“Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care

Health Care Analysis 20 (3):250-267 (2012)
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 confronted with a wide variety of largely everyday ethical issues. We distinguished three main categories: ‘resident’s behavior’, ‘divergent perspectives on good care’ and ‘organizational context’. The overview can be used for agendasetting when institutions wish to stimulate reflection and deliberation. It is important that an agenda is constructed from the bottom-up and open to a variety of issues. In addition, organizing reflection and deliberation requires effort to identify moral questions in practice whilst at the same time maintaining the connection with the organizational context and existing communication structures. Once care providers are used to dealing with divergent perspectives, inviting different perspectives (e.g. family members) to take part in the deliberation, might help to identify and address ethical ‘blind spots’.
Keywords Ethical issues  Clinical ethics  Moral case deliberation  Nursing home  Care home  Elderly care
Categories (categorize this paper)
DOI 10.1007/s10728-011-0185-9
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
Download options
PhilPapers Archive

Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 15,904
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA
Martha Nussbaum (1988). The Fragility of Goodness. Journal of Philosophy 85 (7):376-383.

View all 18 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles
John D. Stobo (1997). Who Should Manage Care? The Case for Providers. Kennedy Institute of Ethics Journal 7 (4):387-389.

Monthly downloads

Added to index


Total downloads

17 ( #157,110 of 1,725,561 )

Recent downloads (6 months)

1 ( #349,436 of 1,725,561 )

How can I increase my downloads?

My notes
Sign in to use this feature

Start a new thread
There  are no threads in this forum
Nothing in this forum yet.