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Related Experiment Videos

Ethics committees in long-term care facilities.

Mildred O Hogstel1, Linda C Curry, Charles A Walker

  • 1Harris School of Nursing of Texas Chistian University, Fort Worth, Texas, USA.

Geriatric Nursing (New York, N.Y.)
|December 14, 2004
PubMed
Summary

Many long-term care facilities (LTCFs) lack ethics committees, leading to biomedical ethical dilemmas. Establishing these committees, even with limited resources, can help nurses resolve complex ethical issues for residents.

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Area of Science:

  • Gerontology
  • Bioethics
  • Healthcare Management

Background:

  • Biomedical ethical dilemmas are prevalent in long-term care facilities (LTCFs), especially when residents lack advance directives.
  • Accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) mandates ethics committees, but many LTCFs are not JCAHO-accredited.
  • A survey revealed only 29% of responding LTCFs in one county had an organized ethics committee.

Purpose of the Study:

  • To discuss the essential components of an ethics committee in LTCFs, including purpose, membership, and meeting structures.
  • To present a practical framework for resolving biomedical ethical dilemmas within LTCF settings.
  • To empower nurses to initiate the formation of ethics committees in LTCFs.

Main Methods:

Keywords:
Bioethics and Professional EthicsEmpirical Approach

Related Experiment Videos

  • Survey of LTCFs in a Southwestern county to assess the prevalence of ethics committees.
  • Discussion of the operational aspects of establishing and maintaining an ethics committee.
  • Presentation of a sample process for ethical dilemma resolution.

    • Main Results:

    • A significant gap exists in the establishment of ethics committees in non-JCAHO-accredited LTCFs.
    • Nurses play a crucial role in initiating and developing ethics committees.
    • The education of all involved parties is vital for effective ethical dilemma resolution.

    Conclusions:

    • Ethics committees are crucial for addressing biomedical ethical dilemmas in LTCFs.
    • Nurses can spearhead the creation of ethics committees by utilizing available resources or collaborating with other facilities.
    • Comprehensive education is key to facilitating the resolution of clinical ethical dilemmas in LTCFs.