Trauma Informed Ethics Consultation
Trauma Informed Ethics Consultation
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DOI：
10.1080/15265161.2021.1887963
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发表时间：
2021-02-10
影响因子：
13.4
通讯作者：
Anani, Uchenna E.
中科院分区：
文献类型：
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作者：
Lanphier, Elizabeth;Anani, Uchenna E.
通过提出创伤知情伦理咨询(TIEC)的新框架，我们主张在临床伦理咨询中增加创伤知情意识、培训和技能。这一方法扩展了美国生物伦理与人文学会(ASBH)对伦理咨询和创伤知情护理(TIC)文献的女权主义方法的框架和关键见解。TIEC使伦理咨询与TIC在其他临床环境中的规定保持一致。最关键的是，Tiec(和TIC一样)对文化、历史、差异、权力、社会排斥、压迫和边缘化都很敏感。通过一个新生儿重症监护伦理咨询的例子，我们定义了我们的TIEC方法，并说明了它的应用。通过TIEC，我们认为伦理顾问的角色不仅是持有开放的道德空间，而且以道德上适宜的方式为参与伦理咨询过程的所有利益相关者提供这些空间，包括患者、代理人和实践者。
We argue for the addition of trauma informed awareness, training, and skill in clinical ethics consultation by proposing a novel framework for Trauma Informed Ethics Consultation (TIEC). This approach expands on the American Society for Bioethics and Humanities (ASBH) framework for, and key insights from feminist approaches to, ethics consultation, and the literature on trauma informed care (TIC). TIEC keeps ethics consultation in line with the provision of TIC in other clinical settings. Most crucially, TIEC (like TIC) is systematically sensitive to culture, history, difference, power, social exclusion, oppression, and marginalization. By engaging a neonatal intensive care ethics consult example, we define our TIEC approach and illustrate its application. Through TIEC we argue it is the role of ethics consultants to not only hold open moral spaces, but to furnish them in morally habitable ways for all stakeholders involved in the ethics consultation process, including patients, surrogates, and practitioners.