Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan

The field of clinical ethics has played a crucial role in addressing the ethical issues and dilemmas that healthcare professionals face in their clinical practice. Clinical ethics support services have evolved into the institutional ethics support provided within health systems in various countries...

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Main Author:	Ab Manan, Muhamad Izwan
Format:	Thesis
Language:	English
Published:	2023
Subjects:	Child Health Child health services
Online Access:	https://ir.uitm.edu.my/id/eprint/94113/1/94113.pdf
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id	my-uitm-ir.94113
record_format	uketd_dc
spelling	my-uitm-ir.941132024-04-29T02:34:43Z Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan 2023 Ab Manan, Muhamad Izwan Child Health. Child health services The field of clinical ethics has played a crucial role in addressing the ethical issues and dilemmas that healthcare professionals face in their clinical practice. Clinical ethics support services have evolved into the institutional ethics support provided within health systems in various countries around the world, with three primary functions- (1) case consultation, (2) education, and (3) policy review or development. Unlike adult medicine, paediatric practice presents unique ethical challenges that are not frequently observed in adult patient care. While ethical issues in paediatrics are relatively common, the number of paediatric ethics consultations was found to be significantly low in general. That can imply that clinical ethics support services have not been utilised to their full potential in paediatric practice. The need for clinical ethics support for paediatric practice has become more apparent with the advancement of modern medicine due to the numerous ethical quandaries related to paediatric care that have arisen as a result of this. This dissertation explores the development of paediatric clinical ethics support services in various countries and how they have been utilised. In the case of Hospital Al-Sultan Abdullah (HASA), key informant interviews (KIIs) revealed that the paediatricians faced a number of ethical issues related to clinical decision making, surrogate decision making, refusal of treatment by parents, end-of-life issues, and resource allocation issues. The recommendations in this dissertation took into account the ethical issues identified as well as the opinions of the paediatricians. The recommendation focuses primarily on promoting clinical ethics consultation services and the clinical ethics committee at HASA. Enhancing case consultations through grand rounds, providing ethics education and training, as well as guidelines and policy development in paediatric practice, have been highlighted. It is hoped that this dissertation will contribute to the literature on clinical ethics in Malaysia and will also significantly impact the development of a clinical ethics support service in paediatric practice in the country. 2023 Thesis https://ir.uitm.edu.my/id/eprint/94113/ https://ir.uitm.edu.my/id/eprint/94113/1/94113.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Min, Dr. Mark Tan Kiak
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Min, Dr. Mark Tan Kiak
topic	Child Health Child health services
spellingShingle	Child Health Child health services Ab Manan, Muhamad Izwan Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
description	The field of clinical ethics has played a crucial role in addressing the ethical issues and dilemmas that healthcare professionals face in their clinical practice. Clinical ethics support services have evolved into the institutional ethics support provided within health systems in various countries around the world, with three primary functions- (1) case consultation, (2) education, and (3) policy review or development. Unlike adult medicine, paediatric practice presents unique ethical challenges that are not frequently observed in adult patient care. While ethical issues in paediatrics are relatively common, the number of paediatric ethics consultations was found to be significantly low in general. That can imply that clinical ethics support services have not been utilised to their full potential in paediatric practice. The need for clinical ethics support for paediatric practice has become more apparent with the advancement of modern medicine due to the numerous ethical quandaries related to paediatric care that have arisen as a result of this. This dissertation explores the development of paediatric clinical ethics support services in various countries and how they have been utilised. In the case of Hospital Al-Sultan Abdullah (HASA), key informant interviews (KIIs) revealed that the paediatricians faced a number of ethical issues related to clinical decision making, surrogate decision making, refusal of treatment by parents, end-of-life issues, and resource allocation issues. The recommendations in this dissertation took into account the ethical issues identified as well as the opinions of the paediatricians. The recommendation focuses primarily on promoting clinical ethics consultation services and the clinical ethics committee at HASA. Enhancing case consultations through grand rounds, providing ethics education and training, as well as guidelines and policy development in paediatric practice, have been highlighted. It is hoped that this dissertation will contribute to the literature on clinical ethics in Malaysia and will also significantly impact the development of a clinical ethics support service in paediatric practice in the country.
format	Thesis
qualification_level	Master's degree
author	Ab Manan, Muhamad Izwan
author_facet	Ab Manan, Muhamad Izwan
author_sort	Ab Manan, Muhamad Izwan
title	Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
title_short	Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
title_full	Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
title_fullStr	Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
title_full_unstemmed	Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan
title_sort	developing clinical ethics support for paediatric practice at hospital al-sultan abdullah / muhamad izwan ab manan
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2023
url	https://ir.uitm.edu.my/id/eprint/94113/1/94113.pdf
_version_	1804889921295482880

Developing clinical ethics support for paediatric practice at Hospital Al-Sultan Abdullah / Muhamad Izwan Ab Manan

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