Objective: According to the case study of a large German clinic for psychiatry and psychotherapy, the introduction of a clinical ethics consultation should be scientifically accompanied and the results integrated into the implementation.
Methods: Employee surveys at different measurement points before and after the introduction were used as the data basis. The data were analyzed using descriptive statistical methods as well as inferentially tested for significance.
This study provides for the first time a comprehensive overview of the state-of-the-practice of clinical ethics consultation in German psychiatric hospitals. Structures for ethics counselling were available in only 57 % of the hospitals. In about one third of the participating hospitals, structures of ethics counselling had not yet been considered or were actively dismissed.
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