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    Ho, Anita MacDonald, Lisa Mei-Hwa and Unger, David 2016. Preventive Ethics Through Expanding Education. HEC Forum, Vol. 28, Issue. 1, p. 69.


    Fiester, Autumn 2015. Neglected Ends: Clinical Ethics Consultation and the Prospects for Closure. The American Journal of Bioethics, Vol. 15, Issue. 1, p. 29.


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    Andereck, William S. McGaughey, J. Westly Schneiderman, Lawrence J. and Jonsen, Albert R. 2014. Seeking to Reduce Nonbeneficial Treatment in the ICU. Critical Care Medicine, Vol. 42, Issue. 4, p. 824.


    Chen, Yen-Yuan Chu, Tzong-Shinn Kao, Yu-Hui Tsai, Pi-Ru Huang, Tien-Shang and Ko, Wen-Je 2014. To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC Medical Ethics, Vol. 15, Issue. 1,


    Hall, Richard 2014. Ethical Consultations in the ICU. Critical Care Medicine, Vol. 42, Issue. 4, p. 983.


    Schildmann, Jan Molewijk, Bert Benaroyo, Lazare Forde, Reidun and Neitzke, Gerald 2013. Evaluation of clinical ethics support services and its normativity. Journal of Medical Ethics, Vol. 39, Issue. 11, p. 681.


    Tarzian, Anita J. and ASBH Core Competencies Update Task, 2013. Health Care Ethics Consultation: An Update on Core Competencies and Emerging Standards from the American Society for Bioethics and Humanities’ Core Competencies Update Task Force. The American Journal of Bioethics, Vol. 13, Issue. 2, p. 3.


    Ward, Frances Rieth 2013. Evaluating Parents’ Perspectives of Pediatric Ethics Consultation. HEC Forum, Vol. 25, Issue. 2, p. 183.


    Anton, Bette 2009. CQ Sources/Bibliography. Cambridge Quarterly of Healthcare Ethics, Vol. 18, Issue. 04, p. 429.


    Davis, Walter 2006. Failure to Thrive or Refusal to Adapt? Missing Links in the Evolution from Ethics Committee to Ethics Program. HEC Forum, Vol. 18, Issue. 4, p. 291.


    Schneiderman, Lawrence J. 2006. Effect of ethics consultations in the intensive care unit. Critical Care Medicine, Vol. 34, Issue. Suppl, p. S359.


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  • Cambridge Quarterly of Healthcare Ethics, Volume 15, Issue 1
  • January 2006, pp. 101-106

Dissatisfaction with Ethics Consultations: The Anna Karenina Principle

  • LAWRENCE J. SCHNEIDERMAN (a1), TODD GILMER (a2), HOLLY D. TEETZEL (a2), DANIEL O. DUGAN (a3), PAULA GOODMAN-CREWS (a4) and FELICIA COHN (a5)
  • DOI: http://dx.doi.org/10.1017/S0963180106060117
  • Published online: 01 January 2006
Abstract

In a previously published multicenter, prospective, randomized, controlled trial of more than 500 intensive care unit patients involved in conflicts over treatment decisions, ethics consultations were found to be helpful in resolving the conflicts and reducing nonbeneficial treatments. The intervention received favorable reviews by 80% of patient surrogates and more than 90% of physicians and nurses. Nevertheless, several participants in the ethics consultation process expressed dissatisfactions with the intervention. In this paper, we report our efforts to determine the factors associated with these negative responses in hopes that we might provide insights of future use to ethics consultants.We gratefully acknowledge the contributions of Jeffrey Blustein, Kathleen B. Briggs, Ronald Cranford, Glen I. Komatsu, and Ernle W.D. Young to the original randomized controlled trial phase of this research. Grant support came from the Agency for Healthcare Research and Quality, 1 R01 HS10251.

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Cambridge Quarterly of Healthcare Ethics
  • ISSN: 0963-1801
  • EISSN: 1469-2147
  • URL: /core/journals/cambridge-quarterly-of-healthcare-ethics
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