ArticleBMC medical ethics2020
Theory and practice of integrative clinical ethics support: a joint experience within gender affirmative care.
Article in BMC medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Understanding clinical ethics situations: a co-created repertoire of practices.BMC medical ethics · 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 for ethics support: the development of the Confidentiality Compass for dealing with moral challenges concerning (breaching) confidentiality in moral case deliberation.BMC medical ethics · 2024Article
- Potential Conflicts of Interest Arising from Dualism of Loyalty Imposed on Employees of Medical Institutions-Findings and Tools for Ethics Management.Medicina (Kaunas, Lithuania) · 2023Article
- Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned.BMC medical ethics · 2023Article
- How to deal with moral challenges around the decision-making competence in transgender adolescent care? Development of an ethics support tool.BMC medical ethics · 2022Article
- Conceptualizing and Fostering the Quality of CES Through a Dutch National Network on CES (NEON).HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Stockpiling Basic Medical Equipment for Public Health Emergencies and "The-Right-Thing-To-Do." Charting the Ethical Territory.International journal of public health · 2022Article
- Clinical Ethics Consultations in the Opinion of Polish Physicians.Journal of bioethical inquiry · 2021Article
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Authors and funding
5 authors.
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Abstract
backgroundClinical ethics support (CES) aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.
methodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study in which we offered CES to a team that provides transgender health care and reflecting on the theoretical underpinnings of our work stemming from pragmatism, hermeneutics and organizational and educational sciences.
resultsIn this paper we describe five key characteristics of an integrative approach to CES; 1. Positioning CES more within care practices, 2. Involving new perspectives, 3. Creating co-ownership of CES, 4. Paying attention to follow up, and 5. Developing innovative CES activities through an emerging design.
conclusionsIn the discussion we compare this approach to the integrated approach to CES developed in the US and the hub and spokes strategy developed in Canada. Furthermore, we reflect on how an integrative approach to CES can help to handle some of the challenges of current CES.
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