Christine Mitchell RN, MS, MTS, FAAN is executive director of the Center for Bioethics. She received her bachelor’s and master’s degrees in science from Boston University School of Nursing and a master’s degree from Harvard where she majored in philosophical and religious ethics as a Kennedy Fellow in Medical Ethics through the Interfaculty Program at Harvard Medical School, Harvard Divinity School and Harvard School of Public Health. She is also an elected Fellow of the American Academy of Nurses.
Christine founded the ethics program at Boston Children’s Hospital, directing the ethics consultation service and leading the Ethics Advisory Committee for 30 years. She was also associate director of clinical ethics at Harvard Medical School’s Division of Medical Ethics where she developed the Ethics Leadership Group, an intensive clinical bioethics course, and an all-volunteer citizen Community Ethics Committee for informed public input on ethical aspects of health care and health policies. She leads the monthly Harvard Ethics Consortium discussion of ethics cases and teaches in the HMS Medical Ethics Fellowship program. Her research has focused on ethics consultation, and public engagement in policies regarding resource allocation related to major natural disasters or pandemics.
Christine has served on numerous national committees and commissions, including the American Society for Bioethics and Humanities’ Clinical Ethics Consultation Committee and, most recently, the Ethical Legal and Social Aspects Committee for the Human Brain Project funded by the European Commission. She lectures nationally and internationally on issues in clinical ethics. Her published work includes a documentary film, made with Ben Achtenberg, which was nominated for an Academy Award, and a documentary video that received an international Freddie award for medical media. She edits a regular series of ethics cases for The Journal of Clinical Ethics and has written on numerous topics in bioethics for the American Journal of Nursing, the New England Journal of Medicine, several specialty clinical journals, and Newsweek.
The Journal of clinical ethics, January 1, 2006
The Journal of clinical ethics, January 1, 2004
The Journal of clinical ethics, January 1, 2003
The Journal of clinical ethics, January 1, 2002
Lecture on "Expanded Access": https://vimeo.com/154201394
Religion, Spirituality, and the Hidden Curriculum: Medical Student and Faculty ReflectionsMichael Balboni, Julia Bandini, Christine Mitchell, Zachary D Epstein-Peterson, Ada Amobi, Jonathan Cahill, Andrea C Enzinger, John Peteet, Tracy BalboniJournal of pain and symptom management 05/2015; DOI:10.1016/j.jpainsymman.2015.04.020
Whose Role? Oncology Practitioners' Perceptions of Their Role in Providing Spiritual Care to Advanced Cancer Patients (S784) Danielle Rodin, Michael Balboni, Christine Mitchell, Patrick T Smith, Tyler J VanderWeele, Tracy A BalboniJournal of Pain and Symptom Management 01/2015; 49(2). DOI:10.1007/s00520-015-2611-2
Hinduism and Death with Dignity: Historic and Contemporary Case Examples. Rajan Dewar, Nancy Cahners, Christine Mitchell, Lachlan ForrowThe Journal of clinical ethics 01/2015; 26(1):40-47
Nurse and Physician Barriers to Spiritual Care Provision at the End of LifeMichael J Balboni, Adam Sullivan, Andrea C Enzinger, Zachary D Epstein-Peterson, Yolanda D Tseng, Christine Mitchell, Joshua Niska, Angelika Zollfrank, Tyler J Vanderweele, Tracy A BalboniJournal of pain and symptom management 01/2014; 48(3). DOI:10.1016/j.jpainsymman.2013.09.020
Qualms of a Believer in Narrative EthicsChristine MitchellThe Hastings Center Report 01/2014; 44 Suppl 1:S12-5. DOI:10.1002/hast.262
Medical decision-making capacity: knowledge, attitudes, and assessment practices of physicians in Switzerland. Helena Hermann, Manuel Trachsel, Christine Mitchell, Nikola Biller-AndornoSwiss medical weekly: official journal of the Swiss Society of Infectious Diseases, the Swiss Society of Internal Medicine, the Swiss Society of Pneumology 01/2014; 144:w14039. DOI:10.4414/smw.2014.14039
Medical Missions to Ghana: The Ethics of Choosing Children for Cardiac Surgery. Christine Mitchell The Journal of clinical ethics 01/2014; 25(4):307
Trachsel, M. Mitchell, C., Biller-Andorno, N. Advance Directives: Between Respect for Patient Autonomy and Paternalism, Chapter 11 in P. Lack et al. (eds) Advance Directives, International Library of Ethics, Law, and the New Medicine 54, DOI 10..1007/978-94-007-7377-6_11 (Dordrecht, Springer Science+Business Media) 2014. Christine Mitchell, m. Trachsel, N. Biller-AndornoAdvance Directives, International Library of Ethics, Law, and the New Medicine 54, 01/2014: chapter Advance Directives: Between Respect for Patient Autonomy and Paternalism; Dordrecht, Springer Science+Business Media.
