Switch to: Citations

Add references

You must login to add references.
  1. Organizing moral case deliberation Experiences in two Dutch nursing homes.S. van der Dam, T. A. Abma, A. C. Molewijk, M. J. M. Kardol, Jmga Schols & G. A. M. Widdershoven - 2011 - Nursing Ethics 18 (3):327-340.
    Moral case deliberation (MCD) is a specific form of clinical ethics, aiming to stimulate ethical reflection in daily practice in order to improve the quality of care. This article focuses on the implementation of MCD in nursing homes and the questions how and where to organize MCD. The purpose of this study was to evaluate one way of organizing MCD in two Dutch nursing homes. In both of these nursing homes the MCD groups had a heterogeneous composition and were organized (...)
    Download  
     
    Export citation  
     
    Bookmark   38 citations  
  • Implementing moral case deliberation in a psychiatric hospital: process and outcome. [REVIEW]Bert Molewijk, Maarten Verkerk, Henk Milius & Guy Widdershoven - 2008 - Medicine, Health Care and Philosophy 11 (1):43-56.
    Background Clinical moral case deliberation consists of the systematic reflection on a concrete moral case␣by health care professionals. This paper presents the study of a 4-year moral deliberation project.Objectives The objectives of this paper are to: (a) describe the practice and the theoretical background of moral deliberation, (b) describe the moral deliberation project, (c) present the outcomes of␣the evaluation of the moral case deliberation sessions, and (d) present the implementation process.Methods The implementation process is both monitored and supported by an (...)
    Download  
     
    Export citation  
     
    Bookmark   67 citations  
  • The Freiburg approach to ethics consultation: process, outcome and competencies.S. Reiter-Theil - 2001 - Journal of Medical Ethics 27 (90001):21i-23.
    Download  
     
    Export citation  
     
    Bookmark   14 citations  
  • Ethics consultation in united states hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):13 – 25.
    Context: Although ethics consultation is commonplace in United States (U.S.) hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the "best informant" within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services (ECSs) were found in 81% of all general hospitals in the U.S., and (...)
    Download  
     
    Export citation  
     
    Bookmark   226 citations  
  • Die Implementierung Klinischer Ethikberatung in Deutschland: Ergebnisse einer bundesweiten Umfrage bei Krankenhäusern.Andrea Dörries & Katharina Hespe-Jungesblut - 2007 - Ethik in der Medizin 19 (2):148-156.
    Download  
     
    Export citation  
     
    Bookmark   27 citations  
  • Clinical Ethics Committees in Norway: What Do They Do, and Does It Make a Difference?Reidun Førde & Reidar Pedersen - 2011 - Cambridge Quarterly of Healthcare Ethics 20 (3):389-395.
    The first clinical ethics committees in Norway were established in 1996. This started as an initiative from hospital clinicians, the Norwegian Medical Association, and health authorities and politicians. Norwegian hospitals are, by and large, publicly funded through taxation, and all inpatient treatment is free of charge. Today, all the 23 hospital trusts have established at least one committee. Center for Medical Ethics , University of Oslo, receives an annual amount of US$335,000 from the Ministry of Health and Care Services to (...)
    Download  
     
    Export citation  
     
    Bookmark   37 citations  
  • Development of clinical ethics services in the UK: a national survey.Anne Marie Slowther, Leah McClimans & Charlotte Price - 2012 - Journal of Medical Ethics 38 (4):210-214.
    Background In 2001 a report on the provision of clinical ethics support in UK healthcare institutions identified 20 clinical ethics committees. Since then there has been no systematic evaluation or documentation of their work at a national level. Recent national surveys of clinical ethics services in other countries have identified wide variation in practice and scope of activities. Objective To describe the current provision of ethics support in the UK and its development since 2001. Method A postal/electronic questionnaire survey administered (...)
    Download  
     
    Export citation  
     
    Bookmark   42 citations  
  • Ethical case deliberation on the ward. A comparison of four methods.Norbert Steinkamp & Bert Gordijn - 2003 - Medicine, Health Care and Philosophy 6 (3):235-246.
    The objective of this article is to analyse and compare four methods of ethical case deliberation. These include Clinical Pragmatism, The Nijmegen Method of ethical case deliberation, Hermeneutic dialogue, and Socratic dialogue. The origin of each method will be briefly sketched. Furthermore, the methods as well as the related protocols will be presented. Each method will then be evaluated against the background of those situations in which it is being used. The article aims to show that there is not one (...)
    Download  
     
