Cargando…

Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)

INTRODUCTION: A Clinical Ethics Committee (CEC) is a multi-professional service whose aim is to support healthcare professionals (HPs) and healthcare organisations to deal with the ethical issues of clinical practice. Although CEC are quite common worldwide, their successful implementation in a hosp...

Descripción completa

Detalles Bibliográficos
Autores principales: Perin, Marta, Magelssen, Morten, Ghirotto, Luca, De Panfilis, Ludovica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008162/
https://www.ncbi.nlm.nih.gov/pubmed/36894200
http://dx.doi.org/10.1136/bmjopen-2022-067335
_version_ 1784905694012506112
author Perin, Marta
Magelssen, Morten
Ghirotto, Luca
De Panfilis, Ludovica
author_facet Perin, Marta
Magelssen, Morten
Ghirotto, Luca
De Panfilis, Ludovica
author_sort Perin, Marta
collection PubMed
description INTRODUCTION: A Clinical Ethics Committee (CEC) is a multi-professional service whose aim is to support healthcare professionals (HPs) and healthcare organisations to deal with the ethical issues of clinical practice. Although CEC are quite common worldwide, their successful implementation in a hospital setting presents many challenges. EVAluating a Clinical Ethics Committee implementation process (EvaCEC) will evaluate the implementation of a CEC in a comprehensive cancer centre in Northern Italy 16 months after its establishment. METHODS AND ANALYSIS: EvaCEC is a mixed-method study with a retrospective quantitative analysis and a prospective qualitative evaluation by a range of data collection tools to enable the triangulation of data sources and analysis. Quantitative data related to the amount of CEC activities will be collected using the CEC's internal databases. Data on the level of knowledge, use and perception of the CEC will be collected through a survey with closed-ended questions disseminated among all the HPs employed at the healthcare centre. Data will be analysed with descriptive statistics. The Normalisation Process Theory (NPT) will be used for the qualitative evaluation to determine whether and how the CEC can be successfully integrated into clinical practice. We will perform one-to-one semistructured interviews and a second online survey with different groups of stakeholders who had different roles in the implementation process of the CEC. Based on NPT concepts, the interviews and the survey will assess the acceptability of the CEC within the local context and needs and expectations to further develop the service. ETHICS AND DISSEMINATION: The protocol has been approved by the local ethics committee. The project is co-chaired by a PhD candidate and by a healthcare researcher with a doctorate in bioethics and expertise in research. Findings will be disseminated widely through peer-reviewed publications, conferences and workshops. TRIAL REGISTRATION NUMBER: NCT05466292.
format Online
Article
Text
id pubmed-10008162
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-100081622023-03-13 Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC) Perin, Marta Magelssen, Morten Ghirotto, Luca De Panfilis, Ludovica BMJ Open Ethics INTRODUCTION: A Clinical Ethics Committee (CEC) is a multi-professional service whose aim is to support healthcare professionals (HPs) and healthcare organisations to deal with the ethical issues of clinical practice. Although CEC are quite common worldwide, their successful implementation in a hospital setting presents many challenges. EVAluating a Clinical Ethics Committee implementation process (EvaCEC) will evaluate the implementation of a CEC in a comprehensive cancer centre in Northern Italy 16 months after its establishment. METHODS AND ANALYSIS: EvaCEC is a mixed-method study with a retrospective quantitative analysis and a prospective qualitative evaluation by a range of data collection tools to enable the triangulation of data sources and analysis. Quantitative data related to the amount of CEC activities will be collected using the CEC's internal databases. Data on the level of knowledge, use and perception of the CEC will be collected through a survey with closed-ended questions disseminated among all the HPs employed at the healthcare centre. Data will be analysed with descriptive statistics. The Normalisation Process Theory (NPT) will be used for the qualitative evaluation to determine whether and how the CEC can be successfully integrated into clinical practice. We will perform one-to-one semistructured interviews and a second online survey with different groups of stakeholders who had different roles in the implementation process of the CEC. Based on NPT concepts, the interviews and the survey will assess the acceptability of the CEC within the local context and needs and expectations to further develop the service. ETHICS AND DISSEMINATION: The protocol has been approved by the local ethics committee. The project is co-chaired by a PhD candidate and by a healthcare researcher with a doctorate in bioethics and expertise in research. Findings will be disseminated widely through peer-reviewed publications, conferences and workshops. TRIAL REGISTRATION NUMBER: NCT05466292. BMJ Publishing Group 2023-03-09 /pmc/articles/PMC10008162/ /pubmed/36894200 http://dx.doi.org/10.1136/bmjopen-2022-067335 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Ethics
Perin, Marta
Magelssen, Morten
Ghirotto, Luca
De Panfilis, Ludovica
Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title_full Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title_fullStr Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title_full_unstemmed Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title_short Evaluating a clinical ethics committee (CEC) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (EvaCEC)
title_sort evaluating a clinical ethics committee (cec) implementation process in an oncological research hospital: protocol for a process evaluation study using normalisation process theory (evacec)
topic Ethics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008162/
https://www.ncbi.nlm.nih.gov/pubmed/36894200
http://dx.doi.org/10.1136/bmjopen-2022-067335
work_keys_str_mv AT perinmarta evaluatingaclinicalethicscommitteececimplementationprocessinanoncologicalresearchhospitalprotocolforaprocessevaluationstudyusingnormalisationprocesstheoryevacec
AT magelssenmorten evaluatingaclinicalethicscommitteececimplementationprocessinanoncologicalresearchhospitalprotocolforaprocessevaluationstudyusingnormalisationprocesstheoryevacec
AT ghirottoluca evaluatingaclinicalethicscommitteececimplementationprocessinanoncologicalresearchhospitalprotocolforaprocessevaluationstudyusingnormalisationprocesstheoryevacec
AT depanfilisludovica evaluatingaclinicalethicscommitteececimplementationprocessinanoncologicalresearchhospitalprotocolforaprocessevaluationstudyusingnormalisationprocesstheoryevacec