Clinical Ethics: Support

Molewijk, Bert; Slowther, Anne; Aulisio, Mark P.

doi:10.1007/978-3-319-05544-2_87-1

Cited by 21 publications

(23 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moral Case Deliberation (MCD) has been described as healthcare professionals’ collective moral reasoning, led by a facilitator, on a concrete moral question from their practice (Molewijk, Abma, et al, ). Concretely, a MCD meeting often lasts 45–90 min and the facilitator does not serve as an expert of what should be done but instead has a responsibility that all participants are given opportunity to take part in the dialogue and that there is a focus on the moral dimensions of the question discussed and help the group to plan how the lessons learned during the meeting can be used in patient care (Molewijk, Slowther, & Aulisio, ). Dutch MCD has its theoretical background in hermeneutics ethics which is manifested in the use of cases from the participants own practice and where the reflections on the case enlarge the participants perspectives (Molewijk, Abma, et al, ).…”

Section: Literature Reviewmentioning

confidence: 99%

Impact of clinical ethics support on daily practice—First‐line managers’ experiences in the Euro‐MCD project

Silén

Svantesson

2019

J Nurs Manag

View full text Add to dashboard Cite

Aim To explore first‐line managers’ experiences of what Moral Case Deliberation has meant for daily practice, to describe perceptions of context influence and responsibility to manage ethically difficult situations. Background In order to find measures to evaluate Moral Case Deliberation, the European Moral Case Deliberation Outcome instrument was developed and is now in the stage of revision. For this, there is a need of several perspectives, one of them being the managerial bird‐eye perspective. Method Eleven first‐line managers at workplaces, participating in the European Moral Case Deliberation Outcome instrument project, were interviewed and thematic analysis was applied. Results Managers’ experiences were interpreted as enhanced ethical climate: a closer‐knit and more emotionally mature team, morally strengthened individuals, as well as ethics leaving its marks on everyday work and morally grounded actions. Despite organizational barriers, they felt inspired to continue ethics work. Conclusion and Implications This study confirmed, but also added ethical climate aspects, such as morally grounded actions. Furthermore, adding ethical climate as a construct in the European Moral Case Deliberation Outcome instrument should be considered. First‐line managers need clear directives from their managers that ethics work needs to be prioritized for the good of both the staff and the patients.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Impact of clinical ethics support on daily practice—First‐line managers’ experiences in the Euro‐MCD project

Silén

Svantesson

2019

J Nurs Manag

View full text Add to dashboard Cite

show abstract

“…Supporting healthcare professionals, patients, and family in dealing with ethically difficult situations is the main goal of clinical ethics support: a service that can take various forms, such as individual ethics consultants, ethics committees, and moral case deliberation (MCD). 1 MCD i has been implemented now for more than two decades in many healthcare settings. [2][3][4][5] MCD is a group dialogue in which professionals (sometimes with patients and family) jointly investigate a moral question that emerges out of a situation they experienced in their daily practice, by reflecting on relevant values and norms from different perspectives and on possible solutions.…”

Section: Introductionmentioning

confidence: 99%

Field-testing the Euro-MCD Instrument: Experienced outcomes of moral case deliberation

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background: Moral case deliberation is a form of clinical ethics support to help healthcare professionals in dealing with ethically difficult situations. There is a lack of evidence about what outcomes healthcare professionals experience in daily practice after moral case deliberations. The Euro-MCD Instrument was developed to measure outcomes, based on the literature, a Delphi panel, and content validity testing. To examine relevance of items and adequateness of domains, a field study is needed. Aim: To describe experienced outcomes after participating in a series of moral case deliberations, both during sessions and in daily practice, and to explore correlations between items to further validate the Euro-MCD Instrument. Methods: In Sweden, the Netherlands, and Norway, healthcare institutions that planned a series of moral case deliberations were invited. Closed responses were quantitatively analyzed. The factor structure of the instrument was tested using exploratory factor analyses. Ethical considerations: The study was approved in Sweden by a review board. In Norway and the Netherlands, data services and review boards were informed about the study. Results: The Euro-MCD Instrument was completed by 443 and 247 healthcare professionals after four and eight moral case deliberations, respectively. They experienced especially outcomes related to a better collaboration with co-workers and outcomes about individual moral reflexivity and attitude, both during sessions and in daily practice. Outcomes were experienced to a higher extent during sessions than in daily practice. The factor structure revealed four domains of outcomes, which did not confirm the six Euro-MCD domains. Conclusion: Field-testing the Euro-MCD Instrument showed the most frequently experienced outcomes and which outcomes correlated with each other. When revising the instrument, domains should be reconsidered, combined with theory about underlying concepts. In the future, a feasible and valid instrument will be presented to get insight into how moral case deliberation supports and improves healthcare.

show abstract

“…Internationally, several ethics support services have been developed to support healthcare professionals when dealing with their ethical dilemmas 3. Moral case deliberation is one such method of ethics support 4.…”

Section: Introductionmentioning

confidence: 99%

Moral case deliberation

et al. 2017

View full text Add to dashboard Cite

Ethical dilemmas in general are characterised by a choice between two mutually excluding options neither of which is satisfactory, because there always will be a form of moral damage. Within the context of medicine several ethics support services have been developed to support healthcare professionals in dealing with ethical dilemmas, including moral case deliberation. In this article, we describe how moral case deliberation works in daily practice, illustrated with a case example from the neurology ward. The article is meant as an introduction to moral case deliberation according to the dilemma method. We show its relevance to the clinic and the context needed to put it into practice.

show abstract

Clinical Ethics: Support

Cited by 21 publications

References 12 publications

Impact of clinical ethics support on daily practice—First‐line managers’ experiences in the Euro‐MCD project

Impact of clinical ethics support on daily practice—First‐line managers’ experiences in the Euro‐MCD project

Field-testing the Euro-MCD Instrument: Experienced outcomes of moral case deliberation

Moral case deliberation

Contact Info

Product

Resources

About