Switch to: References

Add citations

You must login to add citations.
  1. Everyday ethics in professional life: social work as ethics work.Sarah Banks - 2016 - Ethics and Social Welfare 10 (1):35-52.
    This article outlines and develops the concept of ‘ethics work’ in social work practice. It takes as its starting point a situated account of ethics as embedded in everyday practice: ‘everyday ethics’. This is contrasted with ‘textbook ethics’, which focuses on outlining general ethical principles, presenting ethical dilemmas and offering normative ethical frameworks (including decision-making models). ‘Ethics work’ is a more descriptive account of ethics that refers to the effort people put into seeing ethically salient aspects of situations, developing themselves (...)
    Download  
     
    Export citation  
     
    Bookmark   24 citations  
  • Descriptions of long-term impact from inter-professional ethics communication in groups.Britt-Marie Wälivaara, Karin Zingmark & Catarina Fischer-Grönlund - 2023 - Nursing Ethics 30 (4):614-625.
    Background On a daily basis, healthcare professionals deal with various ethical issues and it can be difficult to determine how to act best. Clinical ethics support (CES) has been developed to provide support for healthcare professionals dealing with complex ethical issues. A long-term perspective of participating in inter-professional dialogue and reflective-based CES sessions is seemingly sparse in the literature. Research aim The aim was to describe experiences of impact of Inter-professional Ethics Communication in groups (IEC) based on Habermas’ theory of (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Working towards implementing moral case deliberation in mental healthcare: Ongoing dialogue and shared ownership as strategy.Froukje Weidema, Hans van Dartel & Bert Molewijk - 2016 - Clinical Ethics 11 (2-3):54-62.
    The design and implementation of clinical ethics support is attracting increasing attention. Often, the characteristics and aims of clinical ethics support are translated into practice in a top-down, programmatic manner. These characteristics and aims then remain a constant feature of the clinical ethics support functions within the organisation. We argue that the characteristics of clinical ethics support should be reflected in the implementation strategy. Inspired by dialogical, pragmatic and hermeneutic perspectives on clinical ethics support in general and moral case deliberation (...)
    Download  
     
    Export citation  
     
    Bookmark   10 citations  
  • Client Participation in Moral Case Deliberation: A Precarious Relational Balance. [REVIEW]F. C. Weidema, T. A. Abma, G. A. M. Widdershoven & A. C. Molewijk - 2011 - HEC Forum 23 (3):207-224.
    Moral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client participation often raises questions concerning conditions for equal collaboration and good dialogue. Despite these questions, there is little empirical research regarding client participation in clinical ethics support in general and in MCD in particular. This article (...)
    Download  
     
    Export citation  
     
    Bookmark   18 citations  
  • Aims and harvest of moral case deliberation.Froukje C. Weidema, Bert Ac Molewijk, Frans Kamsteeg & Guy Am Widdershoven - 2013 - Nursing Ethics 20 (6):617-631.
    Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (...)
    Download  
     
    Export citation  
     
    Bookmark   51 citations  
  • Clinical ethics in forensic psychiatry: Fostering reflection and dialog on the ward through moral case deliberation.Yolande Voskes, Frouk Weidema & Guy Widdershoven - 2016 - Clinical Ethics 11 (2-3):63-69.
    Forensic psychiatry is pervaded by moral dilemmas. Although professionals in forensic psychiatry are trained in law and psychiatry and are certainly aware of ethical issues in the care for patients, they tend to make decisions in an implicit way and not to discuss their moral concerns or doubts. More structural attention for ethics seems to be required. In this paper, we show the value of moral case deliberation in forensic psychiatry. Moral case deliberation is a specific kind of clinical ethics (...)
    Download  
     
    Export citation  
     
    Bookmark   4 citations  
  • Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD).Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk - 2014 - BMC Medical Ethics 15 (1):30.
    Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation instrument. The (...)
    Download  
     
