The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

Matteo Filippini; Federico Nicoli; Mario Picozzi; Nicola Latronico

doi:10.1186/s44158-022-00069-0

The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)

J Anesth Analg Crit Care. 2022 Sep 14;2(1):40. doi: 10.1186/s44158-022-00069-0.

Authors

Matteo Filippini¹, Federico Nicoli^{2

3}, Mario Picozzi², Nicola Latronico^{4

5}

Affiliations

¹ Department of Anesthesia, Intensive Care and Emergency, ASST Spedali Civili University Hospital, Piazzale Spedali Civili, 1, Brescia, 25123, Italy. [email protected].
² Center for Clinical Ethics, Department of Biotechnologies and Life Sciences, University of Insubria, Varese, Italy.
³ Clinical Ethics Service, Domus Salutis Clinic, Teresa Camplani Foundation, Brescia, Italy.
⁴ Department of Anesthesia, Intensive Care and Emergency, ASST Spedali Civili University Hospital, Piazzale Spedali Civili, 1, Brescia, 25123, Italy.
⁵ Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, 25123, Italy.

Abstract

Background: The current organizational structure of the Italian healthcare system does not include the institutionalization of clinical ethics services. To describe the need for structured clinical ethics consultation services for ICU staff members in the intensive care unit (ICU), a monocentric observational survey study was performed utilizing a paper-based questionnaire.

Results: A total of 73 healthcare professionals (HCPs) responded out of a team of 84 people (87%). The results showed that the need for ethics consultation in the ICU is urgent, the institutionalization of the clinical ethics service is perceived as useful and should be a priority, and the issues on which the HCPs would like ethics consultation to focus are various and belong to "end of life" topics.

Conclusions: HCPs believe that the clinical ethicist should become an integral part of ICU healthcare teams, offering consultations similar to the other specialistic consultations carried out in hospitals.

Keywords: Clinical ethics consultation; Clinical ethics service; Intensive care unit.