Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project

Description

This open access book about the Zadeh Project demonstrates and explores a core question in clinical ethics: how can ethics consultants be accountable in the face of a robust plurality of ethical standpoints, especially those that underwrite practices and methods for doing ethics consultation as well as those viewpoints and values encountered in daily clinical ethics practice? Underscoring this question is the recognition that the field of clinical ethics consultation has arrived at a crucial point in its maturation. Many efforts are underway to more formally “professionalize” the field, with most aimed toward stabilizing a specific set of institutional considerations. Stretched between these institutional and practical initiatives resides a crucial set of of ethical considerations, chief among them the meaning and scope of responsibility for clinical ethics consultants. Developed around a long-form case scenario, the Zadeh Project provides a multi-layered series of “peer-reviews”: critique of the actions of the case scenario’s ethics consultant; reflection on clinical ethics method; examination of the many ways that commitments to method and practice can, and do, intersect, overlap, and alter one another. The design and format of this book thus models a key element for clinical ethics practice: the need and ability to provide careful and thoughtful explanation of core moral considerations that emerge among diverse standpoints. Specifically designed for those studying to become and those who are ethics consultants, this book, with its innovative and multi-layered approach, allows readers to share a peer-review-like experience that shows accountability to be what it is, an ethical, not merely procedural or administrative, undertaking. Front Matter ....Pages i-x The Zadeh Project – A Frame for Understanding the Generative Ideas, Formation, and Design (Mark J. Bliton, Stuart G. Finder)....Pages 1-18 Front Matter ....Pages 19-19 The Zadeh Scenario (Stuart G. Finder)....Pages 21-42 Front Matter ....Pages 43-45 Critical Self-Reflection as Moral Practice: A Collaborative Meditation on Peer Review in Ethics Consultation (Andrea Frolic, Susan B. Rubin)....Pages 47-61 Telling About Engagement Is Not Enough: Seeking the “Ethics” of Ethics Consultation in Clinical Ethics Case Reports (Kelly Armstrong)....Pages 63-73 Ethics Consultation for Mrs. Hamadani – A Focus on Process (Anita J. Tarzian)....Pages 75-84 Ethics Consultation, Professional Praxis, and What it Means to Be a “Consultant” (James A. Hynds)....Pages 85-97 This May, or May Not, Be an Ethics Consultation (Tarris Rosell, Britt Johnson)....Pages 99-107 Front Matter ....Pages 109-111 Not Principlism nor Casuistry, Not Narrative Ethics nor Clinical Pragmatism: A Case for Proceduralism (Courtenay R. Bruce)....Pages 113-125 (Meta-) Methodological Lessons for Ethics Consultation (Mark P. Aulisio)....Pages 127-137 Narrative and Method in Ethics Consultation (George J. Agich)....Pages 139-150 Standardizing the Case Narrative (Lisa Rasmussen)....Pages 151-160 Front Matter ....Pages 161-163 Evaluating Clinical Ethics Support: On What Grounds Do We Make Judgments About Reports of Ethics Consultation? (Stella Reiter-Theil, Jan Schürmann)....Pages 165-178 Doing Well or Doing Good in Ethics Consultation (Jeffrey P. Bishop)....Pages 179-192 Peer Review and Beyond: Towards a Dialogical Approach of Quality in Ethics Support (Guy A. M. Widdershoven, Bert Molewijk, Suzanne Metselaar)....Pages 193-203 Front Matter ....Pages 205-205 Peer Review and Responsibility in/as/for/to Practice (Stuart G. Finder, Mark J. Bliton)....Pages 207-228