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  1. Evaluation of a medical ethics consultation service : Opinions of patients and health care providers.

    Article - En anglais

    PURPOSE 

    To study the perceived effectiveness of bioethics consultation as evaluated by both professional staff and patients and their families.

    PATIENTS AND METHODS 

    An evaluation questionnaire was forwarded to physicians, nurses, and patients or family members who were associated with 20 sequential cases referred for ethics consultation during a 2-year period.

    Respondents were asked to rate the consult as very helpful, somewhat helpful, or not helpful concerning a variety of issues related to the care of the patients.

    Responses were reviewed for agreement or disagreement between the three sample groups.

    RESULTS 

    Ninety-six percent of physicians and 95% of nurses sampled felt that the consult was helpful, compared with only 65% of the patient/family responses.

    Lack of communication between patients and staff was cited as a problem in all cases in which the consult was deemed unhelpful by patients and family.

    CONCLUSIONS 

    Patients or family members and professional staff have different perceptions regarding the value of bioethics consultation.

    When asked for comments, patients/family members cite lack of communication with professional staff as their primary reason for responding negatively.

    Earlier mobilization of consultative staff, rigorous training of consultants in techniques of conflict resolution, and education of primary caregivers regarding recognition of communication problems may serve to narrow this perceptual divergence.

    Mots-clés Pascal : Ethique, Consultation hospitalière, Médecin, Infirmier, Malade, Qualité service, Questionnaire, Relation médecin malade, Evaluation, Homme, Etude comparative

    Mots-clés Pascal anglais : Ethics, Hospital consultation, Physician, Nurse, Patient, Service quality, Questionnaire, Physician patient relation, Evaluation, Human, Comparative study

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0212676

    Code Inist : 002B30A09. Création : 199608.