Clinical ethics committees have existed in Norway since 1996. By now all hospital trusts have one. An evaluation of these
committees’ work was started in 2004. This paper presents results from an interview study of eight clinicians who evaluated
six committees’ deliberations on 10 clinical cases. The study indicates that the clinicians found the clinical ethics consultations
useful and worth while doing. However, a systematic approach to case consultations is vital. Procedures and mandate of the
committees should be known to clinicians in advance to ensure that they know what to expect. Equally important is bringing
all relevant facts, medical as well as psychosocial, into the discussion. A written report from the deliberation is also important
for the committees to be taken seriously by the clinicians. This study indicates that the clinicians want to be included in
the deliberation, and not only in the preparation or follow-up. Obstacles for referring a case to the committee are the medical
culture’s conflict aversion and its anxiety of being judged by outsiders. The committees were described as a court by some
of the clinicians. This is a challenge for the committees in their attempt to balance support and critique in their consultation
services.
Keywords clinical ethics committee - clinical ethics consultation - conflicts - evaluation - procedures