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ETHICS IN CLINICAL PRACTICE COMMITTEE
Overview | Responsibilities | 2015 Accomplishments | CG Ethics Champions

Current Work:

  1. The EICPC champions validated observations that there is a need for increased awareness and skill regarding work personal safety. As clinicians, we feel ethically challenged if we need to defend ourselves from physical harm if it could lead to physical harm to a patient. The champions welcomed additional training (MOAB refresher) and will consider adding a dialogue and reflection around ethical concerns to whatever training is offered.

  2. The EICPC champions are interested in supporting the Diversity and Inclusion Committee CE activity, Islam and the End of Life by sharing the information about the programs with colleagues and trying to attend. One champion endorsed the MGH co-sponsored Spirituality & Nursing Conference as one to attend. The fall date is (10/27/17). You can find out more and register on the Knight Center Education Calendar.

  3. Champions heard a presentation on Answering the Tough Questions, by champion Kristen Ambrose, RN, a nurse in the Proton Center which highlighted the exquisite practice of the interdisciplinary team when counseling parents on how to share information about their child’s cancer treatment. Kristen provided a historical perspective that has evolved from the 1960s practice of keeping all information about a cancer diagnosis and treatment secret from children to today’s evidence based practice of learning about the patient and family and helping them communicate information based on the child’s developmental level in keeping with the family’s communication style, cultural, and religious beliefs. Kristen shared 2 cases in which the family did not want to disclose anything to the child which created discomfort for the staff. The staff in the Center have learned from these experiences and continually work together to improve the process for the staff, patients, and families so that the staff can counsel the family on the nest ways to communicate with the child.

Accomplishments 2017

  • The EICPC again participated in the annual Collaborative Governance SAFER Fair on 10/11/17.  Three champion co-chairs organized our annual booth around the over-arching theme of communication. Many champions on the committee participated in creating a poster showcasing the ethical resources available at MGH. Another champion crafted a “Tree of Life” quilt that was raffled off to one of the fair-goers. Visitors at the booth were encouraged to think about, what gives their life meaning, and then were asked “who have you told.” This segued into information and education about accurately completing a health care proxy form. Additionally, the committee collected used cell-phones which were donated to the “Cell Phones for Soldiers” Organization.

  • The EICPC collaborated with the Diversity and Inclusion Committee twice this year to discuss timely questions and concerns about race, bias, diversity, inclusion, immigration, and ethical care for our patients.  This collaboration came at the request of our champions, stemming from a case presentation that troubled clinical staff that were working with parents of an injured child who were undocumented. At our April meeting, the Diversity and Inclusion CG Committee leaders led the EICPC champions through a presentation, conversation, and exercises related to the issues of diversity and inclusion, especially focused on unconscious bias. Resources that are available to staff to help with concerns that champions are experiencing regarding issues related to diversity and inclusion were also shared. Additionally, at our December meeting, champions from both committees participated in our annual book discussion on Small Great Things by Jodi Picoult. Led by EICPC champion, Tara Logan, committee champions shared their individual perspectives on the book and their thoughts on race, privilege, prejudice, justice, and compassion. Champions agreed having both committees engage in the discussion was valuable.
  • With the guidance of the EICPC leaders, five champions presented case studies at our monthly meetings on topics such as: ICDs at the end of life, tube feeding in advanced dementia, challenges associated with addressing questions and concerns from pediatric patients, and challenges associated with futile care and high expectations of hope of patients coming to MGH. In addition to discussing details of the individual cases and ethical resources utilized, champions this year also incorporated evidence based practice into their presentations by including current research articles about these topics.
  • The EICPC presented their mission, goals, accomplishments, and impact to a Magnet Appraisers at a dynamic meeting in November. 

Goals 2018

  • Serve as a resource to the MGH community regarding the advance care planning (ACP) process through education, consultation, and programmatic activities.
  • Maintain the EICPC EED portal page to ensure that this resource supports the educational needs of committee champions, MGH staff, and the public. 
  • Educate clinical staff concerning current ethical issues that impact practice and resources available to address ethically challenging situations utilizing an evidence based framework.
  • Create opportunities for professional growth, development, and participation for committee champions.

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Meets:

1st Wednesday monthly
1pm - 3pm
Trustees
Conference Room

Committee Contacts:

Co-Chairs
Brian Cyr, RN
Staff Nurse Bigelow 11

Jennifer Mantia,
RN, Staff Nurse Blake 7 MICU

Coach
Gail Alexander, RNBlum Patient and Family Learning Center

Advisor
Cynthia LaSala, RN, CNS- Phillips 20

Recorder
Jenny Crampe, Perioperative Services

CG Ethics Champions

ETHICS IN CLINICAL PRACTICE COMMITTEE OVERVIEW
The Patient Care Services Ethics in Clinical Practice (EICP) Committee is a multidisciplinary committee, which was formed to develop and implement activities and programs to further clinicians’ understanding of ethical aspects of patient care. The work of this committee involves identifying strategies to integrate ethical judgment into professional practice and consultation at unit and organizational levels related to ethical issues in patient care. return to top

Responsibilities:
  • Design and implement activities and programs to support the development of staff in Patient Care Services in the area of health care ethics.
  • Promote culturally competent care and staff education.
  • Employ strategies to educate EICP champions the area of health care ethics.
  • Student outreach.
  • Identify and address ethical issues and conflicts faced by clinicians in Patient Care Services.
  • Provide consultation to the organization regarding policies, procedures and programs with ethical implications.
  • Expand the impact of EICP through collaboration with other Collaborative Governance Committees, links with the organizational initiatives, and professional conference participation.
  • Engage in joint projects with other Collaborative Governance committees.
  • Align the work of the committee with PCS strategic goals. return to top
Membership:
  • All Patient Care Services professional staff are eligible to apply during the annual application process.
  • Annually, committee leaders recommend applicants to the Senior Vice President and Chief Nurse based upon the committee’s needs.
  • Applications are occasionally accepted from professional staff outside of PCS and will be recommended based upon the needs of the committee.
  • Committee meetings and events are open to the PCS community. return to top

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