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  1. Moral learning through caring stories of nursing staff.Charlotte van den Eijnde, Marleen D. W. Dohmen, Barbara C. Groot, Johanna M. Huijg & Tineke A. Abma - 2024 - Nursing Ethics 31 (4):572-583.
    Background Implementing person-centred care (PCC) in nursing homes is challenging due to a gap between theory and practice. Bridging this gap requires suitable education, which focuses on learning how to attune care to the values and preferences of residents and take moral, relational, and situational aspects into account. Staff’s stories about the care they provide (i.e. caring stories) may deliver valuable insights for learning about these aspects. However, there is limited research on using staff's narratives for moral learning. Objective This (...)
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  • Personal AI, deception, and the problem of emotional bubbles.Philip Maxwell Thingbø Mlonyeni - forthcoming - AI and Society:1-12.
    Personal AI is a new type of AI companion, distinct from the prevailing forms of AI companionship. Instead of playing a narrow and well-defined social role, like friend, lover, caretaker, or colleague, with a set of pre-determined responses and behaviors, Personal AI is engineered to tailor itself to the user, including learning to mirror the user’s unique emotional language and attitudes. This paper identifies two issues with Personal AI. First, like other AI companions, it is deceptive about the presence of (...)
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  • (1 other version)Unterstützungsbedarf bei moralisch-ethischer Entscheidungsfindung erheben und organisieren. Konzeptuelle Aspekte und Strategien für ein Erhebungsinstrument zur Ethikberatung im Kontext der Pflege.Gabriele Gschwandtner, Stefan Dinges & Eleonore Kemetmüller - 2020 - Ethik in der Medizin 32 (1):21-35.
    Empirische Forschungsarbeiten zur Ethik im Gesundheitswesen können entsprechende Implementationsprojekte unterstützen. Inzwischen gibt es eine Vielfalt von Ethikberatungsansätzen und -strukturen, die jedoch noch nicht in allen Gesundheitseinrichtungen genutzt werden. Bedarfserhebungen können wichtige Daten zu Strategie- und Projekterfordernissen darstellen. Die Bedeutung und Gründe für die Einschätzung des Bedarfs an klinischer Ethikberatung werden in der Fachliteratur vielfach diskutiert. Im vorliegenden Beitrag werden die Ergebnisse aus der Literaturanalyse im Hinblick auf vorhandene Erhebungsinstrumente zusammengefasst und ein Konzept zur Entwicklung eines Bedarfserhebungsinstruments beschrieben. Das Konzept beinhaltet (...)
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  • Ethics reflection groups in community health services: an evaluation study.Lillian Lillemoen & Reidar Pedersen - 2015 - BMC Medical Ethics 16 (1):25.
    Systematic ethics support in community health services in Norway is in the initial phase. There are few evaluation studies about the significance of ethics reflection on care. The aim of this study was to evaluate systematic ethics reflection in groups in community health , - from the perspectives of employees participating in the groups, the group facilitators and the service managers. The reflection groups were implemented as part of a research and development project.
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  • ‘When morals and markets collide’: Challenges to an Ethic of Care in Aged Residential Care.Martin Woods, Suzanne Phibbs & Chrissy Severinsen - 2017 - Ethics and Social Welfare 11 (4):365-381.
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  • Evaluation and perceived results of moral case deliberation.R. M. Janssens, E. van Zadelhoff, G. van Loo, G. A. Widdershoven & B. A. Molewijk - 2015 - Nursing Ethics 22 (8):870-880.
    Background: Moral case deliberation is increasingly becoming part of various Dutch healthcare organizations. Although some evaluation studies of moral case deliberation have been carried out, research into the results of moral case deliberation within aged care is scarce. Research questions: How did participants evaluate moral case deliberation? What has moral case deliberation brought to them? What has moral case deliberation contributed to care practice? Should moral case deliberation be further implemented and, if so, how? Research design: Quantitative analysis of a (...)
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  • (1 other version)Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Laura Hartman, Guy Widdershoven, Annelou de Vries, Annelijn Wensing-Kruger, Martin den Heijer, Thomas Steensma & Bert Molewijk - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...)
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  • Dignity in relationships and existence in nursing homes’ cultures.Arne Rehnsfeldt, Åshild Slettebø, Vibeke Lohne, Berit Sæteren, Lillemor Lindwall, Anne Kari Tolo Heggestad, Maj-Britt Råholm, Bente Høy, Synnøve Caspari & Dagfinn Nåden - 2022 - Nursing Ethics 29 (7-8):1761-1772.
    Introduction: Expressions of dignity as a clinical phenomenon in nursing homes as expressed by caregivers were investigated. A coherence could be detected between the concepts and phenomena of existence and dignity in relationships and caring culture as a context. A caring culture is interpreted by caregivers as the meaning-making of what is accepted or not in the ward culture. Background: The rationale for the connection between existence and dignity in relationships and caring culture is that suffering is a part of (...)
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  • (1 other version)Need to raise and organize support for moral-ethical decision-making in nursing and health facilities—conceptual aspects and results in developing a survey instrument.Gabriele Gschwandtner, Stefan Dinges & Eleonore Kemetmüller - 2020 - Ethik in der Medizin 32 (1):21-35.
    Empirische Forschungsarbeiten zur Ethik im Gesundheitswesen können entsprechende Implementationsprojekte unterstützen. Inzwischen gibt es eine Vielfalt von Ethikberatungsansätzen und -strukturen, die jedoch noch nicht in allen Gesundheitseinrichtungen genutzt werden. Bedarfserhebungen können wichtige Daten zu Strategie- und Projekterfordernissen darstellen. Die Bedeutung und Gründe für die Einschätzung des Bedarfs an klinischer Ethikberatung werden in der Fachliteratur vielfach diskutiert. Im vorliegenden Beitrag werden die Ergebnisse aus der Literaturanalyse im Hinblick auf vorhandene Erhebungsinstrumente zusammengefasst und ein Konzept zur Entwicklung eines Bedarfserhebungsinstruments beschrieben. Das Konzept beinhaltet (...)
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  • The Norwegian national project for ethics support in community health and care services.Morten Magelssen, Elisabeth Gjerberg, Reidar Pedersen, Reidun Førde & Lillian Lillemoen - 2016 - BMC Medical Ethics 17 (1):70.
    BackgroundInternationally, clinical ethics support has yet to be implemented systematically in community health and care services. A large-scale Norwegian project attempted to increase ethical competence in community services through facilitating the implementation of ethics support activities in 241 Norwegian municipalities. The article describes the ethics project and the ethics activities that ensued.MethodsThe article first gives an account of the Norwegian ethics project. Then the results of two online questionnaires are reported, characterizing the scope, activities and organization of the ethics activities (...)
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  • Training Ethical Competence in a World Growing Old: A Multimethod Ethical Round in Hospital and Residential Care Settings.Federico Pennestrì, Giulia Villa, Noemi Giannetta, Roberta Sala, Duilio Fiorenzo Manara & Roberto Mordacci - 2023 - Journal of Bioethical Inquiry 20 (2):279-294.
    Ethical challenges are traditionally described in a negative light, even though moral conflict can express the individual ability to perceive when something is not working and promote change. The true question, therefore, is not to how to silence moral conflict but how to educate it. Although the need for ethical support of health- and social-care professionals in elderly care is clearly perceived, there is no universal method for providing effective interventions. The authors hypothesize that adequate training sessions can help care (...)
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  • (1 other version)Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Laura Hartman, Guy Widdershoven, Annelou de Vries, Annelijn Wensing-Kruger, Martin den Heijer, Thomas Steensma & Bert Molewijk - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...)
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