    Export citation  
     
    Bookmark   56 citations  
  • Meaningful work: rethinking professional ethics.Mike W. Martin - 2000 - New York: Oxford University Press.
    As commonly understood, professional ethics consists of shared duties and episodic dilemmas--the responsibilities incumbent on all members of specific professions joined together with the dilemmas that arise when these responsibilities conflict. Martin challenges this "consensus paradigm" as he rethinks professional ethics to include personal commitments and ideals, of which many are not mandatory. Using specific examples from a wide range of professions, including medicine, law, high school teaching, journalism, engineering, and ministry, he explores how personal commitments motivate, guide, and give (...)
    Download  
     
    Export citation  
     
    Bookmark   34 citations  
  • Experiential learning of empathy in a care-ethics lab.Linus Vanlaere, Trees Coucke & Chris Gastmans - 2010 - Nursing Ethics 17 (3):325-336.
    To generate empathy in the care of vulnerable older persons requires care providers to reflect critically on their care practices. Ethics education and training must provide them with tools to accomplish such critical reflection. It must also create a pedagogical context in which good care can be taught and cultivated. The care-ethics lab ‘sTimul’ originated in 2008 in Flanders with the stimulation of ethical reflection in care providers and care providers in training as its main goal. Also in 2008, sTimul (...)
    Download  
     
    Export citation  
     
    Bookmark   29 citations  
  • Ethics consultation on demand: concepts, practical experiences and a case study.S. Reiter-Theil - 2000 - Journal of Medical Ethics 26 (3):198-203.
    Despite the increasing interest in clinical ethics, ethics consultation as a professional service is still rare in Europe. In this paper I refer to examples in the United States. In Germany, university hospitals and medical faculties are still hesitant about establishing yet another “committee”. One of the reasons for this hesitation lies in the ignorance that exists here about how to provide medical ethics services; another reason is that medical ethics itself is not yet institutionalised at many German universities. The (...)
    Download  
     
    Export citation  
     
    Bookmark   32 citations  
  • Ethics consultation: from theory to practice.Mark P. Aulisio, Robert M. Arnold & Stuart J. Youngner (eds.) - 2003 - Baltimore: Johns Hopkins University Press.
    In the clinical setting, questions of medical ethics raise a host of perplexing problems, often complicated by conflicting perspectives and the need to make immediate decisions. In this volume, bioethicists and physicians provide a nuanced, in-depth approach to the difficult issues involved in bioethics consultation. Addressing the needs of researchers, clinicians, and other health professionals on the front lines of bioethics practice, the contributors focus primarily on practical concerns -- whether ethics consultation is best done by individuals, teams, or committees (...)
    Download  
     
    Export citation  
     
    Bookmark   20 citations  
  • The need for a clinical ethics service and its goals in a community healthcare service centre: a survey.E. Racine - 2006 - Journal of Medical Ethics 32 (10):564-566.
    Objectives: To assess whether according to healthcare providers, the creation of an ethics service responds to a need; assess the importance of an ethics service for healthcare providers; determine what ethics services should be offered and the preferred formats of delivery; and identify key issues to be initially dealt with by the ethics service.Design: A survey of healthcare providers in Québec’s Centre Local de Services Communautaires , healthcare institutions dedicated to community health and social services.Findings: 96 respondents agreed that an (...)
    Download  
     
    Export citation  
     
    Bookmark   16 citations  
  • Teaching ethics in the clinic. The theory and practice of moral case deliberation.A. C. Molewijk, T. Abma, M. Stolper & G. Widdershoven - 2008 - Journal of Medical Ethics 34 (2):120-124.
    A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals (...)
    Download  
     
    Export citation  
     
    Bookmark   120 citations  
  • The role of emotions in moral case deliberation: Theory, practice, and methodology.Bert Molewijk, Dick Kleinlugtenbelt & Guy Widdershoven - 2011 - Bioethics 25 (7):383-393.
    In clinical moral decision making, emotions often play an important role. However, many clinical ethicists are ignorant, suspicious or even critical of the role of emotions in making moral decisions and in reflecting on them. This raises practical and theoretical questions about the understanding and use of emotions in clinical ethics support services. This paper presents an Aristotelian view on emotions and describes its application in the practice of moral case deliberation.According to Aristotle, emotions are an original and integral part (...)
    Download  
     
    Export citation  
     
    Bookmark   40 citations  
  • Physicians' Access to Ethics Support Services in Four European Countries.Samia A. Hurst, Stella Reiter-Theil, Arnaud Perrier, Reidun Forde, Anne-Marie Slowther, Renzo Pegoraro & Marion Danis - 2007 - Health Care Analysis 15 (4):321-335.
    Clinical ethics support services are developing in Europe. They will be most useful if they are designed to match the ethical concerns of clinicians. We conducted a cross-sectional mailed survey on random samples of general physicians in Norway, Switzerland, Italy, and the UK, to assess their access to different types of ethics support services, and to describe what makes them more likely to have used available ethics support. Respondents reported access to formal ethics support services such as clinical ethics committees (...)
    Download  
     
