The Italian debate about the role of clinical ethics and ethics consultation has brought about the need to create a working group of Healthcare Ethics Consultation. The group began to take shape and to be organized in 2010; its activities are largely directed to share experiences, to analyze this field and to develop a professional profile of the clinical ethicist recognized throughout the nation. The working group of Clinical Ethics and Healthcare Ethics Consultation was born from some meetings and the group started to draft a Document about Clinical Ethics Consultation in Healthcare in Rome (June 2013). The Document was approved in Trento at the Kessler Foundation (October 2013) and undersigned by more than 200 people. The newborn document was called “The Document of Trento”: it is the first Italian document regarding clinical ethics consultation.
Akabayashi A (ed.). The Future of Bioethics: International Dialogues. Oxford: University Press, UK, 2014; Gusmano MK, Rodwin Victor G, et al. Health Care in World Cities (ed.) Baltimore, MD: The Johns Hopkins University Press, 2010; Pegoraro R, Putoto G and Wray E (eds) Hospital Based Bioethics. Padova: Piccin, ITA, 2007; Widdershoven G, Abma T and Molewijk B. Empirical ethics as dialogical practice. Bioethics 2009; 23: 236–248; European Association of Centres of Medical Ethics. Eacme Newsletter 2015;40.
2.
Reich WT. Preface. In: Picozzi M, Tavani M and Cattorini P (eds) Verso una professionalizzazione del bioeticista. Analisi teoriche e ricadute pratiche. Milano: Giuffrè, ITA, 2003, pp. 9–12.
3.
See note 2, pp. IX–XII.
4.
Pegoraro R, Picozzi M and Spagnolo AG. La Consulenza di Etica Clinica in Italia. Lineamenti e Prospettive. Padova: Piccin, ITA, 2016; Zonza M and Refolo P. Documento di Trento. La consulenza etica in ambito sanitario in Italia. Medicina e Morale 2014; 1: 121–127.
5.
MilesSPurtiloRBInstitutional support for bioethics consultation. In: AusilioMPArnoldRMYoungnerSJ (eds). Ethics Consultation. From Theory to practice, Baltimore, MD: The John Hopkins University Press, 2003, pp. 11–128.
6.
BencioliniP. La medicina legale clinica. Rivista Italiana di Medicina Legale2005; 3: 451–459.
7.
CarreseJA. HCEC pearls and pitfalls: suggested do’s and don’ts for Healthcare Ethics Consultation. J Clin Ethics2012; 3: 234–240.
8.
SpikeJP. The birth of clinical ethics consultation as a profession. Am J Bioethics2014; 1: 20–22.
9.
Sokol DK. Renewing the call for clinical ethicists. Br Med J 2014; 349: g5342; Orlowski JP, et al. Why doctors use or do not use ethics consultation. J Med Ethics 2006; 32: 499–502.
10.
FletcherJCBrodyHClinical ethics. In: ReichWT (ed). Encyclopedia of Bioethics1996; (Vol 1, 2nd ed.). New York, NY: MacMillan, pp. 399–404.
11.
Picozzi M and Banfi F (eds) Management ed etica Delle Risorse in Sanità. Milano: Franco Angeli, ITA, 2007. See note 5, Schyve, Emanuel, Winslade, Youngner 2003: 131–146; Spagnolo AG, Sacchini D, Pessina A, Lenoci M. Etica e Giustizia in Sanità. Questioni Generali, Aspetti Metodologici e Organizzativi. Milano: McGraw-Hill, ITA, 2004.
12.
La PumaJToulminSE. Ethics consultants and ethics committees. Arch Intern Med1989; 5: 1109–1112.
13.
SmithML. A possible solution, but not the last word. Hastings Center Rep2009; 39: 3–3.
14.
American Society for Bioethics and Humanities. Improving Competencies in Clinical Ethics Consultation. Glenview, IL: American Society for Bioethics and Humanities, 2009, pp.57–58.
15.
SpikeJP. The birth of clinical ethics consultation as a profession. Am J Bioethics2014; 1: 20–22.
16.
Geppert CMA and Shelton WN. A comparison of general medical and clinical ethics consultation: what can we learn from each other? Mayo Clinic Proc 2012; 4: 381–389; Caldjian LC and Weir RF. A clinician’s approach to clinical ethical reasoning. J Gen Intern Med 2005; 20: 306–311.
17.
American Society for Bioethics and Humanities. Core Competencies for Health Care Ethics Consultation: the report of the American Society for Bioethics and Humanities, Glenview, IL: American Society for Bioethics and Humanities, 2011.
18.
AdamsDMWinsladeWJ. Consensus, clinical decision making and unsettled cases. J Clin Ethics2011; 4: 310–327.
19.
Troug RD, et al. Microethics: the ethics of everyday clinical practice. Hastings Center Rep 2015; 1: 11–17. Cho MK, et al. Strangers at the benchside: research ethics consultation. Am J Bioethics 2008; 3: 4–13.
20.
See note 5, Rushton, Youngner, Skeel 2003: 88–95. Casarett DJ, Daskal F and Lanots J. Experts in ethics? The authority of the clinical ethicist. Hastings Center Rep 1998; 6: 6–11.
21.
See note 17, American Society for Bioethics and Humanities 2011: 2.
22.
CarreseJASugarmanJ. The inescapable relevance of bioethics for the practicing clinician. Chest J2006; 130: 1864–1872.
23.
Weise KL and Daly BJ. Exploring accountability of clinical ethics consultants: practice and training implications. Am J Bioethics 2014; 6: 34–41; Finder SG and Bliton MJ. Responsibility after the apparent end: following-up in clinical ethics consultation. Bioethics 2011; 7: 413–424; Hendrick J. Legal aspects of clinical ethics committees. J Med Ethics 2001; 27: i50–i53.
24.
See note 17, American Society for Bioethics and Humanities 2011: 2.
25.
Jonsen AR, Siegler M and Winslade WJ. Clinical Ethics. A practical approach to ethical decisions in clinical medicine ed. New York, NY: McGraw Hill, 2010, p.2.
26.
Giannini A, Pessina A and Tacchi E. End-of-life decisions in intensive care units: attitudes of physicians in an Italian urban setting. Intensive Care Med 2003; 29: 1902–1910; Bertolini G, et al. End-of-life decision-making and quality of ICU performance: an observational study in 84 Italian units. Intensive Care Med 2010; 9: 1495–1504.
27.
See note 4, Pegoraro R, Picozzi M, Spagnolo AG, 30–36.
