Display options
Share it on

J Med Ethics Hist Med. 2016 Dec 18;9:17. eCollection 2016.

Hospital/clinical ethics committees' notion: an overview.

Journal of medical ethics and history of medicine

Fatemeh Hajibabaee, Soodabeh Joolaee, Mohammad Ali Cheraghi, Pooneh Salari, Patricia Rodney

Affiliations

  1. PhD Candidate in Nursing, Faculty of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
  2. Associate Professor, Center for Nursing Care Research, Iran University of Medical Sciences,Tehran, Iran; Iranian Academy of Medical Sciences, Tehran, Iran.
  3. Associate Professor, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
  4. Associate Professor, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  5. Associate Professor, School of Nursing, University of British Columbia, Vancouver, Canada.

PMID: 28523118 PMCID: PMC5432947

Abstract

Hospital ethics committees (HECs) help clinicians deal with the ethical challenges which have been raised during clinical practice. A comprehensive literature review was conducted to provide a historical background of the development of HECs internationally and describe their functions and practical challenges of their day to day work. This is the first part of a comprehensive literature review conducted between February 2014 and August 2016 by searching through scientific databases. The keyword ethics committee, combined with hospital, clinic, and institution, was used without a time limitation. All original and discussion articles, as well as other scientific documents were included. Of all the articles and theses found using these keywords, only 56 were consistent with the objectives of the study. Based on the review goals, the findings were divided into three main categories; the inception of HECs in the world, the function of HECs, and the challenges of HECs. According to the results, the Americas Region and European Region countries have been the most prominent considering the establishment of HECs. However, the majority of the Eastern Mediterranean Region and South-East Asia Region countries are only beginning to establish these committees in their hospitals. The results highlight the status and functions of HECs in different countries and may be used as a guide by health policymakers and managers who are at the inception of establishing these committees in their hospitals.

Keywords: Clinical ethics; Ethics committee; Ethics consultation

References

  1. West J Nurs Res. 1990 Jun;12(3):307-17 - PubMed
  2. Med J Aust. 2001 Aug 20;175(4):211-3 - PubMed
  3. BMJ. 2000 Sep 16;321(7262):649-50 - PubMed
  4. J Qual Clin Pract. 1998 Jun;18(2):117-24 - PubMed
  5. HEC Forum. 2004 Jun;16(2):95-113 - PubMed
  6. Camb Q Healthc Ethics. 2011 Jul;20(3):389-95 - PubMed
  7. Camb Q Healthc Ethics. 2008 Summer;17(3):300-7 - PubMed
  8. Nurs Ethics. 2012 Jan;19(1):45-57 - PubMed
  9. Dtsch Med Wochenschr. 2014 Oct;139(43):2178-83 - PubMed
  10. BMJ. 1995 Sep 9;311(7006):667-9 - PubMed
  11. HEC Forum. 2008 Mar;20(1):49-60 - PubMed
  12. HEC Forum. 2006 Mar;18(1):49-60 - PubMed
  13. J Med Ethics. 2010 Mar;36(3):132-7 - PubMed
  14. Hosp Mater Manage Q. 1998 Aug;20(1):82-90 - PubMed
  15. Hastings Cent Rep. 1992 Jan-Feb;22(1):6-11 - PubMed
  16. Hastings Cent Rep. 1991 May-Jun;21(3):18-21 - PubMed
  17. HEC Forum. 2011 Sep;23(3):193-205 - PubMed
  18. Medsurg Nurs. 2010 Nov-Dec;19(6):351-3 - PubMed
  19. Dimens Health Serv. 1985 Feb;62(2):24-6 - PubMed
  20. Med Health Care Philos. 2007 Dec;10(4):461-75 - PubMed
  21. Healthc Manage Forum. 1992 Spring;5(1):19-26 - PubMed
  22. J Med Ethics. 2005 Jun;31(6):318-21 - PubMed
  23. Med J Aust. 1994 Oct 17;161(8):487-8 - PubMed
  24. J Med Ethics. 2001 Apr;27 Suppl 1:i9-17 - PubMed
  25. Nurs Ethics. 2013 Nov;20(7):771-83 - PubMed
  26. Sci Eng Ethics. 2015 Dec;21(6):1525-35 - PubMed
  27. Aust Health Rev. 2015 Feb;39(1):44-50 - PubMed
  28. JAMA. 1985 May 10;253(18):2693-7 - PubMed
  29. Iran Red Crescent Med J. 2014 Apr;16(4):e12332 - PubMed
  30. Acad Med. 2001 Mar;76(3):297-300 - PubMed
  31. Hastings Cent Rep. 1986 Jun;16(3):22-4 - PubMed
  32. AMA J Ethics. 2016 May 01;18(5):546-53 - PubMed
  33. J Med Ethics. 2001 Apr;27 Suppl 1:i44-9 - PubMed
  34. N Z Med J. 2004 Nov 05;117(1205):U1152 - PubMed
  35. Proc (Bayl Univ Med Cent). 2013 Oct;26(4):417-22 - PubMed
  36. Am J Bioeth. 2007 Feb;7(2):13-25 - PubMed
  37. HEC Forum. 2002 Mar;14(1):26-36 - PubMed
  38. Am J Bioeth. 2001 Fall;1(4):60-4 - PubMed
  39. Clin Child Psychol Psychiatry. 2007 Apr;12 (2):253-60 - PubMed
  40. Nurs Ethics. 2011 Nov;18(6):767-80 - PubMed
  41. J Zhejiang Univ Sci B. 2013 Jun;14(6):541-8 - PubMed
  42. N Engl J Med. 1987 Jul 2;317(1):46-50 - PubMed
  43. HEC Forum. 1992;4(3):219-26 - PubMed

Publication Types