Responding to Moral Challenges in Clinical Practice: A Qualitative Assessment of Clinical Ethics Support Needs at Three Tanzanian Hospitals

HEC Forum, Год журнала: 2025, Номер unknown

Опубликована: Апрель 16, 2025

Abstract Healthcare professionals (HCPs) encounter various moral challenges in clinical practice. In countries, ethics support (CES) services are developed to HCPs. One of these CES is committees (CECs): they address faced healthcare settings and offer for However, Tanzania, CECs have not yet been implemented. For implementation purposes, greater knowledge about how navigate respond challenges, their understanding CECs, what perceive as key needs implementing hospitals, valuable. This study explores HCPs’ ways dealing with at the moment identifies establishing Tanzanian near future. The findings show that implicit acknowledged being useful addressing (e.g., regular meetings, family conferences, social welfare units, hospital procedures guidelines, well consulting legal management units). addition, HCPs reported a necessity exists more formal systematic modalities settings. research this paper has served preparation first CEC

Язык: Английский

Must we remain blind to the need for clinical ethics support services in Africa? Eyes on Nigeria

Postgraduate Medicine, Год журнала: 2024, Номер unknown, С. 1 - 10

Опубликована: Ноя. 27, 2024

Hospitals and healthcare workers in Africa, Nigeria specifically, are increasingly being confronted by complex situations, which decision-making becomes more troublesome the presence of conflicting goals, values, preferences among respective stakeholders. Given that all requires ethical considerations, there is a noted absence or paucity documentation institutionalized mechanisms for addressing any associated concern dilemma Nigeria, it thus unclear how most hospitals, workers, public handle dimensions patients' care hospital practice, while also generating possibilities improvement quality. This paper an attempt to heighten awareness need clinical ethics support services (CESS) encourage thought, reflection dialogue over issues raised. The authors, drawing from their experiences as practicing bioethicists health professionals, well findings unpublished exploratory qualitative study review literature, posit ripe formalization CESS, especially at tertiary level care. Based on identified bioethics manpower capacity societal utilization existing telecommunication infrastructure we propose establishment homegrown socially responsive pilot initiative which, on-site services, web/portal-based online component will be accessible interested professionals/students, patients, bioethicists, members public. Though evidence effectiveness impact CESS related quality outcome has remained relatively weak no single model been comprehensively proven beneficial practice settings, argue formal should top priority Africa generally.

Язык: Английский