Answer for question 4.26 is D Yang, Linda, Wang got it right The latest edition of Core Competencies for Health Care Ethics Consultation: The Report of the American Society for Bioethics and Humanities states that healthcare ethics consultants should help to address value uncertainty or conflict by articulating the specific conflict or question and facilitating a resolution that respects the roles of the involved parties (patients, families, surrogates, healthcare providers). Healthcare ethics consultants can be enlisted to ensure that each party’s voice is heard, to assist the parties in clarifying their own values, to facilitate understanding of information, to identify shared values, to identify and support the ethically appropriate decision maker(s), and to apply mediation or other conflict-resolution techniques. The healthcare ethics consultant or family therapist is able to adapt techniques of mediation and dispute resolution to: • identify parties to the conflict (most conflicts have more than two sides) • understand the explicit as well as the unstated interests of the participants • help participants define their interests • moderate disparities of power, knowledge, skill, and experience among participants • search for common ground or areas of consensus • identify options for conflict resolution that are compatible with principles of bioethics and legal rights of patients and families • craft a chart note that makes the terms of consensus accessible to all members of the healthcare team, on all shifts • track implementation of the agreement • conduct follow-up In the other options presented, the clinician seeks to resolve the family conflict either by having an outside authority arbitrate or by reverting to “clinician as educator.” In each instance, the conflict is avoided by the provider rather than resolved. An effort to manage the conflict by mediating a shared course of action is far more likely to have the desired result.
Posted on: Tue, 25 Nov 2014 01:11:39 +0000
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