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
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Online Access:https://ir.uitm.edu.my/id/eprint/94113/1/94113.pdf
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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
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