title: Evaluation of Viewpoints of Health Care Professionals on the Role of Ethics Committees and Hospitals in the Resolution of Clinical Ethical Dilemmas Based on Practice Environment.
abstract: We sought to evaluate whether health care professionals' viewpoints differed on the role of ethics committees and hospitals in the resolution of clinical ethical dilemmas based on practice location. We conducted a survey study from December 21, 2013 to March 15, 2014 of health care professionals at six hospitals (one tertiary care academic medical center, three large community hospitals and two small community hospitals). The survey consisted of eight clinical ethics cases followed by statements on whether there was a role for the ethics committee or hospital in their resolution, what that role might be and case specific queries. Respondents used a 5-point Likert scale to express their degree of agreement with the premises posed. We used the ANOVA test to evaluate whether respondent views significantly varied based on practice location. 240 health care professionals (108-tertiary care center, 92-large community hospitals, 40-small community hospitals) completed the survey (response rate: 63.6 %). Only three individual queries of 32 showed any significant response variations across practice locations. Overall, viewpoints did not vary across practice locations within question categories on whether the ethics committee or hospital had a role in case resolution, what that role might be and case specific queries. In this multicenter survey study, the viewpoints of health care professionals on the role of ethics committees or hospitals in the resolution of clinical ethics cases varied little based on practice location.
authors.affiliation: Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Brian S
authors.initials: BS
authors.lastname: Marcus
authors.affiliation: Department of Emergency Medicine, Allegheny Health Network, Erie, PA, USA.
authors.forename: Jestin N
authors.initials: JN
authors.lastname: Carlson
authors.affiliation: Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Gajanan G
authors.initials: GG
authors.lastname: Hegde
authors.affiliation: Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Shang
authors.affiliation: Department of Emergency Medicine, Allegheny General Hospital, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA, 15212, USA. avenkat@wpahs.org.
authors.forename: Arvind
authors.initials: A
authors.lastname: Venkat
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D034462:Dissent and Disputes; D028741:Ethics Committees, Clinical; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D009096:Multi-Institutional Systems; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
keywords: Clinical ethics consultation; Health care professionals; Hospitals; Practice location