Conflicts of Care

Hospital Ethics Committees in the USA and Germany

By: Helen Kohlen

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Paperback | 1 June 2009 | Edition Number 1

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252 Pages

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Since the 1980s, increasing numbers of hospitals in the United States have formed internal ethics committees to help doctors and other health care professionals deal with complicated ethical questions, especially those regarding the end of a life. But it is only in recent years that German hospitals have followed suit. In Conflicts of Care, Helen Kohlen offers the first comprehensive look at the origin and function of these committees in German hospitals. Using a mix of archival research, participant observation, and interviews, Kohlen explores the debates that surrounded their formation and the functions they have taken on since their creation.

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Non-Fiction Medicine Medicine in General Health Systems & Services Medical Profession Medical Ethics & Professional Conduct Society & Culture Ethical Issues & Debates Ethical Issues of Scientific & Technological Developments Public Health & Preventive Medicine Philosophy Miscellaneous Items

Acknowledgement	p. 9
Introduction	p. 11
State of the Art, Theoretical Framework and Methodological Considerations
State of the Art in Social Science Research	p. 23
Theoretical Framework and Research Design	p. 27
Method and Sources of Information	p. 31
Germany and the United States:
Literature Review, Interviews and Pre-Study	p. 31
Field Research in Germany: Participant Observation and Interviews	p. 32
Data Collection and Interpretation: Qualitative Content Analysis	p. 33
Historical Analysis Bioethics and Hospital Ethics Committees
US-American Bioethics and the Move into the Practical Arena	p. 37
"Bioethics is not just Bioethics": Its Make and (Un)Concerns	p. 37
The Move of Bioethics into the Practical Arena: "Strangers at the Bedside"	p. 47
Traces and Beginnings of Consultation by Committees	p. 53
Traces of Institutionalized Consultation Committees	p. 53
From Professional Ethical Standards to Governmental Intervention	p. 63
The Development of Contemporary Hospital Ethics Committees	p. 69
The Story of Karen Quinlan	p. 69
Multidisciplinary Advisory Committees as Physicians' Prognosis Committees	p. 71
Types of Hospital Ethics Committees: From Ad hoc Committee to Optimum Care Committee at Boston Massachusetts General Hospital	p. 73
The President's Commission and its Support of Hospital Ethics Committees	p. 76
From the "Baby Does' Cases" to Infant Bioethical Review Committees	p. 79
Statutory Authority for Hospital Ethics Committees, Bureaucratization and Evaluation	p. 85
The Talk and its Performance in Hospital Ethics Committees	p. 89
The German Development: A Re-Make of the US-American Model	p. 92
Summary	p. 95
Relational Analysis Care and Hospital Ethics Committees
The Care Ethics Debate and Nursing since 1980	p. 101
Caring as a Women orientated Ethics and a Feminine Model	p. 102
Caring as a Foundational Concept for a Theory of Nursing Ethics	p. 105
Care Ethics from a Nursing Perspective in Germany	p. 111
Feminist and Nursing Studies in Care Ethics since 1990	p. 115
Caring as a Social Practice from a Political Science Perspective	p. 116
Nursing Practices of Care: Competence and Clinical Realizations	p. 126
Moral Understandings and Responsibilities	p. 129
Concerns of Care, Conflicts and Nurses' Participation in Hospital Ethics Committees	p. 135
Concerns of Care in Hospital Nursing Practice	p. 135
Nurses' Role and Participation in Hospital Ethics Committees	p. 147
Summary	p. 161
Practical Arena Analysis Practices in Hospital Ethics Committees in Germany
Introduction of the Field Research	p. 165
Method	p. 165
The Case Stories	p. 170
Analysis of the Field Data	p. 177
Education and Policy Making: Training, Management and Regulations	p. 178
Case Discussions and Nursing Issues:
The Definition of an Ethical Problem and the Marginalization of Care	p. 187
Case Discussions and Medical Issues:
Age, Isolation and Caring Responsibilities	p. 195
Evolving Issues of Concern:
Exclusions and Questions of End-of-Life Care	p. 206
Summary	p. 219
Résumé	p. 225
List of Abbreviations	p. 231
References	p. 233
Table of Contents provided by Ingram. All Rights Reserved.

Conflicts of Care

Hospital Ethics Committees in the USA and Germany

At a Glance

Paperback

Shipping

How to return your order

Defective items

You Can Find This Book In

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