“Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
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)|
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
Tineke A. Abma, Bert Molewijk & Guy A. M. Widdershoven (2009). Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive Evaluation. Health Care Analysis 17 (3):217-235.
Ingrid Ågren Bolmsjö, Anna-Karin Edberg & Lars Sandman (2006). Everyday Ethical Problems in Dementia Care: A Teleological Model. Nursing Ethics 13 (4):340-359.
Ingrid Ågren Bolmsjö, Lars Sandman & Edith Andersson (2006). Everyday Ethics in the Care of Elderly People. Nursing Ethics 13 (3):249-263.
Bart Collopy, Philip Boyle & Bruce Jennings (1991). New Directions in Nursing Home Ethics. Hastings Center Report 21 (2):1-16.
S. Patricia D. Enes & Kay de Vries (2004). A Survey of Ethical Issues Experienced by Nurses Caring for Terminally Ill Elderly People. Nursing Ethics 11 (2):150-164.
Citations of this work BETA
Bienke Janssen, Tineke A. Abma & Tine Van Regenmortel (2013). Paradoxes in the Care of Older People in the Community: Walking a Tightrope. Ethics and Social Welfare 8 (1):1-18.
Similar books and articles
F. C. Weidema, A. C. Molewijk, G. A. M. Widdershoven & T. A. Abma (2012). Enacting Ethics: Bottom-Up Involvement in Implementing Moral Case Deliberation. [REVIEW] Health Care Analysis 20 (1):1-19.
F. C. Weidema, T. A. Abma, G. A. M. Widdershoven & A. C. Molewijk (2011). Client Participation in Moral Case Deliberation: A Precarious Relational Balance. [REVIEW] HEC Forum 23 (3):207-224.
H. ten Have & David Clark (eds.) (2002). The Ethics of Palliative Care: European Perspectives. Open University Press.
Bert Molewijk, Dick Kleinlugtenbelt, Scott Pugh & Guy Widdershoven (2011). Emotions and Clinical Ethics Support. A Moral Inquiry Into Emotions in Moral Case Deliberation. HEC Forum 23 (4):257-268.
Xiaomei Zhai & Ren Zong Qiu (2007). Perceptions of Long-Term Care, Autonomy, and Dignity, by Residents, Family and Caregivers: The Beijing Experience. Journal of Medicine and Philosophy 32 (5):425 – 445.
Norbert Steinkamp & Bert Gordijn (2003). Ethical Case Deliberation on the Ward. A Comparison of Four Methods. Medicine, Health Care and Philosophy 6 (3):235-246.
Linda Farber Post (2007). Handbook for Health Care Ethics Committees. Johns Hopkins University Press.
Alisa L. Carse (1998). Impartial Principle and Moral Context: Securing a Place for the Particular in Ethical Theory. Journal of Medicine and Philosophy 23 (2):153 – 169.
L. Dauwerse, T. A. Abma, B. Molewijk & G. Widdershoven (2013). Goals of Clinical Ethics Support: Perceptions of Dutch Healthcare Institutions. [REVIEW] Health Care Analysis 21 (4):323-337.
Bert Molewijk, Dick Kleinlugtenbelt & Guy Widdershoven (2011). The Role of Emotions in Moral Case Deliberation: Theory, Practice, and Methodology. Bioethics 25 (7):383-393.
John D. Stobo (1997). Who Should Manage Care? The Case for Providers. Kennedy Institute of Ethics Journal 7 (4):387-389.
Maude Laliberté, Matthew Hunt, Bryn Williams-Jones & Debbie Ehrmann Feldman (2013). Health Care Professionals and Bedbugs: An Ethical Analysis of a Resurgent Scourge. [REVIEW] HEC Forum 25 (3):245-255.
R. S. Downie (1994). Healthy Respect: Ethics in Health Care. Oxford University Press.
Klas Roth (2011). Good Will: Cosmopolitan Education as a Site for Deliberation. Educational Philosophy and Theory 43 (3):298-312.
Added to index2011-08-02
Total downloads17 ( #114,705 of 1,692,645 )
Recent downloads (6 months)3 ( #75,732 of 1,692,645 )
How can I increase my downloads?