Evidence map›Paper›PMID 34254541›Full record

ArticleNursing ethics2022

Clinical ethics committees in nursing homes: what good can they do? Analysis of a single case consultation.

Morten Magelssen, Heidi Karlsen

Abstract readCase Reports
In one paragraph

Article in Nursing ethics, 2022. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Strategies to mitigate moral distress as reported by eldercare professionals.International journal of qualitative studies on health and well-being · 2024
    Article
  3. Establishing Clinical Ethics Committees in Primary Care: A Study from Norwegian Municipal Care.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2023
    Article
  4. 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

2 authors.

Heidi KarlsenCentre for Medical Ethics, University of Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOught nursing homes to establish clinical ethics committees (CECs)? An answer to this question must begin with an understanding of how a clinical ethics committee might be beneficial in a nursing home context - to patients, next of kin, professionals, managers, and the institution. With the present article, we aim to contribute to such an understanding.

aimWe ask, in which ways can clinical ethics committees be helpful to stakeholders in a nursing home context? We describe in depth a clinical ethics committee case consultation deemed successful by stakeholders, then reflect on how it was helpful. RESEARCH

designCase study using the clinical ethics committee's written case report and self-evaluation form, and two research interviews, as data. PARTICIPANTS AND RESEARCH CONTEXT: The nursing home's ward manager and the patient's son participated in research interviews. ETHICAL CONSIDERATIONS: Data were collected as part of an implementation study. Clinical ethics committee members and interviewed stakeholders consented to study participation, and also gave specific approval for the publication of the present article. FINDINGS/

resultsSix different roles played by the clinical ethics committee in the case consultation are described: analyst, advisor, support, moderator, builder of consensus and trust, and disseminator. DISCUSSION: The case study indicates that clinical ethics committees might sometimes be of help to stakeholders in moral challenges in nursing homes.

conclusionsDemanding moral challenges arise in the nursing home setting. More research is needed to examine whether clinical ethics committees might be suitable as ethics support structures in nursing homes and community care.

Indexed as

Ethics Committees, ClinicalEthics ConsultationEthics, ClinicalEthics CommitteesHumansNursing HomesReferral and ConsultationCase study methodsclinical ethicsclinical ethics committeesclinical ethics supportempirical approachesnursing homes

Identifiers

PMID34254541
PMCPMC8866748

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.