Gather Jakov, Kaufmann Sarah, Otte Ina, Juckel Georg, Schildmann Jan, Vollmann Jochen
Institut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum.
Klinik für Psychiatrie, Psychotherapie und Präventivmedizin, LWL-Universitätsklinikum, Ruhr-Universität Bochum.
Psychiatr Prax. 2019 Mar;46(2):90-96. doi: 10.1055/a-0579-6469. Epub 2018 Apr 17.
The aim of this article is to assess the level of development of clinical ethics consultation in psychiatric institutions in North Rhine-Westphalia.
Survey among medical directors, directors of nursing and administrative directors of all psychiatric acute clinics and forensic psychiatric hospitals in North Rhine-Westphalia.
113 persons working in psychiatric acute clinics responded (response rate: 48 %) and 13 persons working in forensic psychiatric hospitals (response rate 62 %). We received at least one response from 89 % of all psychiatric acute clinics and from 100 % of all forensic psychiatric hospitals. 92 % of the responding psychiatric acute clinics and 29 % of the responding forensic psychiatric hospitals have already implemented clinical ethics consultation.
Clinical ethics consultation is more widespread in psychiatric institutions than was hitherto assumed. Future medical ethics research should therefore give greater attention to the methodology and the quality of clinical ethics consultation in psychiatric practice.
本文旨在评估北莱茵-威斯特法伦州精神病机构中临床伦理咨询的发展水平。
对北莱茵-威斯特法伦州所有精神科急症诊所和法医精神病医院的医务主任、护理主任和行政主任进行调查。
113名在精神科急症诊所工作的人员做出了回应（回应率：48%），13名在法医精神病医院工作的人员做出了回应（回应率62%）。我们收到了所有精神科急症诊所中89%的至少一份回应，以及所有法医精神病医院中100%的至少一份回应。92%做出回应的精神科急症诊所和29%做出回应的法医精神病医院已经实施了临床伦理咨询。
临床伦理咨询在精神病机构中的普及程度比迄今所认为的更高。因此，未来的医学伦理学研究应更加关注精神病实践中临床伦理咨询的方法和质量。
