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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. Nachwuchspreis des Instituts für Mensch, Ethik und Wissenschaft (IMEW)
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. Nachwuchspreis des Instituts für Mensch, Ethik und Wissenschaft (IMEW)
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Autorenporträt
Helen Kohlen, Dr. phil., ist Juniorprofessorin für Care Policy und Gemeindenahe Pflege an der Hochschule Vallendar.
Inhaltsangabe
ContentsAcknowledgementIntroductionState of the Art, Theoretical Framework and Methodological Considerations1 State of the Art in Social Science Research2 Theoretical Framework and Research Design3 Method and Sources of InformationGermany and the United States: Literature Review, Interviews and Pre-StudyField Research in Germany: Participant Observation and InterviewsData Collection and Interpretation: Qualitative Content AnalysisHistorical AnalysisBioethics and Hospital Ethics Committees1 US-American Bioethics and the Move into the Practical Arena"Bioethics is not just Bioethics": Its Make and (Un)ConcernsThe Move of Bioethics into the Practical Arena: "Strangers at the Bedside"2 Traces and Beginnings of Consultation by CommitteesTraces of Institutionalized Consultation CommitteesFrom Professional Ethical Standards to Governmental Intervention3 The Development of Contemporary Hospital Ethics CommitteesThe Story of Karen QuinlanMultidisciplinary Advisory Committees as Physicians' Prognosis CommitteesTypes of Hospital Ethics Committees: From Ad hoc Committee to Optimum Care Committee at Boston Massachusetts General HospitalThe President's Commission and ist Support of Hospital Ethics CommitteesFrom the "Baby Does' Cases" to Infant Bioethical Review CommitteesStatutory Authority for Hospital Ethics Committees, Bureaucratization and EvaluationThe Talk and its Performance in Hospital Ethics CommitteesThe German Development: A Re-Make of the US-American Model4 SummaryRelational AnalysisCare and Hospital Ethics Committees1 The Care Ethics Debate and Nursing since 1980Caring as a Women orientated Ethics and a Feminine ModelCaring as a Foundational Concept for a Theory of Nursing EthicsCare Ethics from a Nursing Perspective in Germany2 Feminist and Nursing Studies in Care Ethics since 1990Caring as a Social Practice from a Political Science PerspectiveNursing Practices of Care: Competence and Clinical RealizationsMoral Understandings and Responsibilities3 Concerns of Care, Conflicts and Nurses' Participation in Hospital Ethics Committees Concerns of Care in HospitalNursing Practice Nurses' Role and Participation in Hospital Ethics Committees4 SummaryPractical Arena AnalysisPractices in Hospital Ethics Committees in Germany1 Introduction of the Field ResearchMethodThe Case Stories2 Analysis of the Field DataEducation and Policy Making: Training, Management and RegulationsCase Discussions and Nursing Issues: The Definition of an Ethical Problem and the Marginalization of CareCase Discussions and Medical Issues: Age, Isolation and Caring ResponsibilitiesEvolving Issues of Concern: Exclusions and Questions of End-of-Life Care3 SummaryRésuméList of AbbreviationsReferencesContents
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 ist 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
ContentsAcknowledgementIntroductionState of the Art, Theoretical Framework and Methodological Considerations1 State of the Art in Social Science Research2 Theoretical Framework and Research Design3 Method and Sources of InformationGermany and the United States: Literature Review, Interviews and Pre-StudyField Research in Germany: Participant Observation and InterviewsData Collection and Interpretation: Qualitative Content AnalysisHistorical AnalysisBioethics and Hospital Ethics Committees1 US-American Bioethics and the Move into the Practical Arena"Bioethics is not just Bioethics": Its Make and (Un)ConcernsThe Move of Bioethics into the Practical Arena: "Strangers at the Bedside"2 Traces and Beginnings of Consultation by CommitteesTraces of Institutionalized Consultation CommitteesFrom Professional Ethical Standards to Governmental Intervention3 The Development of Contemporary Hospital Ethics CommitteesThe Story of Karen QuinlanMultidisciplinary Advisory Committees as Physicians' Prognosis CommitteesTypes of Hospital Ethics Committees: From Ad hoc Committee to Optimum Care Committee at Boston Massachusetts General HospitalThe President's Commission and ist Support of Hospital Ethics CommitteesFrom the "Baby Does' Cases" to Infant Bioethical Review CommitteesStatutory Authority for Hospital Ethics Committees, Bureaucratization and EvaluationThe Talk and its Performance in Hospital Ethics CommitteesThe German Development: A Re-Make of the US-American Model4 SummaryRelational AnalysisCare and Hospital Ethics Committees1 The Care Ethics Debate and Nursing since 1980Caring as a Women orientated Ethics and a Feminine ModelCaring as a Foundational Concept for a Theory of Nursing EthicsCare Ethics from a Nursing Perspective in Germany2 Feminist and Nursing Studies in Care Ethics since 1990Caring as a Social Practice from a Political Science PerspectiveNursing Practices of Care: Competence and Clinical RealizationsMoral Understandings and Responsibilities3 Concerns of Care, Conflicts and Nurses' Participation in Hospital Ethics Committees Concerns of Care in HospitalNursing Practice Nurses' Role and Participation in Hospital Ethics Committees4 SummaryPractical Arena AnalysisPractices in Hospital Ethics Committees in Germany1 Introduction of the Field ResearchMethodThe Case Stories2 Analysis of the Field DataEducation and Policy Making: Training, Management and RegulationsCase Discussions and Nursing Issues: The Definition of an Ethical Problem and the Marginalization of CareCase Discussions and Medical Issues: Age, Isolation and Caring ResponsibilitiesEvolving Issues of Concern: Exclusions and Questions of End-of-Life Care3 SummaryRésuméList of AbbreviationsReferencesContents
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 ist 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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