Evidence map›Paper›PMID 17909984›Full record

ArticleMedicine, health care, and philosophy2008

Clinicians' evaluation of clinical ethics consultations in Norway: a qualitative study.

Reidun Førde, Reidar Pedersen, Victoria Akre

Abstract read
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In one paragraph

Article in Medicine, health care, and philosophy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Making the (Business) Case for Clinical Ethics Support in the UK.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021
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  10. Challenges of hospital ethics committees: a phenomenological study.Journal of medical ethics and history of medicine · 2021
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  19. Novel Paths to Relevance: How Clinical Ethics Committees Promote Ethical Reflection.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Reidun FørdeSection for Medical Ethics, University of Oslo, Oslo, Norway. reidun.forde@medisin.uio.no
Reidar Pedersen
Victoria Akre

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical ethics committees have existed in Norway since 1996. By now all hospital trusts have one. An evaluation of these committees' work was started in 2004. This paper presents results from an interview study of eight clinicians who evaluated six committees' deliberations on 10 clinical cases. The study indicates that the clinicians found the clinical ethics consultations useful and worth while doing. However, a systematic approach to case consultations is vital. Procedures and mandate of the committees should be known to clinicians in advance to ensure that they know what to expect. Equally important is bringing all relevant facts, medical as well as psychosocial, into the discussion. A written report from the deliberation is also important for the committees to be taken seriously by the clinicians. This study indicates that the clinicians want to be included in the deliberation, and not only in the preparation or follow-up. Obstacles for referring a case to the committee are the medical culture's conflict aversion and its anxiety of being judged by outsiders. The committees were described as a court by some of the clinicians. This is a challenge for the committees in their attempt to balance support and critique in their consultation services.

Indexed as

Ethics, ClinicalDocumentationEthics Committees, ClinicalEthics ConsultationHumansNorwayPractice Guidelines as TopicQualitative Research

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.