INFORMED CONSENT IN ADVANCE CARE PLANNING IN THE PALLIATIVE CARE SETTING: A DECISION AID LIBRARY FOR END OF LIFE CARE.T Krones, B Loupatatzis, B Steffen-Bürgli, D Otto, M Brunner, N Biller-Andorno, G Eisele, J In der Schmitten, C Mitchell, S Obrist, D Poster, T Rordorf, K Schad, R Spirig, A Volandes, K Zaugg, L ZimmerliSupportive and Palliative Care 06/2013; 3(2):282. DOI:10.1136/bmjspcare-2013-000491.148
Streuli, Mitchell et al. DSD and Professionalism from a Multilateral view [Advances in Urology 2012] Jurg C. Streuli, Knut Werner-Rosen, Christine Mitchell, Birgit Kohler
CMitchell, Ethical DilemmasChristine Mitchell
Does professional orientation predict ethical sensitivities? Attitudes of paediatric and obstetric specialists toward fetuses, pregnant women and pregnancy terminationStephen D Brown, Karen Donelan, Yolanda Martins, Sadath A Sayeed, Christine Mitchell, Terry L Buchmiller, Kelly Burmeister, Jeffrey L EckerJournal of medical ethics 04/2013; 40(2). DOI:10.1136/medethics-2012-101126
Decision-making incapacity at the end of life: conceptual and ethical challenges Manuel Trachsel, Christine Mitchell, Nikola Biller-Andorno
The ethics of reality medical television. Thalia Margalit Krakower, Martha Montello, Christine Mitchell, Robert D TruogThe Journal of clinical ethics 01/2013; 24(1):50-7.
Differing Attitudes Toward Fetal Care by Pediatric and Maternal-Fetal Medicine Specialists Stephen D Brown, Karen Donelan, Yolanda Martins, Kelly Burmeister, Terry L Buchmiller, Sadath A Sayeed, Christine Mitchell, Jeffrey L EckerPEDIATRICS 11/2012; 130(6). DOI:10.1542/peds.2012-1352
DSD and Professionalism from a Multilateral View: Supplementing the Consensus Statement on the Basis of a Qualitative Survey. Jürg C Streuli, Birgit Köhler, Knut Werner-Rosen, Christine Mitchell Advances in Urology 07/2012; 2012:185787. DOI:10.1155/2012/185787
Shared decision making and advance care planning-underpinnings, similarities and differences.T Krones, N Biller Andorno, J In der Schmitten, C Mitchell, R Spirig, K Zaugg]Supportive and Palliative Care 06/2012; 2(2):173. DOI:10.1136/bmjspcare-2012-000250.10
Prenatally diagnosed fetal conditions in the age of fetal care: does who counsels matter? Stephen D Brown, Jeffrey L Ecker, Johanna R M Ward, Elkan F Halpern, Sadath A Sayeed, Terry L Buchmiller, Christine Mitchell, Karen DonelanAmerican journal of obstetrics and gynecology 02/2012; 206(5):409.e1-11. DOI:10.1016/j.ajog.2012.01.026
HCEC pearls and pitfalls: suggested do's and don't's for healthcare ethics consultants.Joseph A Carrese, Armand H Matheny Antommaria, Kenneth A Berkowitz, Jeffrey Berger, Brian H Childs, Arthur R Derse, Colleen Gallagher, John A Gallagher, Paula Goodman-Crews, Ann Heesters, [...], Christine Mitchell,, Nneka Mokwyune, Kayhan Parsi, Tia Powell, Kathleen E Powderly, Tarris Rosell, Wayne Shelton, Martin L Smith, Jeffrey Spike, Anita Tarzian, Lucia WocialThe Journal of clinical ethics 01/2012; 23(3):234-40.