    Export citation  
     
    Bookmark   29 citations  
  • Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive Evaluation.Tineke A. Abma, Bert Molewijk & Guy A. M. Widdershoven - 2009 - Health Care Analysis 17 (3):217-235.
    Recently, moral deliberation within care institutions is gaining more attention in medical ethics. Ongoing dialogues about ethical issues are considered as a vehicle for quality improvement of health care practices. The rise of ethical conversation methods can be understood against the broader development within medical ethics in which interaction and dialogue are seen as alternatives for both theoretical or individual reflection on ethical questions. In other disciplines, intersubjectivity is also seen as a way to handle practical problems, and methodologies have (...)
    Download  
     
    Export citation  
     
    Bookmark   67 citations  
  • “Here’s My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. van der Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
    Download  
     
    Export citation  
     
    Bookmark   20 citations  
  • Everyday Ethical Problems in Dementia Care: A teleological Model.Ingrid Ågren Bolmsjö, Anna-Karin Edberg & Lars Sandman - 2006 - Nursing Ethics 13 (4):340-359.
    In this article, a teleological model for analysis of everyday ethical situations in dementia care is used to analyse and clarify perennial ethical problems in nursing home care for persons with dementia. This is done with the aim of describing how such a model could be useful in a concrete care context. The model was developed by Sandman and is based on four aspects: the goal; ethical side-constraints to what can be done to realize such a goal; structural constraints; and (...)
    Download  
     
    Export citation  
     
    Bookmark   29 citations  
  • Everyday Ethics in the Care of Elderly People.Ingrid Ågren Bolmsjö, Lars Sandman & Edith Andersson - 2006 - Nursing Ethics 13 (3):249-263.
    This article analyses the general ethical milieu in a nursing home for elderly residents and provides a decision-making model for analysing the ethical situations that arise. It considers what it means for the residents to live together and for the staff to be in ethically problematic situations when caring for residents. An interpretative phenomenological approach and Sandman’s ethical model proved useful for this purpose. Systematic observations were carried out and interpretation of the general ethical milieu was summarized as ‘being in (...)
    Download  
     
    Export citation  
     
    Bookmark   30 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   54 citations  
  • (1 other version)Evidence – Competence – Discourse: The Theoretical Framework of the Multi‐Centre Clinical Ethics Support Project Metap.Stella Reiter-Theil, Marcel Mertz, Jan Schürmann, Nicola Stingelin Giles & Barbara Meyer-Zehnder - 2011 - Bioethics 25 (7):403-412.
    In this paper we assume that ‘theory’ is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES.A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES that exist (...)
    Download  
     
    Export citation  
     
    Bookmark   20 citations  
  • (1 other version)Evidence – competence – discourse: The theoretical framework of the multi-centre clinical ethics support project metap.Stella Reiter-Theil, Marcel Mertz, Jan Schürmann, Nicola Stingelin Giles & Barbara Meyer-Zehnder - 2011 - Bioethics 25 (7):403-412.
    In this paper we assume that ‘theory’ is important for Clinical Ethics Support Services (CESS). We will argue that the underlying implicit theory should be reflected. Moreover, we suggest that the theoretical components on which any clinical ethics support (CES) relies should be explicitly articulated in order to enhance the quality of CES.A theoretical framework appropriate for CES will be necessarily complex and should include ethical (both descriptive and normative), metaethical and organizational components. The various forms of CES that exist (...)
    Download  
     
    Export citation  
     
    Bookmark   20 citations  
  • Learning a way through ethical problems: Swedish nurses' and doctors' experiences from one model of ethics rounds.M. Svantesson, R. Lofmark, H. Thorsen, K. Kallenberg & G. Ahlstrom - 2008 - Journal of Medical Ethics 34 (5):399-406.
    Objective: To evaluate one ethics rounds model by describing nurses’ and doctors’ experiences of the rounds. Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to promote mutual understanding and stimulate ethical reflection, without giving any recommendations or solutions. Interviews with seven doctors and 11 nurses were conducted regarding their experiences from the rounds, which were then analysed using content analysis. Findings: The goal of the rounds was partly (...)
    Download  
     
    Export citation  
     
    Bookmark   42 citations  
  • Clinical Ethics Committee Case 13: Should the school doctor contact the mother of a 17-year-old girl who has expressed suicidal thoughts? [REVIEW]Bert Molewijk & Rolf Ahlzen - 2011 - Clinical Ethics 6 (1):5-10.
    Download  
     