    Export citation  
     
    Bookmark   36 citations  
  • Learning by Doing. Training Health Care Professionals to Become Facilitator of Moral Case Deliberation.Margreet Stolper, Bert Molewijk & Guy Widdershoven - 2015 - HEC Forum 27 (1):47-59.
    Moral case deliberation is a dialogue among health care professionals about moral issues in practice. A trained facilitator moderates the dialogue, using a conversation method. Often, the facilitator is an ethicist. However, because of the growing interest in MCD and the need to connect MCD to practice, healthcare professionals should also become facilitators themselves. In order to transfer the facilitating expertise to health care professionals, a training program has been developed. This program enables professionals in health care institutions to acquire (...)
    Download  
     
    Export citation  
     
    Bookmark   38 citations  
  • Does Moral Case Deliberation Help Professionals in Care for the Homeless in Dealing with Their Dilemmas? A Mixed-Methods Responsive Study.R. P. Spijkerboer, J. C. Van der Stel, G. A. M. Widdershoven & A. C. Molewijk - 2017 - HEC Forum 29 (1):21-41.
    Health care professionals often face moral dilemmas. Not dealing constructively with moral dilemmas can cause moral distress and can negatively affect the quality of care. Little research has been documented with methodologies meant to support professionals in care for the homeless in dealing with their dilemmas. Moral case deliberation is a method for systematic reflection on moral dilemmas and is increasingly being used as ethics support for professionals in various health-care domains. This study deals with the question: What is the (...)
    Download  
     
    Export citation  
     
    Bookmark   9 citations  
  • Evaluation of clinical ethics support services and its normativity.Jan Schildmann, Bert Molewijk, Lazare Benaroyo, Reidun Forde & Gerald Neitzke - 2013 - Journal of Medical Ethics 39 (11):681-685.
    Evaluation of clinical ethics support services (CESS) has attracted considerable interest in recent decades. However, few evaluation studies are explicit about normative presuppositions which underlie the goals and the research design of CESS evaluation. In this paper, we provide an account of normative premises of different approaches to CESS evaluation and argue that normativity should be a focus of considerations when designing and conducting evaluation research of CESS. In a first step, we present three different approaches to CESS evaluation from (...)
    Download  
     
    Export citation  
     
    Bookmark   33 citations  
  • Developing organisational ethics in palliative care.Lars Sandman, Ulla Molander & Inger Benkel - 2017 - Nursing Ethics 24 (2):138-150.
    Background:Palliative carers constantly face ethical problems. There is lack of organised support for the carers to handle these ethical problems in a consistent way. Within organisational ethics, we find models for moral deliberation and for developing organisational culture; however, they are not combined in a structured way to support carers’ everyday work.Research objective:The aim of this study was to describe ethical problems faced by palliative carers and develop an adapted organisational set of values to support the handling of these problems.Research (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • ‘It’s like sailing’ – Experiences of the role as facilitator during moral case deliberation.Dara Rasoal, Annica Kihlgren & Mia Svantesson - 2017 - Clinical Ethics 12 (3):135-142.
    BackgroundMoral case deliberation is one form of clinical ethics support, and there seems to be different ways of facilitating the dialogue.PurposeThis paper aimed to explore Swedish facilitators' experiences of their role in moral case deliberations.MethodThis study had a qualitative approach with explorative design. Semi-structured interviews with eleven MCD facilitators were conducted. Their experiences were analyzed using thematic analysis.ResultBeing a facilitator was understood through the metaphor of sailing: against the wind or with it. The role was likened to a sailor's set (...)
    Download  
     
    Export citation  
     
    Bookmark   5 citations  
  • Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review.Dara Rasoal, Kirsti Skovdahl, Mervyn Gifford & Annica Kihlgren - 2017 - HEC Forum 29 (4):313-346.
    This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they (...)
    Download  
     
