Conflicts of Care

Hospital Ethics Committees in the USA and Germany

Helen Kohlen

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Helen Kohlen, Conflicts of Care (2009), Campus Frankfurt / New York, 60486 Frankfurt/Main, ISBN: 9783593405391

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Beschreibung / Abstract

Ethikkomitees sind neu an deutschen Kliniken. Mit Blick auf die US-amerikanische Geschichte dieser Einrichtung beleuchtet Helen Kohlen deren Praxis und den Nutzen im medizinischen und pflegerischen Feld. Wem dienen die Beratungsgremien und wessen Stimme wird bei der Definition ethischer Konflikte gehört? Sie erkennt, dass die Logik und Sprache des Managements zunehmend die klinische Ethik prägt und dass fürsorgliche Praxis im Klinikalltag keine Selbstverständlichkeit mehr ist.

Beschreibung

Helen Kohlen, Dr. phil., ist Juniorprofessorin für Care Policy und Gemeindenahe Pflege an der Hochschule Vallendar.

Inhaltsverzeichnis

  • BEGINN
  • Contents
  • Acknowledgement
  • Introduction
  • State of the Art, Theoretical Framework and Methodological Considerations
  • 1 State of the Art in Social Science Research
  • 2 Theoretical Framework and Research Design
  • 3 Method and Sources of Information
  • Germany and the United States: Literature Review, Interviews and Pre-Study
  • Field Research in Germany: Participant Observation and Interviews
  • Data Collection and Interpretation: Qualitative Content Analysis
  • Historical Analysis – Bioethics and Hospital Ethics Committees
  • 1 US-American Bioethics and the Move into the Practical Arena
  • “Bioethics is not just Bioethics†: Its Make and (Un)Concerns
  • The Move of Bioethics into the Practical Arena: “Strangers at the Bedside†
  • 2 Traces and Beginnings of Consultation by Committees
  • Traces of Institutionalized Consultation Committees
  • From Professional Ethical Standards to Governmental Intervention
  • 3 The Development of Contemporary Hospital Ethics Committees
  • The Story of Karen Quinlan
  • Multidisciplinary Advisory Committees as Physicians†™ Prognosis Committees
  • Types of Hospital Ethics Committees: From Ad hoc Committee to Optimum Care Committee at Boston Massachusetts General Hospital
  • The President†™s Commission and its Support of Hospital Ethics Committees
  • From the “Baby Does†™ Cases† to Infant Bioethical Review Committees
  • Statutory Authority for Hospital Ethics Committees, Bureaucratization and Evaluation
  • The Talk and its Performance in Hospital Ethics Committees
  • The German Development: A Re-Make of the US-American Model
  • 4 Summary
  • Relational Analysis – Care and Hospital Ethics Committees
  • 1 The Care Ethics Debate and Nursing since 1980
  • Caring as a Women orientated Ethics and a Feminine Model
  • Caring as a Foundational Concept for a Theory of Nursing Ethics
  • Care Ethics from a Nursing Perspective in Germany
  • 2 Feminist and Nursing Studies in Care Ethics since 1990
  • Caring as a Social Practice from a Political Science Perspective
  • Nursing Practices of Care: Competence and Clinical Realizations
  • Moral Understandings and Responsibilities
  • 3 Concerns of Care, Conflicts and Nurses†™ Participation in Hospital Ethics Committees
  • Concerns of Care in Hospital Nursing Practice
  • Nurses†™ Role and Participation in Hospital Ethics Committees
  • 4 Summary
  • Practical Arena Analysis – Practices in Hospital Ethics Committees in Germany
  • 1 Introduction of the Field Research
  • Method
  • The Case Stories
  • 2 Analysis of the Field Data
  • Education and Policy Making: Training, Management and Regulations
  • Case Discussions and Nursing Issues: The Definition of an Ethical Problem and the Marginalization of Care
  • Case Discussions and Medical Issues: Age, Isolation and Caring Responsibilities
  • Evolving Issues of Concern: Exclusions and Questions of End-of-Life Care
  • 3 Summary
  • Résumé
  • List of Abbreviations
  • References

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