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  4. Falling on deaf ears: a qualitative study on clinical ethical committees in France.
 
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Titre

Falling on deaf ears: a qualitative study on clinical ethical committees in France.

Type
article
Institution
Externe
Périodique
Medicine, Health Care and Philosophy  
Auteur(s)
Dekeuwer, C.
Auteure/Auteur
Bogaert, B.
Auteure/Auteur
Eggert, N.
Auteure/Auteur
Harpet, C.
Auteure/Auteur
Romero, M.
Auteure/Auteur
Liens vers les personnes
Eggert, Nadja  
Bogaert, Brenda  
ISSN
1572-8633
Statut éditorial
Publié
Date de publication
2019-12
Volume
22
Numéro
4
Première page
515
Dernière page/numéro d’article
529
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The French medical context is characterized by institutionalization of the ethical reflection in health care facilities and an important disparity between spaces of ethical reflection. In theory, the healthcare professional may mobilise an arsenal of resources to help him in his ethical reflection. But what happens in practice? We conducted semi-structured interviews with 22 health-care professionals who did and did not have recourse to clinical ethical committees. We also implemented two focus groups with 18 professionals involved in various spaces of ethical reflection in order to let them debate about a better way to organize ethical reflection in their institutional contexts. The qualitative analysis allows to us to underline the coexistence of different conceptions of ethics among health care professionals. We also observed that the participants in our study shared the experience of ethically problematic situations as roadblocks in the process of communication and decision-making. We therefore report the factors which favour or inhibit the ethical course leading to the resolution or at the very least soothing of the situation at hand. Finally, we discuss methodological issues and underline the fact that while the patient is at the heart of the professional's ethical preoccupations, this does not imply that they are actors in decisions that concern them.
Sujets

Ethics Committees, Cl...

Focus Groups

France

Health Personnel/ethi...

Health Personnel/psyc...

Humans

Interviews as Topic

Physicians/ethics

Physicians/psychology...

Qualitative Research

Clinical ethical comm...

Doctor–patient commun...

Institutionalization ...

Interprofessional com...

Qualitative research

PID Serval
serval:BIB_222BA849D6BD
DOI
10.1007/s11019-019-09907-5
PMID
31147810
WOS
000495292100002
Permalien
https://iris.unil.ch/handle/iris/57927
Date de création
2019-12-19T09:47:20.103Z
Date de création dans IRIS
2025-05-20T15:17:56Z
Fichier(s)
En cours de chargement...
Vignette d'image
Nom

Dekeuwer et al-2019 Medicine,HealthCare, and_Philosophy.pdf

Version du manuscrit

preprint

Taille

554.89 KB

Format

Adobe PDF

PID Serval

serval:BIB_222BA849D6BD.P001

Somme de contrôle

(MD5):7bc574d836e27df02efb0500bc660d0c

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