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Clinical Ethics Consultations and the Necessity of NOT Meeting Expectations: I Never Promised You a Rose Garden
HEC Forum ( IF 1.200 ) Pub Date : 2022-09-20 , DOI: 10.1007/s10730-022-09496-6
Stuart G Finder 1 , Virginia L Bartlett 2
Affiliation  

Clinical ethics consultants (CECs) work in complex environments ripe with multiple types of expectations. Significantly, some are due to the perspectives of professional colleagues and the patients and families with whom CECs consult and concern how CECs can, do, or should function, thus adding to the moral complexity faced by CECs in those particular circumstances. We outline six such common expectations: Ethics Police, Ethics Equalizer, Ethics Superhero, Ethics Expediter, Ethics Healer or Ameliorator, and, finally, Ethics Expert. Framed by examples of requests for ethics consultation that illustrate each kind, along with brief descriptions, we argue that while these expectations ought to be resisted for clear and practical reasons, they also create opportunities for CECs to articulate, educate, and ultimately be responsible to the professional demands of clinical ethics work. Recognizing, acknowledging, and at times resisting those expectations thus become key activities and responsibilities in the performance of ethics consultation.



中文翻译:

临床伦理咨询和不符合期望的必要性:我从未答应过你一个玫瑰园

临床伦理顾问 (CEC) 在具有多种期望的复杂环境中工作。重要的是,有些是由于 CEC 咨询的专业同事以及患者和家属的观点,并关注 CEC 如何、做或应该如何运作,从而增加了 CEC 在这些特定情况下面临的道德复杂性。我们概述了六个这样的共同期望:道德警察、道德均衡者、道德超级英雄、道德加速者、道德治疗者或改善者,最后是道德专家。通过举例说明每种类型的道德咨询请求以及简要说明,我们认为,虽然出于明确和实际的原因应该抵制这些期望,但它们也为 CEC 创造了表达、教育、并最终对临床伦理工作的专业需求负责。因此,承认、承认和有时抵制这些期望成为道德咨询执行中的关键活动和责任。

更新日期:2022-09-21
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