DSD and Professionalism from a Multilateral ViewJurg C. Streuli, Birgit Kohler, Knut Werner-Rosen, Christine Mitchell
NIH Consensus Development Conference Statement: Inhaled Nitric-Oxide Therapy for Premature InfantsF Sessions Cole, Claudia Alleyne, John D E Barks, Robert J Boyle, John L Carroll, Deborah Dokken, William H Edwards, Michael Georgieff, Katherine Gregory, Michael V Johnston, Michael Kramer, Christine Mitchell, Josef Neu, DeWayne M Pursley, Walter M Robinson, David H RowitchPEDIATRICS 02/2011; 127(2):363-9. DOI:10.1542/peds.2010-3507
Burns J, Mitchell C. Do not resuscitate orders and redirection of treatment, Chapter 9 in End of Life Care for Children and Adults with Intellectual and Developmental Disabilities, ed by S. Friedman and D. Helm. Washington DC: AAIDD, 2010: 147-160. Christine Mitchell, Jeffrey BurnsEnd of Life Care for Children and Adults with Intellectual and Developmental Disabilities,, Edited by S. Friedman and D. Helm, 01/2010: chapter Do not resuscitate orders and redirection of treatment: pages 147-160; AAIDD.
Not Fetal CosmetologyDiamond, DA. Ecker, J. Holm, I., Kornetsky, S., Mitchell, C., Spack, N.Bioethics Forum, 03/08/2010
Futility - From hospital policies to state laws Robert D Truog, Christine MitchellThe American Journal of Bioethics 10/2006; 6(5):19-21; discussion W30-2. DOI:10.1080/15265160600858989
Sex assignment for newborns with ambiguous genitalia and exposure to fetal testosterone: Attitudes and practices of pediatric urologists David A Diamond, Jeffrey P Burns, Christine Mitchell, Kersten Lamb, Alex I Kartashov, Alan B RetikJournal of Pediatrics 04/2006; 148(4):445-9. DOI:10.1016/j.jpeds.2005.10.043
When a village is not enough. Christine Mitchell, Robert TruogThe Journal of clinical ethics 02/2006; 17(1):79.
A mother's death: the story of "Margaret's" children. Christine Mitchell The Journal of clinical ethics 02/2006; 17(4):331-2.
Accusations of murder and euthanasia in end-of-life care Lewis Cohen, Linda Ganzini, Christine Mitchell, Stephen Arons, Elizabeth Goy, James ClearyJournal of Palliative Medicine 01/2006; 8(6):1096-104. DOI:10.1089/jpm.2005.8.1096
Is there any consensus about end-of-life care in pediatrics?Jeffrey P Burns, Christine MitchellArchives of Pediatrics and Adolescent Medicine 10/2005; 159(9):889-91. DOI:10.1001/archpedi.159.9.889
Excerpts from the ethics consult report: MT. Christine Mitchell, Robert D TruogThe Journal of clinical ethics 02/2004; 15(3):302-6.
Baby Michael's Short StoryChristine Mitchell, Robert TruogThe Journal of clinical ethics 01/2004; 15(3):291.
