A Qualitative Exploration of a Clinical Ethicist’s Role and Contributions During Family Meetings

Courtenay Bruce, Trevor M. Bibler, Adam M. Pena, Betsy Kusin

Research output: Contribution to journalArticle

Abstract

Despite the interpersonal nature of family meetings and the frequency in which they occur, the clinical ethics literature is devoid of any rich descriptions of what clinical ethicists should actually be doing during family meetings. Here, we propose a framework for describing and understanding “transitioning” facilitation skills based on a retrospective review of our internal documentation of 100 consecutive cases (June 01, 2013–December 31, 2014) wherein a clinical ethicist facilitated at least one family meeting. The internal documents were analyzed using qualitative methodologies, i.e., “codes”, to identify emergent themes. We identified four different transitioning strategies clinical ethicists use to reach a meaningful resolution. These transitioning strategies serve as a jumping-off point for additional analyses, future research, evaluating clinical ethics consultation, and overall performance improvement of a consultation service.

Original languageEnglish (US)
Pages (from-to)283-299
Number of pages17
JournalHEC Forum
Volume28
Issue number4
DOIs
StatePublished - Dec 1 2016

Keywords

  • Clinical ethics consultation
  • Communication
  • Decision-making
  • Facilitation
  • Family meetings

ASJC Scopus subject areas

  • Health(social science)
  • Issues, ethics and legal aspects
  • Health Policy

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