6
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The necessity of ethical support for health care professionals in Intensive Care: role and competencies of the Clinical Ethics Committee Translated title: La necessitat de suport ètic per a professionals de la salut en Medicina Intensiva: paper i competències del Comitè d'Ètica Assistencial Translated title: La necesidad de apoyo ético para los profesionales de la salud en Medicina Intensiva: papel y competencias del Comité de Ética Asistencial

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Abstract Promoting measures that aim to mitigate discrepancies in the decision-making process, ensuring adequate training of physicians in the ethical aspect of care, and incrementing the wellbeing of patients and their families are becoming the principal objectives for high-quality care, especially in the Intensive Medicine Unit (ICU). In this paper we're going to deal with the implementation of a specific ethics support for the ICU health care professionals, and considering the advanced Spanish experience on this matter, it deals with the current potentialities and limits of CEC' role to improve the quality of health care assistance.

          Translated abstract

          Resum Promoure mesures que tinguin com a objectiu mitigar els discrepàncies en el procés de presa de decisions, garantir la capacitació adequada dels metges respecte a l'aspecte ètic de l'atenció i incrementar el benestar dels pacients i els seves families s'estan convertint en els objectius principals per a una atenció de qualitat, especialment a Medicina Intensiva. En aquest article abordarem la implementació d'un soport ètic específic per a professionals de la salut de l'UCI. Tenint en compte l'àmplia experiència espanyola en aquest tema, ens centrarem en el potencial i els límits actuals del rol del CEA per a millorar la qualitat de l'assistència sanitària.

          Translated abstract

          Resumen Promover medidas que tengan como objetivo mitigar las discrepancias en el proceso de toma de decisiones, garantizar la capacitación adecuada de los médicos en el aspecto ético de la atención e incrementar el bienestar de los pacientes y sus familias se están convirtiendo en los objetivos principales para una atención de alta calidad, especialmente en Medicina Intensiva. En este artículo abordaremos la implementación de un apoyo ético específico para los profesionales de la salud de la UCI. Teniendo en cuenta la amplia experiencia española en este tema, nos centraremos en el potencial y los límites actuales del rol del CEA para mejorar la calidad de asistencia sanitaria.

          Related collections

          Most cited references25

          • Record: found
          • Abstract: found
          • Article: not found

          Impact of ethics consultations in the intensive care setting: a randomized, controlled trial.

          To determine the following: a) whether ethics consultations in the intensive care setting reduce nonbeneficial treatments, defined as days in the intensive care unit (ICU) and treatments delivered to those patients who ultimately fail to survive to hospital discharge; and b) whether physicians, nurses, social workers, and patients/families agree that ethics consultations in the ICU are beneficial in addressing treatment conflicts. Prospective, randomized, controlled trial of ethics consultations. Medical and pediatric ICUs in a university medical center. Seventy-four patients in whom value-based treatment conflicts arose during the course of treatment. The patients were randomly assigned to an intervention (ethics consultation offered) or nonintervention (ethics consultation not offered) arm of the trial. Medical data and ICU hospital days were compared between the intervention and control groups before and after the randomization. Likert scale and commentary responses were recorded to structured and open-ended interviews with the responsible physicians, nurses, social workers, and families of patients assigned to the intervention arm within 1 month after the patient's death or hospital discharge. Interviewees were asked whether ethics consultations helped with the following: a) to identify ethical issues; b) to analyze ethical issues; c) to resolve ethical issues; d) to educate about ethical issues; and e) to present personal views. There were no differences in overall mortality between the control patients and patients receiving ethics consultations. However, ethics consultations were associated with reductions in ICU hospital days and life-sustaining treatments in those patients who ultimately failed to survive to discharge. Also, ethics consultations were regarded favorably by most participants. Ethics consultations seem to be useful in resolving conflicts that may be inappropriately prolonging futile or unwanted treatments and are perceived to be beneficial.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Inappropriate care in European ICUs: confronting views from nurses and junior and senior physicians.

            ICU care providers often feel that the care given to a patient may be inconsistent with their professional knowledge or beliefs. This study aimed to assess differences in, and reasons for, perceived inappropriate care (PIC) across ICU care providers with varying levels of decision-making power.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Regulation (EU) No 536/2014 of the European Parliament and of the Council of 16 April 2014 on clinical trials on medicinal products for human use, and repealing Directive 2001/20/EC

              (2014)
                Bookmark

                Author and article information

                Journal
                bioetica
                Revista de Bioética y Derecho
                Rev. Bioética y Derecho
                Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética (Barcelona, Barcelona, Spain )
                1886-5887
                2020
                : 49
                : 125-139
                Affiliations
                [1] orgnameUniversidad de Bolonia Italia
                Article
                S1886-58872020000200009 S1886-5887(20)00004900009
                dbe41605-4567-40c1-a72e-3f3d8652c312

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 05 September 2019
                : 28 November 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 33, Pages: 15
                Product

                SciELO Spain


                Medicina Intensiva,documento de voluntades anticipadas,comité de ética asistencial,soporte ético,proceso de toma de decisiones,intensive medicine unit,advanced directive,clinic ethics committee,ethical support,decision-making process,medicina intensiva,document de voluntats anticipades,comitè d'ètica assistencial,suport ètic,procés de presa de decisions

                Comments

                Comment on this article