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Evidence - competence - discourse: the theoretical framework of the multi-centre clinical ethics support project METAP

Reiter-Theil, Stella and Mertz, Marcel and Schürmann, Jan and Stingelin Giles, Nicola and Meyer-Zehnder, Barbara. (2011) Evidence - competence - discourse: the theoretical framework of the multi-centre clinical ethics support project METAP. Bioethics, 25 (7). pp. 403-412.

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Official URL: http://edoc.unibas.ch/dok/A6083594

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Abstract

In this paper we assume that 'theory' is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES. A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES that exist in North-America and in Europe show their underlying theory more or less explicitly, with most of them referring to some kind of theoretical components including 'how-to' questions (methodology), organizational issues (implementation), problem analysis (phenomenology or typology of problems), and related ethical issues such as end-of-life decisions (major ethical topics). In order to illustrate and explain the theoretical framework that we are suggesting for our own CES project METAP, we will outline this project which has been established in a multi-centre context in several healthcare institutions. We conceptualize three 'pillars' as the major components of our theoretical framework: (1) evidence, (2) competence, and (3) discourse. As a whole, the framework is aimed at developing a foundation of our CES project METAP. We conclude that this specific integration of theoretical components is a promising model for the fruitful further development of CES.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Ehemalige Einheiten Public Health > Medizin- und Gesundheitsethik (Reiter-Theil)
08 Cross-disciplinary Subjects > Ethik > Institut für Bio- und Medizinethik > Bio- und Medizinethik (Elger)
03 Faculty of Medicine > Departement Public Health > Ethik in der Medizin > Bio- und Medizinethik (Elger)
08 Cross-disciplinary Subjects > Ethik > Institut für Bio- und Medizinethik
UniBasel Contributors:Schürmann, Jan and Reiter-Theil, Stella and Stingelin-Giles, Nicola
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Wiley
ISSN:0269-9702
e-ISSN:1467-8519
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:17 Aug 2018 06:55
Deposited On:21 Jun 2013 12:27

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