Hospital chaplains as ethical consultants in making difficult medical decisions. 2022

Waldemar Głusiec
Chair and Department of Humanities and Social Medicine, Medical University of Lublin, Lublin, Poland waldemarglusiec@umlub.pl.

Few Polish hospitals have Hospital Ethics Committee (HECs) and the services are not always adequate. In this situation, the role of HECs, in providing, among others, ethical advice on the discontinuation of persistent therapies, may be taken over by other entities. The aim of our research was to investigate, how often and on what issues hospital chaplains are asked for ethical advice in reaching difficult medical decisions. A survey of 100 Roman Catholic chaplains was conducted, that is, at least 10% of all chaplains currently working in Polish hospitals. Of the participants, 29% confirmed receiving requests for advice in making a morally difficult medical decision. Receiving this type of request was not conditional on the place of their service, duration of their pastoral mission or HEC membership. The largest group of chaplains (21%) encounter questions concerning the ethical dilemmas associated with discontinuing persistent therapy. Patients and their families most often raise issues related to the methods of birth control, and the medical staff raise the issue of termination of pregnancy-as reported by 9% and 15% of chaplains, respectively. Most of the chaplains asked for help (79%) experience a deficit of specialist knowledge in the area of medicine or ethics. In order to improve the quality of ethical consultations in Polish hospitals, in addition to further development of HECs, it is postulated to develop a system for bioethical education of chaplains.

UI MeSH Term Description Entries
D009014 Morals Standards of conduct that distinguish right from wrong. Morality
D002977 Clergy Persons ordained for religious duties, who serve as leaders and perform religious services. Chaplains,Clerics,Deacons,Imams,Ministers,Pastors,Priests,Rabbis,Chaplain,Cleric,Deacon,Imam,Minister,Pastor,Priest,Rabbi
D003253 Consultants Individuals referred to for expert or professional advice or services. Advisory Services,Services, Advisory,Advisory Service,Consultant,Service, Advisory
D006761 Hospitals Institutions with an organized medical staff which provide medical care to patients. Hospital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D028741 Ethics Committees, Clinical Hospital or other institutional ethics committees established to consider the ethical dimensions of patient care. Distinguish from ETHICS COMMITTEES, RESEARCH, which are established to monitor the welfare of patients or healthy volunteers participating in research studies. Clinical Ethics Committee,Clinical Ethics Committees,Committee, Clinical Ethics,Committee, Hospital Ethics,Committees, Clinical Ethics,Committees, Hospital Ethics,Ethics Committee, Clinical,Ethics Committee, Hospital,Ethics Committees, Hospital,Hospital Ethics Committee,Hospital Ethics Committees

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