2.50
Hdl Handle:
http://hdl.handle.net/10755/162717
Type:
Presentation
Title:
Ethical Forums Have a Place in the Emergency Department
Abstract:
Ethical Forums Have a Place in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Warchal, Susan L., RN, ENPC
P.I. Institution Name:Massachusetts General Hospital
Contact Address:55 Fruit Street, Boston, MA, 02129, USA
Contact Telephone:(617) 724-4100
Co-Authors:MaryJo Cappuccilli, MSN, RN, CS; and June Guarente, RN-CS, MS, CEN
Clinical Topic: The purpose of this clinical project was to implement a process that allows ethical principles and values to be discussed in a free flowing manner while also providing support to the caregivers. Implementation: The process included several steps in the development and institution of a unit based Ethics Group: 1. Development of a proposal; 2. Nurse Manager approval; 3. Invitation of key people to assist in the educational plan; 4. Development of membership plan; 5. Initiation of Ethics Committee monthly meetings; 6. Evaluation of the process; and
7. Incorporation of changes to promote participation. Outcomes: 1. Initial meetings covered ethical issues specific to a patient case. It was important that all caregivers participating in the case have a chance to voice their concerns and ideas. This was not always possible due to rotations and staffing patterns. As a result, the topic style was preferred because ethical issues could be discussed to benefit the larger ED community. 2. Monthly ethical forums are held on specific topics. One example is ethical issues related to care of the vulnerable patient. This population included the elderly, children, the homeless and victims of domestic violence. 3. Clinical issues that are identified are referred to other ED committees for action. For example, when resources for the care of the homeless patients were identified as lacking, the ED Collaborative Practice Committee was accessed and initiated communication with HealthCare for the Homeless, a community resource for the City of Boston. 4. Staff knowledge and comfort in discussing ethical issues specific to the ED have increased. 5. Staff morale has improved, as there is greater respect for discussion among all disciplines which has a positive impact on patient care. 6. The ED Ethics Forum is an integral part of the entire hospital community. The chair is a member of the MGH Ethics in Clinical Practice Committee as well as a member of the Pediatric Bioethics Committee. Recently, members have begun to participate in the development of a centralized ethics department. Recommendations: Establishing a unit-based ethics forum is recommended, as there are many issues specific to ED practice. The forum fosters professional growth, communication and support in a highly acute and stressful environment. Evaluation of staff concerns and needs should be ongoing. Research to measure staff satisfaction and patient outcomes should also be a goal. Upon completion of this poster review, the participant will be able to: 1. Identify ethical issues that may occur in the ED; 2. Outline the process to form an ethics discussion group; and 3. Define ethics and the steps necessary to solve an ethical dilemma. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEthical Forums Have a Place in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162717-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Ethical Forums Have a Place in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Warchal, Susan L., RN, ENPC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Massachusetts General Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">55 Fruit Street, Boston, MA, 02129, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(617) 724-4100</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">swarchal@partners.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">MaryJo Cappuccilli, MSN, RN, CS; and June Guarente, RN-CS, MS, CEN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose of this clinical project was to implement a process that allows ethical principles and values to be discussed in a free flowing manner while also providing support to the caregivers. Implementation: The process included several steps in the development and institution of a unit based Ethics Group: 1. Development of a proposal; 2. Nurse Manager approval; 3. Invitation of key people to assist in the educational plan; 4. Development of membership plan; 5. Initiation of Ethics Committee monthly meetings; 6. Evaluation of the process; and<br/> 7. Incorporation of changes to promote participation. Outcomes: 1. Initial meetings covered ethical issues specific to a patient case. It was important that all caregivers participating in the case have a chance to voice their concerns and ideas. This was not always possible due to rotations and staffing patterns. As a result, the topic style was preferred because ethical issues could be discussed to benefit the larger ED community. 2. Monthly ethical forums are held on specific topics. One example is ethical issues related to care of the vulnerable patient. This population included the elderly, children, the homeless and victims of domestic violence. 3. Clinical issues that are identified are referred to other ED committees for action. For example, when resources for the care of the homeless patients were identified as lacking, the ED Collaborative Practice Committee was accessed and initiated communication with HealthCare for the Homeless, a community resource for the City of Boston. 4. Staff knowledge and comfort in discussing ethical issues specific to the ED have increased. 5. Staff morale has improved, as there is greater respect for discussion among all disciplines which has a positive impact on patient care. 6. The ED Ethics Forum is an integral part of the entire hospital community. The chair is a member of the MGH Ethics in Clinical Practice Committee as well as a member of the Pediatric Bioethics Committee. Recently, members have begun to participate in the development of a centralized ethics department. Recommendations: Establishing a unit-based ethics forum is recommended, as there are many issues specific to ED practice. The forum fosters professional growth, communication and support in a highly acute and stressful environment. Evaluation of staff concerns and needs should be ongoing. Research to measure staff satisfaction and patient outcomes should also be a goal. Upon completion of this poster review, the participant will be able to: 1. Identify ethical issues that may occur in the ED; 2. Outline the process to form an ethics discussion group; and 3. Define ethics and the steps necessary to solve an ethical dilemma. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:57Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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