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Ethics Nova Scotia Health: New structure for ethics support - Part 1

In September 2024, Ethics Nova Scotia Health launched its new model for delivery of ethics support. This was done to:

• better align ethics support with the organization’s movement towards provincial approaches to program delivery and administration.
• promote greater availability of ethics support across the province.

This post looks at the structure for ethics support and the changes we have made, and the types of ethics support available to health care providers, staff members, volunteers, and patients and families.

Changes to Ethics Nova Scotia Health’s structure

The main change to our structure is the formation of three Core Function Groups:

• Clinical Ethics Support
• Organizational Ethics and Policy Support
• Ethics Education

These groups replace the previous Local Ethics Teams, Zone Ethics Committees, and the Ethics Leads group.

As of October 2024, Ethics Nova Scotia Health's updated structure and community includes about 55 members from all four zones. Each Core Function Group consists of health care providers and staff members from a wide range of programs and services, and community members. These Core Function Groups provide ethics support within Nova Scotia Health, with support from the Ethics Collaborations Team in the Department of Bioethics at Dalhousie University.

Types of ethics support available

While the delivery of ethics support has changed, the types of ethics support available remain the same and include:

• Clinical Ethics Support offers ethics support pertaining to a specific patient’s care or to a particular clinical situation involving questions of professional ethics.
• Ethics Education is available for education days or if there is an ethics topic that your team would like to explore. We can tailor the education session(s) to your needs. Some recent topics we have worked on include “ethics issues in health care documentation” and “moral distress.” We also develop ethics education resources, such as a guide for patients and families about Making Health Care Decisions for Someone Else: Acting as a Substitute Decision-Maker (SDM), and our Ethics Tool: Help with Ethical Issues.
• Organizational Ethics and Policy Support addresses broader, systems-level issues that typically affect larger groups of patients and other stakeholders. Organizational ethics may involve overall direction for programs, zones, and Nova Scotia Health as a whole, where an ethics perspective can contribute to analysis and strategic choices. This can also include support with policy development and/or ethics review of policies. This Core Function Group is available to review draft policies through an ethics lens, as well as offer support in applying our feedback.
  For upcoming deadlines and details on how to submit policies for an ethics review, see our Ethics Review of Nova Scotia Health Policies – Submission Deadlines.

In part 2 of this post, we will take a closer look at ethics support available for policy developers and the process for requesting and obtaining stakeholder feedback on draft policies from Ethics Nova Scotia Health.

If you need ethics support, you can:

• Submit a request through the forms on our public website
• Leave a message on our confidential voicemail (toll-free): 1-833-392-1413
• Email: Ethicssupport@nshealth.ca

Lisbeth Witthoefft Nielsen

Ethics Program Manager, Ethics Nova Scotia Health