Healthcare institutions have been making increasing efforts to standardize consultation methodology and to accredit both bioethics training programs and the consultants accordingly. The focus has traditionally been on the ethics consultation as the relevant unit of ethics intervention. Outcome measures are studied in relation to consultations, and the hidden assumption is that consultations are the preferred or best way to address day-to-day ethical dilemmas. Reflecting on the data from an internal quality improvement survey and the literature, we argue that having general ethics education as a key function of ethics services may be more important in meeting the contemporaneous needs of acute care settings. An expanded and varied ethics education, with attention to the time constraints of healthcare workers’ schedules, was a key recommendation brought forward by survey respondents. Promoting ethical reflection and creating a culture of ethics may serve to prevent ethical dilemmas or mitigate their effects.
KeywordsEthics consultation Ethics education Communication Preventive ethics Capacity building Accreditation
We thank Carol Pavlish for her constructive and helpful feedback on an earlier draft. We also thank our anonymous reviewers for their insightful advice.
- American Society for Bioethics and Humanities (2010). Report to the board of directors, American Society for Bioethics and Humanities: Certification, accreditation, and credentialing of clinical ethics consultants.Google Scholar
- Fiester, A. (2014). Bioethics mediation & the end of clinical ethics as we know it. Cardozo Journal of Conflict Resolution, 15, 501–513.Google Scholar
- Pavlish, P., Brown-Saltzman, K., Dirksen, K. M., & Fine, A. (2015). Physicians’ perspectives on ethically challenging situations: Early identification and action. AJOB Empirical Bioethics (in press).Google Scholar
- Robblee, J. A., & Heidemann, E. G. (2004). Hospital accreditation and the surgeon: The Canadian experience. The Surgeon, 2(6): 321–326.Google Scholar
- The Joint Commission. (2011). Comprehensive accreditation manual for hospitals: The official handbook. Oakbrook Terrace, IL: The Joint Commission.Google Scholar