Toward an expanded vision of clinical ethics education: from the individual to the institution.
This paper advances a new paradigm in clinical ethics education that not only emphasizes development of individual clinicians' skills, but also focuses on the institutional context within which health care professionals work. This approach has been applied to the goal of improving the care provided to critically and terminally ill adults. The model has been adopted by about thirty hospitals and nursing homes; additional institutions will soon join the program, entitled Decisions Near the End of Life. Here, we describe the history and rationale for this approach, its goals, pedagogical assumptions, and design.
Solomon
M Z
MZ
Education Development Center, Newton, MA.
Jennings
B
B
Guilfoy
V
V
Jackson
R
R
O'Donnell
L
L
Wolf
S M
SM
Nolan
K
K
Koch-Weser
D
D
Donnelley
S
S
D003479:Curriculum; D003657:Decision Making; D026689:Ethical Analysis; D026690:Ethics, Clinical; D004992:Ethics, Medical / Q000193:education*; D006282:Health Personnel / Q000193:education*; D006739:Hospital Administration / Q000592:standards; D033183:Interdisciplinary Communication; D007400:Interprofessional Relations; D009735:Nursing Homes / Q000458:organization & administration / Q000592:standards; D010348:Patient Care Team; D026684:Personal Autonomy; D010865:Pilot Projects; D013192:Staff Development / Q000458:organization & administration*; D013727:Terminal Care / Q000592:standards*; D014481:United States; D028761:Withholding Treatment