Montanari Vergallo Gianluca, Petrini Carlo
Universita degli Studi di Roma La Sapienza Rome, Italy. Biomedical Sciences. University of Rome. ″Sapienza″ Viale Regina Elena. 336 Rome, 00161. Italy.
Bioethics Unit, Italian National Institute of Health. Via Giano della Bella, 34 Rome, 00162,
Cuad Bioet. 2018 Sep-Dec;29(97):221-231.
In 2017, the Italian National Bioethics Committee (INBC) released an opinion paper titled ″Clinical ethics committees″. Said document advocates for the creation of ″clinical bioethics committees″ in every suitable setting and lays out a set of guidelines aimed at regulating such committees' functions. The recommendations deal primarily with the independence, requirements for counselling, structures, composition, tasks, placement, coordination, requisite competences, regulations. In the opinion's contents there are: a) the need to entrust counselling and training on ethical issues within clinical practice to different committees than those that deal with ethical assessments of scientific trials and experimentation; b) the laying out of all the various functions and related competencies required of the ethics committees' members; c) the necessity that all counselling practices be carried out by each committee as a whole, rather than by a single expert member; d) Committee's independence. The authors elaborate on each one of the above mentioned aspects and highlight the importance of INBC's recommendations in order to improve the quality standards of care delivered ″to each patient's bed″.
2017年,意大利国家生物伦理委员会(INBC)发布了一篇题为《临床伦理委员会》的意见书。该文件主张在每个合适的环境中设立“临床生物伦理委员会”,并制定了一套旨在规范此类委员会职能的指导方针。这些建议主要涉及独立性、咨询要求、结构、组成、任务、设置、协调、必备能力、规章制度。该意见书的内容包括:a)有必要将临床实践中伦理问题的咨询和培训委托给与负责科学试验和实验伦理评估的委员会不同的其他委员会;b)列出伦理委员会成员所需的所有各种职能和相关能力;c)每个委员会的所有咨询工作必须由整个委员会进行,而不是由单个专家成员进行;d)委员会的独立性。作者详细阐述了上述每个方面,并强调了INBC建议对于提高“每张病床旁”所提供护理质量标准的重要性。