The role of emotions in Moral Case Deliberation: Visions and experiences of facilitators

Spronk, Benita; Widdershoven, Guy; Alma, H.A.

doi:10.1177/14777509211011424

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…They deem this to be valuable and useful for the quality of the moral inquiry, as it is supportive in developing one’s own “moral compass” that helps us taking the right actions. 52…”

Section: Promoting Moral Resilience Through Specific MCD Methodsmentioning

confidence: 99%

“…They deem this to be valuable and useful for the quality of the moral inquiry, as it is supportive in developing one's own "moral compass" that helps us taking the right actions. 52 Nonetheless, in many forms of MCD, emotions of HPCs that are associated with moral challenges are not explicitly addressed, that is to say, there is no structural step or part of the method devoted to this. Rather, the focus of MCD-and CES in general-has always been on the reflection on the relevant norms, values, and principles of those involved, how they conflict, and how they should be prioritized in dealing well with a moral challenge in practice.…”

Section: Attention To Emotions: the Aristotelian Moral Inquiry Into E...mentioning

confidence: 99%

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Fostering moral resilience through moral case deliberation

Metselaar,

Molewijk

2023

Nurs Ethics

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Moral distress forms a major threat to the well-being of healthcare professionals, and is argued to negatively impact patient care. It is associated with emotions such as anger, frustration, guilt, and anxiety. In order to effectively deal with moral distress, the concept of moral resilience is introduced as the positive capacity of an individual to sustain or restore their integrity in response to moral adversity. Interventions are needed that foster moral resilience among healthcare professionals. Ethics consultation has been proposed as such an intervention. In this paper, we add to this proposition by discussing Moral Case Deliberation (MCD) as a specific form of clinical ethics support that promotes moral resilience. We argue that MCD in general may contribute to the moral resilience of healthcare professionals as it promotes moral agency. In addition, we focus on three specific MCD reflection methods: the Dilemma Method, the Aristotelian moral inquiry into emotions, and CURA, a method consisting of four main steps: Concentrate, Unrush, Reflect, and Act. In practice, all three methods are used by nurse ethicists or by nurses who received training to facilitate reflection sessions with these methods. We maintain that these methods also have specific elements that promote moral resilience. However, the Dilemma Method fosters dealing well with tragedy, the latter two promote moral resilience by including attention to emotions as part of the reflection process. We will end with discussing the importance of future empirical research on the impact of MCD on moral resilience, and of comparing MCD with other interventions that seek to mitigate moral distress and promote moral resilience.

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“…They deem this to be valuable and useful for the quality of the moral inquiry, as it is supportive in developing one’s own “moral compass” that helps us taking the right actions. 52…”

Section: Promoting Moral Resilience Through Specific MCD Methodsmentioning

confidence: 99%

Section: Attention To Emotions: the Aristotelian Moral Inquiry Into E...mentioning

confidence: 99%

Fostering moral resilience through moral case deliberation

Metselaar,

Molewijk

2023

Nurs Ethics

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Moral Case Deliberation in Dutch Prisons: Experienced Outcomes and the Moral Learning of Prison Staff

Schaap,

Molewijk,

Stolper

2023

Eur J Crim Policy Res

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We present a study about an ethics support instrument, Moral Case Deliberation (MCD), which is used to support and further professionalize Dutch prison staff. MCD can facilitate prison staff in dealing with moral dilemmas from practice. We present an embedded mixed-methods study on the experienced outcomes of 16 teams participating in both single and in series of MCD sessions. Prison staff and MCD facilitators completed evaluation forms (n = 871 by staff, and n = 122 by facilitators) after participating in a single MCD session (n = 131). Staff filled out another evaluation form (n = 149) after participating in a series of 10 MCD sessions. Our multilevel quantitative analyses show overall positive outcomes, with significant differences between professional disciplines. Prison staff, e.g., reported a better understanding of the discussed moral dilemma and the related perspectives of colleagues. The qualitative thematic content analysis of the experienced outcomes of single MCD sessions resulted in 8 outcome categories, e.g., improved moral awareness, awareness of responsibilities and limitations in decision-making, and feeling empowered to address issues. The experienced outcomes of MCD provide some insights in the process of fostering moral learning of prison staff; staff gained moral awareness, and improved their perspective-taking and the ability to better control their frustrations and emotions. Further research should focus on studying the impact of MCD on moral decision-making in the day-to-day practice of prison staff and on what the organization can learn from the MCD sessions.

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The role of emotions in Moral Case Deliberation: Visions and experiences of facilitators

Cited by 2 publications

References 12 publications

Fostering moral resilience through moral case deliberation

Fostering moral resilience through moral case deliberation

Moral Case Deliberation in Dutch Prisons: Experienced Outcomes and the Moral Learning of Prison Staff

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