A Bridge to NowhereChristine Mitchell, Robert TruogThe Journal of clinical ethics 02/2003; 14(3):189. DOI:10.1038/nbt1095-1030b
Seeking Blinded ConsentChristine Mitchell, Robert TruogThe Journal of clinical ethics 01/2003; 14 (1-2):88-89
Case reports from the Harvard Ethics ConsortiumChristine Mitchell, Robert TruogThe Journal of clinical ethics 02/2002; 13(1):49-53
Irene's storyChristine Mitchell, Robert TruogThe Journal of clinical ethics 02/2002; 13(3):230-1.
An epilogue to "Jamie's story".Christine Mitchell The Journal of clinical ethics 02/2002; 13(2):151-3.
The Moral of the StoryChristine Mitchell The Journal of clinical ethics 01/2002; 13(2):153-159
End-of-life care in the pediatric intensive care unit: attitudes and practices of pediatric critical care physicians and nurses. Jeffrey P. Burns, Christine Mitchell, John L. Griffith, Robert D. TruogCritical Care Medicine 04/2001; 29(3):658-64. DOI:10.1097/00003246-200103000-00036
End-of-life care in the pediatric intensive care unit after the forgoing of life-sustaining treatment. Jeffrey P. Burns, Christine Mitchell, Kristan M. Outwater, Maggie Geller, John L. Griffith, I. David Todres, Robert D. TruogCritical Care Medicine 09/2000; 28(8):3060-6. DOI:10.1097/00003246-200008000-00064
When living is a fate worse than death.C MitchellNewsweek 09/2000; 136(9):12.
Autopsy consent practice at US teaching hospitals: results of a national survey. Glen E. Rosenbaum, Jeffrey Burns, Judy Johnson, Christine Mitchell, Mary Robinson, Robert D. TruogArchives of Internal Medicine 03/2000; 160(3):374-80. DOI:10.1001/archinte.160.3.374
Pharmacologic paralysis and withdrawal of mechanical ventilation at the end of life.Robert D. Truog, Jeffrey P. Burns, Christine Mitchell, Judy Johnson, Walter RobinsonNew England Journal of Medicine 03/2000; 342(7):508-11. DOI:10.1056/NEJM200002173420712
Truog, R. Mitchell, C. Guest Editors, Special Issue on Ethics in Pediatrics, The Journal of Clinical Ethics, 11 (2), Summer 2000. Christine Mitchell
From the files of a pediatric ethics committee. C Mitchell, R D TruogThe Journal of clinical ethics 02/2000; 11(2):112-20.
Responding to parental requests to forego pediatric nutrition and hydration. J Johnson, C MitchellThe Journal of clinical ethics 02/2000; 11(2):128-35.
Editor's introduction (to a set of articles by P.H. Jos et al.; H.L. Nelson; B. Spielman; J.L. Nelson; M.A. Rie; J.S. Alper; E. Parens; and J. Spike and J. Greenlaw) Christine Mitchell The Journal of Law Medicine & Ethics 02/1995; 23(2):117-9.
The Child Health Advisory Plan: A Health Care Directive for Families, 1994. Christine Mitchell, Robert Wharton, et al
Barbiturates in the care of the terminally ill. Robert D. Truog, Charles B. Berde, Christine Mitchell, Holcombe E. GrierNew England Journal of Medicine 01/1993; 327(23):1678-82. DOI:10.1056/NEJM199212033272311
Dilemmas in Practice: Her Only Chance.Elaine Caron, Christine Mitchell The American Journal of Nursing 10/1991; 91(9):19-20. DOI:10.1097/00000446-199109000-00007
Coordinating Council on Life-Sustaining Medical Treatment Decision Making by the Courts, Guidelines for State Court Decision Making in Authorizing or Withholding Life-Sustaining Medical Treatment, first edition 1991, Revised second edition 1993. (St. Paul, Minnesota, West Publishing Co.) Christine Mitchell, Coordinating Council on Life-Sustaining Medical Treatment Decision Making by the Courts1 01/1991; West Publishing Co..
On Heroes and Villains in the Linares DramaChristine MitchellLaw, medicine & health care: a publication of the American Society of Law & Medicine 01/1990; 17(4).