    Export citation  
     
    Bookmark   35 citations  
  • Training healthcare professionals as moral case deliberation facilitators: evaluation of a Dutch training programme.Mirjam Plantinga, Bert Molewijk, Menno de Bree, Marloes Moraal, Marian Verkerk & Guy A. M. Widdershoven - 2012 - Journal of Medical Ethics 38 (10):630-635.
    Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we present the first results of a study in which we evaluated the programme. We used a mixed methods design. One hundred and twenty trained healthcare professionals and five trainers from 16 training groups working in different (...)
    Download  
     
    Export citation  
     
    Bookmark   16 citations  
  • How Can One be Both a Philosophical Ethicist and a Democrat?Malcolm Oswald - 2013 - Health Care Analysis (1):1-10.
    How can one be both a philosophical ethicist and a democrat? In this article I conclude that it can be difficult to reconcile the two roles. One involves understanding, and reconciling, the conflicting views of citizens, and the other requires the pursuit of truth through reason. Nevertheless, an important function of philosophy and ethics is to inform and improve policy. If done effectively, we could expect better, and more just, laws and policies, thereby benefiting many lives. So applying philosophical thinking (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • Conceptualizing the impact of moral case deliberation: a multiple-case study in a health care institution for people with intellectual disabilities.A. C. Molewijk, J. L. P. van Gurp & J. C. de Snoo-Trimp - 2022 - BMC Medical Ethics 23 (1):1-15.
    BackgroundAs moral case deliberations (MCDs) have increasingly been implemented in health care institutions as a form of ethics support, it is relevant to know whether and how MCDs actually contribute to positive changes in care. Insight is needed on what actually happens in daily care practice following MCD sessions. This study aimed at investigating the impact of MCD and exploring how ‘impact of MCD’ should be conceptualized for future research.MethodsA multiple-case study was conducted in a care organization for people with (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Does Moral Case Deliberation Help Professionals in Care for the Homeless in Dealing with Their Dilemmas? A Mixed-Methods Responsive Study.A. Molewijk, G. Widdershoven, J. Stel & R. Spijkerboer - 2017 - HEC Forum 29 (1):21-41.
    Health care professionals often face moral dilemmas. Not dealing constructively with moral dilemmas can cause moral distress and can negatively affect the quality of care. Little research has been documented with methodologies meant to support professionals in care for the homeless in dealing with their dilemmas. Moral case deliberation is a method for systematic reflection on moral dilemmas and is increasingly being used as ethics support for professionals in various health-care domains. This study deals with the question: What is the (...)
    Download  
     
    Export citation  
     
    Bookmark   7 citations  
  • The Ethics Laboratory: A Dialogical Practice for Interdisciplinary Moral Deliberation.Jeanette Bresson Ladegaard Knox - 2023 - HEC Forum 35 (2):185-199.
    Recent advancements in therapeutic and diagnostic medicine, along with the creation of large biobanks and methods for monitoring health technologies, have improved the prospects for preventing, treating, and curing illness. These same advancements, however, give rise to a plethora of ethical questions concerning good decision-making and best action. These ethical questions engage policymakers, practitioners, scientists, and researchers from a variety of fields in different ways. Collaborations between professionals in the medical and health sciences and the social sciences and humanities often (...)
    Download  
     
    Export citation  
     
    Bookmark   2 citations  
  • Ethical competence training for members on clinical ethics committees : experiences from Denmark.Jeanette Bresson Ladegaard Knox - 2017 - International Journal of Ethics Education 2 (2):203-213.
    To address the moral questions in patient care and medical practice, Danish hospitals are starting to solicit clinical ethics committees. As in other places around the world, CECs in Denmark is an interdisciplinary group that includes physicians, nurses, social workers, psychologists, lawyers, chaplains, and sometimes lay persons. Due to their distinct professional background, members are largely untrained in concepts, skills and the language of moral philosophy and ethical reasoning. The absence of appropriate competencies makes it challenging for members to identify, (...)
    Download  
     
    Export citation  
     
    Bookmark  
  • 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.
    Download  
     
