COMPETENCIES FOR ETHICS CONSULTATION: Preparig a Portfolio Harvard Cliical Bioethics Course 8 Jue, 2016 Christie Mitchell RN, MS, MTS, FAAN Executive Director, HMS Ceter for Bioethics
Objectives p Review core competecies for cliical ethics cosultatio p Discuss the Quality Attestatio process beig piloted by ASBH
Startig with a defiitio Healthcare Ethics Cosultatio (HCEC) is a set of services provided by a idividual or group i respose to questios from patiets, families, surrogates, health care professioals, or other ivolved parties who seek to resolve ucertaity or coflict regardig value lade issues that emerge i health care. ASBH 2011
Goals of HCEC q To idetify ad aalyze the ature of the value ucertaity or coflict that led to the cosult q To facilitate resolutio of ethical coflicts i a respectful atmosphere with attetio to the iterests, rights, ad resposibilities of those ivolved q To improve the quality of health care by addressig ethical questios ad cocers
Competecies (ASBH) p The ASBH published their report o Core Competecies for Healthcare Ethics Cosultatio i 1998 to specify the particular kowledge skills (assessmet, process, iterpersoal) attributes required to coduct effective ethics cosultatio (2 d Editio, 2011) p ASBH also publishes: Improvig Competecies i Cliical Ethics Cosultatio: A Educatio Guide (2009)
Kowledge p Ethical theory p Modes of moral reasoig p Bioethical issues ad cocepts p Policies ad health systems iformatio p Cliical ad other cosesus guidelies regardig commo ethical problems p Codes of ethics p Relevat health law
Skills p Assessmet ad aalysis (22) Idetify ad articulate value ucertaity or coflict Gather relevat iformatio; Note beliefs, values ad assumptios Apply relevat ethical kowledge ad cocepts p Process skills (23) Triage cosult requests; Establish expectatios; Itroductios; Covee ad facilitate meetigs Recogize uderlyig systems issues p Iterpersoal skills (24) Liste ad elicit Commuicate respect, uderstadig, empathy Elicit moral views Eable effective commuicatio
Attributes p Tolerace, patiece, compassio p Hoesty, forthrightess ad self-kowledge p Courage p Prudece ad humility p Leadership p Itegrity
How? How does a ethics cosultat approach or address a ethical questio? p Authoritaria? p Cosesus? p Facilitatio Help idetify ethical cocers ad values Aid effective commuicatio Brig i views of relevat stakeholders Build pricipled ethical resolutio
How? the core method Qualified facilitatio model we believe that a qualified facilitatio model is most appropriate for health care ethics cosultatio cosistet with the fact of pluralism ad the political rights of idividuals to live by their ow moral values Report of the Task Force o Stadards for Bioethics Cosultatio, 1998
How? 6 phases Request Assessmet Plaig Meetig Deliberative Documetatio Review ad evaluatio
Proficiecy Assessmet Tool p The EC PAT is a self assessmet istrumet developed by the VA, based o ASBH Core Competecies* with added skills ad kowledge Create a idividualized professioal developmet pla for each ethics cosultat Idetify ad improve o critical kowledge ad skills gaps i the ethics cosultatio service as a whole
Portfolio for QA p CV or resume p Educatio (Master s degree or sigificat experiece ad evidece of qualificatios) Copies of diplomas Writte summary of educatio related to HCEC p Writte summary of CEC experiece p Writte summary of cadidate s philosophy of CEC (500 words)
Portfolio for QA p 6 case cosults (de-idetified) Variety of ethical issues Variety of settigs Case arrative; syopsis; ethical issues; assessmet; recommedatio; outcome; Evidece of competecy p Redacted chart otes; data base summaries; memos to colleagues; miutes of meetigs; policies p Oe page descriptios of 6 add l cases Date; type of requester; cliical settig; ethical issues ad resolutio p 3 letters of evaluatio Idividuals resposible for cliical oversight; Kowledgeable about ethics cosultatio activities
Questios? Commets?
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