June 2012.
- American Society for Bioethics and Humanities (ASBH). (2011a). Improving competencies in clinical ethics consultation: An education guide (2nd ed.). Glenview: ASBH.
- American Society for Bioethics and Humanities (ASBH). (2011b). Core competencies and emerging standards for health care ethics consultation (2nd ed.). Glenview: ASBH.
- Aveyard, H., Edwards, S., & West, S. (2005). Core topics of health care ethics: The identification of core topics for interprofessional education. Journal of Interprofessional Care, 19, 63–69. doi:10.1080/13561820400021692. CrossRef
- Borsboom, D., Mellenbergh, G. J., & van Heerden, J. (2004). The concept of validity. Psychological Review, 111(4), 1061–1071. CrossRef
- Canadian Nurses Association. (2008). Code of ethics for registered nurses (p. 57). http://www2.cna-aiic.ca/CNA/documents/pdf/publications/Code_of_Ethics_2008_e.pdf. Accessed 29 June 2012.
- Chidwick, P., Bell, J., Connolly, E., Coughlin, M., Frolic, A., Hardingham, L., et al. (2010). Exploring a model role description for ethicists. HEC Forum, 22(1), 31–40. CrossRef
- Dorr Goold, S., & Stern, D. (2006). Ethics and professionalism: What does a resident need to learn? The American Journal of Bioethics, 6(4), 9–17. CrossRef
- Fox, E., Myers, S., & Pearlman, R. A. (2007). Ethics consultation in United States hospitals: A national survey. The American Journal of Bioethics, 7(2), 13–25. CrossRef
- Fox, E., Bottrell, M. M., Chankp, B., Foglia, M. B., Stoeclke, R. (2008). Preventive ethics: Addressing ethics quality gaps on a systems level. http://www.ethics.va.gov/integratedethics/pec.asp. Accessed 13 March 2102.
- Frolic, A., Jennings, B., Seidlitz, W., Andreychuk, S., Djuric-Paulin, A., Flaherty, B., Peace, D. (2012). Implementing a clinical ethics needs assessment survey: Results of a pilot study (part 2 of 2). HEC Forum. doi:10.1007/s10730-012-9205-x.
- Gaudine, A., Thorne, L., LeFort, S., & Lamb, M. (2010). Evolution of hospital clinical ethics committees in Canada. Journal of Medical Ethics, 36, 132–137. CrossRef
- George, K., Batterham, A., & Sullivan, I. (2003). Validity in clinical research: A review of basic concepts and definitions. Physical Therapy in Sport, 4, 115–121. CrossRef
- Golafshani, N. (2003). Understanding reliability and validity in qualitative research. The Qualitative Report, 8(4), 597–607.
- Hanson, S. (2005). Teaching health care ethics: Why we should teach nursing and medical students together. Nursing Ethics, 12(2), 167–176. doi:10.1191/0969733005ne773oa. CrossRef
- Hart, S. E. (2005). Hospital ethical climates and registered nurses’ turnover intentions. Image The Journal of Nursing Scholarship, 37, 173–177. CrossRef
- Kimberlin, C. L., & Winterstein, A. G. (2008). Validity and reliability of measurement instruments used in research. American Journal of Health-System Pharmacy, 65(23), 2276–2284. CrossRef
- Manson, H. (2008). The need for medical ethics education in family medicine training. Family Medicine, 40(9), 658–664.
- Pauls, M. A., & Ackroyd-Stolarz, S. (2006). Identifying bioethics learning needs: A survey of Canadian emergency medicine residents. Society for Academic Emergency Medicine, 13(6), 645–652. CrossRef
- Pearlman R., Bottrell M., Almtemose J., Foglia MB., Fox E. (2013). The integratedEthics TM staff survey: A tool to evaluate and improve ethical practices in health care. AJOB Primary Research, 1 (in press).
- Yarborough, M., Jones, T., Cyr, T., Phillips, S., & Stelzner, D. (2000). Interprofessional education in ethics at an academic health sciences center. Academic Medicine, 75(8), 793–800. CrossRef
- Yun, J., & Ulrich, D. A. (2002). Estimating measurement validity: A tutorial. Adapted Physical Activity Quarterly, 19, 32–47.
- From Reactive to Proactive: Developing a Valid Clinical Ethics Needs Assessment Survey to Support Ethics Program Strategic Planning (Part 1 of 2)
Volume 25, Issue 1 , pp 47-60
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links
- Ethics committees
- Strategic planning
- Priority setting
- Ethics education
- Organizational ethics
- Industry Sectors
- Author Affiliations
- 1. Professional Affairs, Hamilton Health Sciences, McMaster University Medical Center, 1F9-1200 Main Street West, Hamilton, ON, L8N 3Z5, Canada
- 2. McMaster Children’s Hospital, Hamilton Health Sciences, Hamilton, Canada
- 3. Juravinski Cancer Centre, Hamilton Health Sciences, Hamilton, Canada
- 4. Hamilton General Hospital, Hamilton Health Sciences, Hamilton, Canada