    Export citation  
     
    Bookmark   26 citations  
  • A Qualitative Study on Experiences and Perspectives of Members of a Dutch Medical Research Ethics Committee.Rien M. J. P. A. Janssens, Wieke E. van der Borg, Maartje Ridder, Mariëlle Diepeveen, Benjamin Drukarch & Guy A. M. Widdershoven - 2020 - HEC Forum 32 (1):63-75.
    The aim of this research was to gain insight into the experiences and perspectives of individual members of a Medical Research Ethics Committee regarding their individual roles and possible tensions within and between these roles. We conducted a qualitative interview study among members of a large MREC, supplemented by a focus group meeting. Respondents distinguish five roles: protector, facilitator, educator, advisor and assessor. Central to the role of protector is securing valid informed consent and a proper risk-benefit analysis. The role (...)
    Download  
     
    Export citation  
     
    Bookmark   1 citation  
  • Evaluating clinical ethics support in mental healthcare.Marit Helene Hem, Reidar Pedersen, Reidun Norvoll & Bert Molewijk - 2015 - Nursing Ethics 22 (4):452-466.
    A systematic literature review on evaluation of clinical ethics support services in mental healthcare is presented and discussed. The focus was on (a) forms of clinical ethics support services, (b) evaluation of clinical ethics support services, (c) contexts and participants and (d) results. Five studies were included. The ethics support activities described were moral case deliberations and ethics rounds. Different qualitative and quantitative research methods were utilized. The results show that (a) participants felt that they gained an increased insight into (...)
    Download  
     
    Export citation  
     
    Bookmark   33 citations  
  • A Deliberative Case for Democracy in Firms.Andrea Felicetti - 2018 - Journal of Business Ethics 150 (3):803-814.
    The increasing centrality of business firms in contemporary societies calls for a renewed attention to the democratization of these actors. This paper sheds new light on the possibility of democratizing business firms by bridging recent scholarship in two fields—deliberative democracy and business ethics. To date, deliberative democracy has largely neglected the role of business firms in democratic societies. While business ethics scholarship has given more attention to these issues, it has overlooked the possibility of deliberation within firms. As argued in (...)
    Download  
     
    Export citation  
     
    Bookmark   8 citations  
  • Prevalence and characteristics of moral case deliberation in Dutch health care.Linda Dauwerse, Margreet Stolper, Guy Widdershoven & Bert Molewijk - 2014 - Medicine, Health Care and Philosophy 17 (3):365-375.
    The attention for Moral case deliberation has increased over the past years. Previous research on MCD is often written from the perspective of MCD experts or MCD participants and we lack a more distant view to the role of MCD in Dutch health care institutions in general. The purpose of this paper is to provide an overview of the state of the art concerning MCD in the Netherlands. As part of a larger national study on clinical ethics support in the (...)
    Download  
     
    Export citation  
     
    Bookmark   21 citations  
  • Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff.L. Dauwerse, T. Abma, B. Molewijk & G. Widdershoven - 2011 - Journal of Medical Ethics 37 (8):456-460.
    Next SectionObjective The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. Methods This study had a mixed methods design integrating quantitative and qualitative research methods. Two survey questionnaires, two focus groups and 17 interviews were conducted among board members and ethics support staff in Dutch healthcare institutions. Findings Most respondents see a (...)
    Download  
     
    Export citation  
     
    Bookmark   22 citations  
  • Bulgaria at the onset of clinical ethics consultation.Silviya Aleksandrova-Yankulovska - 2022 - Monash Bioethics Review 40 (Suppl 1):6-27.
    BackgroundOver the years, Bulgarian bioethics has been mainly an academic enterprise and fallen short of providing health professionals with skills for ethical decision-making. Clinical ethics support (CES) was piloted by the author through two bottom-up models – METAP (Modular, Ethical, Treatment, Allocation of resources, Process) and MCD (Moral Case Deliberation).AimsThis paper aims to present and analyse developments in the area of clinical ethics and the first experiences in CES in Bulgaria.MethodologyThe project reported here included a review of relevant literature on (...)
    Download  
     
    Export citation  
     
    Bookmark