Health care ethics consultation: Nature, goals, and competencies - A position paper from the Society for Health and Human Values - Society for Bioethics Consultation Task Force on Standards for Bioethics Consultation
Health care ethics consultation: Nature, goals, and competencies - A position paper from the Society for Health and Human Values - Society for Bioethics Consultation Task Force on Standards for Bioethics Consultation
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DOI：
10.7326/0003-4819-133-1-200007040-00012
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发表时间：
2000-07-04
影响因子：
39.2
通讯作者：
Youngner, SJ
中科院分区：
文献类型：
--
作者：
Aulisio, MP;Arnold, RM;Youngner, SJ
病人、家属和医疗服务提供者有权期望伦理顾问能够胜任地处理他们被要求解决的复杂问题。健康与人类价值学会-生物伦理学咨询标准工作组探讨了伦理咨询的核心能力和相关问题。该立场文件总结了工作组报告的内容，其中包括九个一般性结论：1）美国的社会背景使“道德促进”成为道德咨询的适当方法; 2）道德促进需要某些核心能力; 3）核心能力可以通过各种方式获得; 4）道德促进需要一些核心能力。4）个体顾问、团队或委员会应具备伦理咨询的核心能力; 5）咨询服务应制定政策，解决访问、患者通知、文件和病例审查等问题; 6）必须避免滥用权力和利益冲突; 7）道德咨询必须得到机构的支持; 8）需要对过程、结果和能力进行评估; 9）拒绝对个人进行认证和对方案进行认证。
Patients, families, and health care providers have a right to expect that ethics consultants can deal competently with the complex issues that they are asked to address. The Society for Health and Human Values-Society for Bioethics Consultation Task Force on Standards for Bioethics Consultation explored core competencies and related issues in ethics consultation. This position paper summarizes the content of the resulting Task Force Report, which included nine general conclusions: 1) U.S. societal context makes "ethics facilitation" an appropriate approach to ethics consultation; 2) ethics facilitation requires certain core competencies; 3) core competencies can be acquired in various ways; 4) individual consultants, teams, or committees should have the core competencies for ethics consultation; 5) consult services should have policies that address access, patient notification, documentation, and case review; 6) abuse of power and conflicts of interest must be avoided; 7) ethics consultation must have institutional support; 8) evaluation of process, outcomes, and competencies is needed; and 9) certification of individuals and accreditation of programs are rejected.