临床伦理委员会(CECs)旨在支持医疗保健专业人员(HP)和医疗保健组织处理临床实践的伦理问题。2020年,CEC在意大利北部的肿瘤学研究医院成立。本文描述了CEC实施后20个月的开发过程和活动,增加对CEC实施策略的了解。
方法:我们使用CEC内部数据库收集了与2020年10月至2022年6月进行的CEC活动的数量和特征相关的定量数据。对数据进行描述性报告,并与文献数据进行比较,以提供CEC的开发和实施过程的完整概述。
方法:这项研究是在雷焦艾米利亚的当地卫生部门(LHA)进行的。这是CEC提供的活动报告,其中没有涉及HP或患者。
方法:该报告是一项名为“评估临床伦理委员会实施过程”(EvaCEC)的大型研究的一部分,已获得当地道德委员会的批准(AUSLREProtocollon°2022/0026554of24/02/2022)。EvaCEC也是第一作者的博士项目。
结果:总计,CEC进行了7次伦理咨询(EC),发表了三项与临床和组织实践的特定伦理问题有关的政策,提供了一门针对就业惠普的道德咨询教育在线课程,并促进了LHA不同部门之间的特定传播过程。根据我们的结果,CEC广泛完成了标准的三重临床伦理支持服务任务(即,伦理咨询,道德教育,和政策制定),但需要进一步的研究来评估CEC对临床实践的影响.
结论:我们的发现可能会增加有关成分的知识,角色,以及意大利环境中CEC的任务,告知未来的战略和努力,以正式规范这些机构。
UNASSIGNED: Clinical Ethics Committees (CECs) aim to support healthcare professionals (HPs) and healthcare organizations to deal with the ethical issues of clinical practice. In 2020, a CEC was established in an Oncology Research Hospital in the North of Italy. This paper describes the development process and the activities performed 20 months from the CEC\'s implementation, to increase knowledge about CEC\'s implementation strategy.
METHODS: We collected quantitative data related to number and characteristics of CEC activities carried out from October 2020 to June 2022 using the CEC internal database. Data were reported descriptively and compared with data from the literature to provide a complete overview of the CEC\'s development and implementation process.
METHODS: The study has been conducted at the local health authority (LHA) of Reggio Emilia. It is a report of the activities provided by the CEC, where no HPs or patients were involved.
METHODS: The report is part of a larger study named EVAluating a Clinical Ethics Committee implementation process (EvaCEC), which has been approved by the Local Ethics Committee (AUSLRE Protocollo n° 2022/0026554 of 24/02/2022). EvaCEC is also the first author\'s PhD project.
RESULTS: In total, the CEC performed 7 ethics consultations (EC), published three policies related to particular ethical questions of clinical and organizational practice, provided one educational online course on ethics consultation targeting employed HPs, and promoted a specific dissemination process among the different departments of the LHA. According to our results, the CEC widely fulfilled the standard threefold set of clinical ethics support services tasks (namely, ethics consultation, ethics education, and policy development), but further investigations are needed to evaluate the CEC\'s impact on clinical practice.
CONCLUSIONS: Our findings may increase knowledge regarding the composition, role, and tasks of a CEC in an Italian setting, informing future strategies and efforts to regulate these institutions officially.