    Export citation  
     
    Bookmark   20 citations  
  • Ethics support in institutional elderly care: a review of the literature. [REVIEW]Sandra van der Dam, Bert Molewijk, Guy A. M. Widdershoven & Tineke A. Abma - 2014 - Journal of Medical Ethics 40 (9):625-631.
    Clinical ethics support mechanisms in healthcare are increasing but little is known about the specific developments in elderly care. The aim of this paper is to present a systematic literature review on the characteristics of existing ethics support mechanisms in institutional elderly care. A review was performed in three electronic databases . Sixty papers were included in the review. The ethics support mechanisms are classified in four categories: ‘institutional bodies’ ; ‘frameworks’ ; ‘educational programmes and moral case deliberation’; and ‘written (...)
    Download  
     
    Export citation  
     
    Bookmark   15 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   19 citations  
  • What is happening during case deliberations in clinical ethics committees? A pilot study.R. Pedersen, V. Akre & R. Forde - 2009 - Journal of Medical Ethics 35 (3):147-152.
    Background: Clinical ethics consultation services have been established in many countries during recent decades. An important task is to discuss concrete clinical cases. However, empirical research observing what is happening during such deliberations is scarce. Objectives: To explore clinical ethics committees’ deliberations and to identify areas for improvement. Design: A pilot study including observations of committees deliberating a paper case, semistructured group interviews, and qualitative analysis of the data. Participants: Nine hospital ethics committees in Norway. Results and interpretations: Key elements (...)
    Download  
     
    Export citation  
     
    Bookmark   23 citations  
  • Evolution of hospital clinical ethics committees in Canada.A. Gaudine, L. Thorne, S. M. LeFort & M. Lamb - 2010 - Journal of Medical Ethics 36 (3):132-137.
    To investigate the current status of hospital clinical ethics committees (CEC) and how they have evolved in Canada over the past 20 years, this paper presents an overview of the findings from a 2008 survey and compares these findings with two previous Canadian surveys conducted in 1989 and 1984. All Canadian hospitals over 100 beds, of which at least some were acute care, were surveyed to determine the structure of CEC, how they function, the perceived achievements of these committees and (...)
    Download  
     
    Export citation  
     
    Bookmark   26 citations  
  • Emotions and Clinical Ethics Support. A Moral Inquiry into Emotions in Moral Case Deliberation.Bert Molewijk, Dick Kleinlugtenbelt, Scott M. Pugh & Guy Widdershoven - 2011 - HEC Forum 23 (4):257-268.
    Emotions play an important part in moral life. Within clinical ethics support (CES), one should take into account the crucial role of emotions in moral cases in clinical practice. In this paper, we present an Aristotelian approach to emotions. We argue that CES can help participants deal with emotions by fostering a joint process of investigation of the role of emotions in a case. This investigation goes beyond empathy with and moral judgment of the emotions of the case presenter. In (...)
    Download  
     
    Export citation  
     
    Bookmark   17 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  
  • Enacting Ethics: Bottom-up Involvement in Implementing Moral Case Deliberation. [REVIEW]F. C. Weidema, A. C. Molewijk, G. A. M. Widdershoven & T. A. Abma - 2012 - Health Care Analysis 20 (1):1-19.
    In moral case deliberation (MCD), healthcare professionals meet to reflect upon their moral questions supported by a structured conversation method and non-directive conversation facilitator. An increasing number of Dutch healthcare institutions work with MCD to (1) deal with moral questions, (2) improve reflection skills, interdisciplinary cooperation and decision-making, and (3) develop policy. Despite positive evaluations of MCD, organization and implementation of MCD appears difficult, depending on individuals or external experts. Studies on MCD implementation processes have not yet been published. The (...)
    Download  
     
    Export citation  
     
    Bookmark   29 citations  
  • Clinical ethics support services in the UK: an investigation of the current provision of ethics support to health professionals in the UK.A. Slowther - 2001 - Journal of Medical Ethics 27 (90001):2i-8.
    Download  
     
    Export citation  
     
    Bookmark   39 citations  
  • The current state of clinical ethics and healthcare ethics committees in Belgium.T. Meulenbergs - 2005 - Journal of Medical Ethics 31 (6):318-321.
    Ethics committees are the most important practical instrument of clinical ethics in Belgium and fulfil three tasks: the ethical review of experimental protocols, advising on the ethical aspects of healthcare practice, and ethics consultation. In this article the authors examine the current situation of ethics committees in Belgium from the perspective of clinical ethics. Firstly, the most important steps which thus far have been taken in Belgium are examined. Secondly, recent opinion by the Belgian Advisory Committee on Bioethics with regard (...)
    Download  
     
    Export citation  
     
    Bookmark   13 citations  
  • Ethics Consultation: In the Service of Practice.M. P. Aulisio & R. M. Arnold - 2003 - Journal of Clinical Ethics 14 (4):276-281.
    Download  
     
    Export citation  
     
    Bookmark   6 citations