Ethical DilemmasChristine Mitchell Critical Care Nursing Clinics of North America 01/1990; 2(3):427-430.
Which child gets the transplant? INGRID ERIKSON, CHRISTINE MITCHELLThe American Journal of Nursing 04/1988; 88(3):287-8. DOI:10.1097/00000446-198803000-00011
If it's AIDS, please don't tell. C Mitchell, L SmithThe American Journal of Nursing 08/1987; 87(7):911-2, 914.
Dilemmas in Practice: the Fragile SurvivorCHRISTINE MITCHELL, PATRICIA A. RUTHERFORDThe American Journal of Nursing 04/1987; 87(5):603-605. DOI:10.1097/00000446-198705000-00008
Steadying the Hand that FeedsChristine Mitchell The American Journal obg Nursing 01/1987 293-96
Considering the Principle of FidelityChristine MitchellNursing Life, 26-30, September/October 1986
Considering the Principle of JusticeChristine MitchellNursing Life, 50-54, May/June 1986
Considering the Principle of AutonomyChristine MitchellNursing Life, 26-30, March/April 1986
The Practice of Perinatal/Neonatal Nursing: A Clinical Handbook. Edited by Angelini, D, Knapp, CW, Gibes, R, 01/1986: Christine Mitchell, chapter Ethical Issues in Perinatal Nursing,: pages 429-437, Blackwell Scientific Publications, Inc.
The Nurse-Patient Relationship: A Source of Some Moral DutiesChristine Mitchell The Connecticut Scholar, 1986
Considering the Principle of BeneficenceChristine MitchellNursing Life, 18-23, January/February 1986
Care of Severely Impaired Infant Raises Ethical IssuesChristine Mitchell The American nurse 01/1984; 16(3)
Legal, Medical and Ethical Problems of the Baby Jane Doe Issue: A Nurse's ReactionChristine MitchellLaw, Science, and Technology Monograph Series. Levandoski, D. and Seitz, P. (eds), Concord, NH, Franklin Pierce Law Center, 1984
Infant Death Problem Must Go Beyond the NurseryChristine Mitchell, Susan M ShawBoston Globe, p 25, March 1983
Report of the Special Committee on Biomedical Ethics (Chair, Hoffman, P. Mitchell, C.) Values in Conflict: Resolving Ethical Issues in Hospital Care. Christine MitchellChicago, IL, American Hospital Association, 1985. (2nd edition, 1993)
Integrity in Interprofessional Relationships in Responsibility in Health Care, Philosophy and Medicine Series, Volume 15, Agich, GJ, (ed), Boston, MA and Dordrecht, Holland, D. Reidel Publishing C, 163-184, 1982. [Reprinted in Edwards, RB and Graber, GC. Bioethics, New York, Harcourt Brace Jovanovich Publishers, 63-72, 1989.]Christine MitchellResponsibility in Health Care, Edited by G.J. Agich, 01/1982: chapter Integrity in Interprofessional Relationships: pages 163-184; D. Reidel Publishing.
New directions in nursing ethics.Christine MitchellBulletin of the Massachusetts Nurses Association 08/1981; 50(7):7-10.
The Infertile Family in Chapter 1 Prenatal Health, Part II Maternity Nursing in Blakiston Handbook of Clinical Nursing, 1st edition. Dickson, J, et al (eds.). NY, McGraw-Hill Book Co, 1979. Christine MitchellBlakiston Handbook of Clinical Nursing, 1st edited by J Dickson, et al, 01/1979: chapter The Infertile Family; McGraw Hill.
Code gray: ethical dilemmas in nursing. J Sawyer, B Actenberg, C Mitchell NursingLife 6(1):18-23.
Autopsy Consent Practice at US Teaching HospitalsGlen E. Rosenbaum, Jeffrey Burns, Judy Johnson, Christine Mitchell, Mary Robinson, Robert D. Truog
[If it is AIDS, please don't tell anyone]. C Mitchell, L SmithServir (Lisbon, Portugal) 36(4):208-11.