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Table 1 Description of the Bioethics Unit’s activities and aims

From: Research, education, ethics consultation: evaluating a Bioethics Unit in an Oncological Research Hospital

Activity

Promoted by

Dedicated to

Description of the activity

Aim

RESEARCH

All the BU members or other services and wards

Other services and wards

Development, implementation and evaluation of research projects related to ethical issues of clinical practice, employing qualitative and quantitative research

To promote ethical reflections and knowledge among HPs, especially regarding the following topics: patient engagement and shared decision-making, advance care planning (ACP), Advance Directives (AD), end-of-life issues and palliative care, pediatric palliative care, and ethics of resource allocation

ETHICS CONSULTATION

Only the Head of the BU

Individual HPs or healthcare teams, especially in urgent circumstances

Provision of retrospective and prospective ethics consultation by a single, face-to-face consultation

To support HPs in resolving ethical conflicts or deal with the complex decision-making process

ETHICS SUPERVISION

Only the Head of the BU

Healthcare teams, during their regular meetings

Provision of structured ethical supervision during the care team meetings

If ethical aspects emerge, the Head of the BU participates in the discussion, supporting HPs to focus on the ethical dimension of care and deal with emerging moral complexities

EDUCATION AND TRAINING

All the BU members

Single wards on a specific request, or all HPs

Implementation and provision of training programs and ethics education by face-to-face and experiential classes

To promote ethical reflections and knowledge among HPs, especially regarding the following topics: patient engagement and shared decision-making, advance care planning (ACP), Advance Directives (AD), end-of-life issues and palliative care, pediatric palliative care, and ethics of resource allocation