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Meyer EC, Lamiani G, Uveges M, McLeod-Sordjan R, Mitchell C, Truog RD, Marron JM, Kennedy KO, Ritholz M, Teti SL, Milliken AB. Everyday Clinical Ethics: Essential Skills and Educational Case Scenarios. HEC Forum 2024:10.1007/s10730-024-09533-6. [PMID: 38980646 DOI: 10.1007/s10730-024-09533-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2024] [Indexed: 07/10/2024]
Abstract
Bioethics conjures images of dramatic healthcare challenges, yet everyday clinical ethics issues unfold regularly. Without sufficient ethical awareness and a relevant working skillset, clinicians can feel ill-equipped to respond to the ethical dimensions of everyday care. Bioethicists were interviewed to identify the essential skills associated with everyday clinical ethics and to identify educational case scenarios to illustrate everyday clinical ethics. Individual, semi-structured interviews were conducted with a convenience sample of bioethicists. Bioethicists were asked: (1) What are the essential skills required for everyday clinical ethics? And (2) What are potential educational case scenarios to illustrate and teach everyday clinical ethics? Participant interviews were analyzed using qualitative content analysis. Twenty-five (25) bioethicists completed interviews (64% female; mean 14.76 years bioethics experience; 80% white). Five categories of general skills and three categories of ethics-specific skills essential for everyday clinical ethics were identified. General skills included: (1) Awareness of Core Values and Self-Reflective Capacity; (2) Perspective-Taking and Empathic Presence; (3) Communication and Relational Skills; (4) Cultural Humility and Respect; and (5) Organizational Understanding and Know-How. Ethics-specific skills included: (1) Ethical Awareness; (2) Ethical Knowledge and Literacy; and (3) Ethical Analysis and Interaction. Collectively, these skills comprise a Toolbox of Everyday Clinical Ethics Skills. Educational case scenarios were identified to promote everyday ethics. Bioethicists identified skills essential to everyday clinical ethics. Educational case scenarios were identified for the purpose of promoting proficiency in this domain. Future research could explore the impact of integrating educational case scenarios on clinicians' ethical competencies.
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Affiliation(s)
- Elaine C Meyer
- Department of Psychiatry, Boston Children's Hospital, Boston, MA, USA.
- Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA.
| | - Giulia Lamiani
- Department of Health Sciences, University of Milan, Milan, Italy
| | - Melissa Uveges
- Connell School of Nursing, Boston College, Chestnut Hill, MA, USA
| | - Renee McLeod-Sordjan
- Division of Medical Ethics, Department of Medicine, Northwell Health, Hofstra Northwell School of Nursing and Physician Assistant Studies and Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | - Christine Mitchell
- Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA
| | - Robert D Truog
- Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA
- Department of Anesthesiology, Critical Care and Pain, Boston Children's Hospital, Boston, MA, USA
| | - Jonathan M Marron
- Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA
- Dana-Farber/Boston Children's Cancer Center and Blood Disorders Center, Boston, MA, USA
| | - Kerri O Kennedy
- Center for Bioethics, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115, USA
- Office of Ethics, Boston Children's Hospital, Boston, MA, USA
| | - Marilyn Ritholz
- Behavioral Medicine, Joslin Diabetes Center, Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | | | - Aimee B Milliken
- Connell School of Nursing, Boston College, Chestnut Hill, MA, USA
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Kalevor S, Uveges MK, Meyer EC. Using Everyday Ethics to Address Bias and Racism in Clinical Care. AACN Adv Crit Care 2022; 33:111-118. [PMID: 35259217 DOI: 10.4037/aacnacc2022566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Shika Kalevor
- Shika Kalevor is a Fellow at the Bioethics Center at Children's Mercy Hospital, 2401 Gillham Rd, Kansas City, MO 64108
| | - Melissa Kurtz Uveges
- Melissa Kurtz Uveges is Assistant Professor, Boston College William F. Connell School of Nursing, Boston, Massachusetts
| | - Elaine C Meyer
- Elaine C. Meyer is Senior Attending Psychologist, Boston Children's Hospital, and Associate Professor of Psychology, Harvard Medical School Center for Bioethics, Boston, Massachusetts
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