Befragung zertifizierter Ethikberater:innen im Gesundheitswesen. Empirische Ergebnisse und Empfehlungen für die Praxis
摘要
Ethics consultation in healthcare is understood as a support service for ethically challenging situations. A central quality feature of ethics counseling is the qualification of ethics counselors. The Academy of Ethics in Medicine (AEM) offers curricular recommendations and voluntary certification for this. A survey among certified ethics counselors examined the extent to which the qualification according to the curriculum prepare them for practice.
MethodIn June and July 2021, all certified ethics counselors (n = 1623) were invited by email or normal mail. The anonymous online survey included questions about the person, work in an ethics counseling body, qualifications, and personal practical experience. The analysis was both quantitative and qualitative.
ResultsA total of 756 people participated (response rate 47%). Two-thirds were active in an ethics advisory body, most of them in a hospital. Both the training for ethics advisory work and the certification were completed by most of them on their own initiative. The main advantages of certification were seen in the professionalization and visibility of one’s own competence. In all, 74% moderated or took the minutes for ethics case consultations, 60% organized ethics training, 48% contributed to ethics guidelines. Those who worked in an ethics advisory body were particularly satisfied (mean 6.4 vs. 4.1 on a scale of 0–10). The majority felt well prepared to moderate ethics case consultations, but less well prepared for documentation, guideline development, and training organization.
ConclusionInterprofessional groups and small group exercises in course concepts were positively noted. The didactic and content-related guidelines for the qualification should be further developed. It needs more coverage of teaching content on taking minutes and guideline work, for preparing further training and in relation to the elements of organizational ethics. There is also a need for an explicitly formulated skills development concept by the AEM as well as stronger structural support from healthcare institutions.