Evidence map›Paper›PMID 31147810›Full record

ArticleMedicine, health care, and philosophy2019

Falling on deaf ears: a qualitative study on clinical ethical committees in France.

Catherine Dekeuwer, Brenda Bogaert, Nadja Eggert, Claire Harpet, Morgane Romero

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Medicine, health care, and philosophy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 21% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Hidden Dimensions in Clinical Ethics Consultation.Journal of bioethical inquiry · 2026
    Article
  2. Article
  3. Article
  4. Disenchantment and clinical ethics.Medicine, health care, and philosophy · 2019
    Article
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

5 authors at 4 institutions in 2 countries.

Catherine DekeuwerFaculté de Philosophie, Institut de Recherches Philosophiques de Lyon, Université Jean Moulin, 18 rue Chevreul, 69007, Lyon, France. catherine.dekeuwer@univ-lyon3.fr.ORCID http://orcid.org/0000-0002-7540-0004
Brenda BogaertChaire Valeurs du Soin Centré Patient, Institut de Recherches Philosophiques de Lyon, Université Jean Moulin, 18 rue Chevreul, 69007, Lyon, France.
Nadja EggertPlateforme Interdisciplinaire d'Éthique (Ethos), Université de Lausanne. Bâtiment Amphipôle, Quartier UNIL-Sorge, 1015, Lausanne, Switzerland.
Claire HarpetFaculté de Philosophie, Institut de Recherches Philosophiques de Lyon, Université Jean Moulin, 18 rue Chevreul, 69007, Lyon, France.
Morgane RomeroEspace Ethique Auvergne Rhône-Alpes, 7-11 rue Guillaume Paradin, 69008, Lyon, France.
Institut de recherches philosophiques de LyonArianespace (France) · FRÉco-Anthropologie · FRUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The French medical context is characterized by institutionalization of the ethical reflection in health care facilities and an important disparity between spaces of ethical reflection. In theory, the healthcare professional may mobilise an arsenal of resources to help him in his ethical reflection. But what happens in practice? We conducted semi-structured interviews with 22 health-care professionals who did and did not have recourse to clinical ethical committees. We also implemented two focus groups with 18 professionals involved in various spaces of ethical reflection in order to let them debate about a better way to organize ethical reflection in their institutional contexts. The qualitative analysis allows to us to underline the coexistence of different conceptions of ethics among health care professionals. We also observed that the participants in our study shared the experience of ethically problematic situations as roadblocks in the process of communication and decision-making. We therefore report the factors which favour or inhibit the ethical course leading to the resolution or at the very least soothing of the situation at hand. Finally, we discuss methodological issues and underline the fact that while the patient is at the heart of the professional's ethical preoccupations, this does not imply that they are actors in decisions that concern them.

Indexed as

Ethics Committees, ClinicalFocus GroupsFranceHealth PersonnelHumansInterviews as TopicPhysiciansQualitative ResearchClinical ethical committeeDoctor–patient communicationFranceInstitutionalization of ethicsInterprofessional communicationQualitative research

Identifiers

PMID31147810
OpenAlexW2947839603

What OpenQuestion holds

Textmetadata
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.