Emily Elizabeth Holmes

Limited data exists that examines the reasons clinical ethics consultations in the healthcare industry are requested. To add to the literature, we have evaluated the reasons clinic ethics consults were requested at Indiana Health University (IUH) in 2023 to improve future patient care, identify quality improvement opportunities, educate fellow team members at IUH, as well as to inform research and address institutional policy changes. This information was identified through data collected using the REDCap Database and Cerner, the electronic medical record that is used at IUH. Our results show 170 ethics consultations were requested between the dates of January 1, 2023, to December 31, 2023, for adult patients, including inpatient and outpatient locations. Provider moral distress was identified to be the most frequent ethics issue that arose, along with patient best interest and decision-making capacity. The ethics consultation service at IUH has reviewed the data collected in this study and is actively working to improve ethics education opportunities for bedside team members, identifying recurrent ethical dilemmas, and improving the overall function of the ethics consultation service.

This chapter examines the growth of the food justice movement in Memphis and the Mid-South in light of the problem of food insecurity experienced in this region. Although food insecurity disproportionately affects low-income people of color, the good food movement is primarily led by white middle-class individuals. Drawing on critical race theory and liberation theologies, this paper offers a critique of (race and class) privilege within organizations dedicated to food justice and suggests that humility and solidarity are the key virtues needed for those working in the food justice movement from a position of white privilege and economic security. Humility shapes our self-understanding and ability to listen to others, while solidarity promotes the work of justice as an expression of love. The chapter concludes by arguing for the cultivation of these virtues through religious narratives, communities shaped by a diverse range of experience, and concrete, on-going practices of shared commitment.