ReviewHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2017
Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review.
Review in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.
- Evaluating the effectiveness of clinical ethics committees: a systematic review.Medicine, health care, and philosophy · 2021Pooled it
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- Dealing With Conflicts in Medical Decisions: Epistemic Reasonable Disagreement Between Parents and Medical Staff.Bioethics · 2026Article
- Assessing ethical competence and ethical climate: development and psychometric testing of the Clinical Ethics Support Measurement Instrument (CES-MI).BMC medical ethics · 2026Article
- Case-Based Clinical Ethics Support - A Description and Normative Discussion of Methodological Issues from the Swedish Perspective.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026Article
- Hidden Dimensions in Clinical Ethics Consultation.Journal of bioethical inquiry · 2026Article
- An Ethics Framework for Medical Assistance in Dying: Supporting Ethical Decision-Making in the Practice of MAiD.Bioethics · 2026Article
- Moral reasoning during vascular surgeons' case conferences: finding the balance of risk and benefit by exploring the clinical details.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026Article
- Hospital ethics committees: responsibilities, competencies and challenges.BMC medical ethics · 2026Article
- Ethical Decision-Making and Clinical Ethics Support in Italian Neonatal Intensive Care Units: Results from a National Survey.Healthcare (Basel, Switzerland) · 2026Article
- Positioning Ethics When Direct Patient Care is Prioritized: Experiences from Implementing Ethics Case Reflection Rounds in Childhood Cancer Care.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025Article
- Ethics support personnel's perceptions of patient and parent participation in clinical ethics support services in pediatric oncology.BMC medical ethics · 2025Article
- Fostering moral reflectivity in community pharmacists through moral case deliberation using the dilemma method.International journal of clinical pharmacy · 2025Article
- Effectiveness of a competency-based coordinator of advance care planning competency enhancement program: a mixed method.BMC palliative care · 2025Article
- Specific Trends in Pediatric Ethical Decision-Making: An 18-Year Review of Ethics Consultation Cases in a Pediatric Hospital.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025Article
- Evaluating cognitive bias in clinical ethics supports: a scoping review.BMC medical ethics · 2025Article
- Article
- Preventing burnout from moral distress among prehospital emergency personnel through action research and targeted clinical ethics support.Scientific reports · 2024Article
- What is a High-Quality Moral Case Deliberation?-Facilitators' Perspectives in the Euro-MCD Project.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
- Utilization and Evaluation of Ethics Consultation Services in Neonatal Intensive Care.Children (Basel, Switzerland) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they are constructed and their goals in supporting healthcare personnel in clinical practice. This study engages in an integrative literature review. We searched for peer-reviewed academic articles written in English between 2000 and 2016 using specific Mesh terms and manual keywords in CINAHL, MEDLINE and Psych INFO databases. In total, 54 articles worldwide described clinical ethics support approaches that include clinical ethics consultation, clinical ethics committees, moral case deliberation, ethics rounds, ethics discussion groups, and ethics reflection groups. Clinical ethics consultation and clinical ethics committees have various roles and functions in different countries. They can provide healthcare personnel with advice and recommendations regarding the best course of action. Moral case deliberation, ethics rounds, ethics discussion groups and ethics reflection groups support the idea that group reflection increases insight into ethical issues. Clinical ethics support in the form of a "bottom-up" perspective might give healthcare personnel opportunities to think and reflect more than a "top-down" perspective. A "bottom-up" approach leaves the healthcare personnel with the moral responsibility for their choice of action in clinical practice, while a "top-down" approach risks removing such moral responsibility.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.