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  1. Miranda M. W. C. Snoeren, Bienke M. Janssen, Theo J. H. Niessen & Tineke A. Abma (forthcoming). Nurturing Cultural Change in Care for Older People: Seeing the Cherry Tree Blossom. Health Care Analysis:1-25.
    There is a need for person-centred approaches and empowerment of staff within the residential care for older people; a movement called ‘culture change’. There is however no single path for achieving culture change. With the aim of increasing understandings about cultural change processes and the promotion of cultural values and norms associated with person-centred practices, this article presents an action research project set on a unit in the Netherlands providing care for older people with dementia. The project is presented as (...)
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  2. 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.
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  3. Rosalie N. Metze, Tineke A. Abma & Rick H. Kwekkeboom (2013). Family Group Conferencing: A Theoretical Underpinning. [REVIEW] Health Care Analysis:1-16.
    In the last decade, Family Group Conferences (FGCs) have increasingly been used to help people and their networks deal with their problems. The FGC fits well with the call for equal rights and self-management coming from clients and client movements, as well as the economy-driven pressure towards more informal and less professional care coming from governments. However, there is a lack of knowledge about the underlying theory to explain how the FGC works. In this article, we aim to provide such (...)
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  4. Tineke A. Abma & Vivianne Baur (2012). Seeking Connections, Creating Movement: The Power of Altruistic Action. [REVIEW] Health Care Analysis (4):1-19.
    Participation of older people in designing and improving the care and services provided in residential care settings is limited. Traditional forms of democratic representation, such as client councils, and consumer models are management-driven. An alternative way of involving older people in the decisions over their lives, grounded in notions of care ethics and deliberative democracy, was explored by action research. In line with this tradition older people engage in collective action to enhance the control over their lives and those of (...)
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  5. Bienke M. Janssen, Tine Regenmortel & Tineke A. Abma (2012). Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community. [REVIEW] Health Care Analysis (1):1-21.
    Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that (...)
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  6. Bienke M. Janssen, Tine Van Regenmortel & Tineke A. Abma (2012). Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community. Health Care Analysis 22 (1):1-21.
    Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that (...)
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  7. Merel Visse, Guy A. M. Widdershoven & Tineke A. Abma (2012). Moral Learning in an Integrated Social and Healthcare Service Network. Health Care Analysis 20 (3):281-296.
    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with (...)
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  8. Jennifer L. Hansen, Jennifer Radden, Nancy Nyquist Potter, Lisa Cosgrove, Carol Steinberg Gould, Gwen Adshead, Robyn Bluhm, Ginger A. Hoffman, Elleke Landeweer & Tineke A. Abma (2011). 2. From the Editors From the Editors (Pp. 1-10). International Journal of Feminist Approaches to Bioethics 4 (1).
     
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  9. Elleke Gm Landeweer, Tineke A. Abma & Guy Am Widdershoven (2011). Moral Margins Concerning the Use of Coercion in Psychiatry. Nursing Ethics 18 (3):304-316.
    In the closed wards of mental health institutions, moral decisions are made concerning the use of forced seclusion. In this article we focus on how these moral decisions are made and can be improved. We present a case study concerning moral deliberations on the use of seclusion and its prevention among nurses of a closed mental health ward. Moral psychology provides an explanation of how moral judgments are developed through processes of interaction. We will make use of the Social Intuitionist (...)
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  10. Elleke Landeweer, Tineke A. Abma, Linda Dauwerse & Guy A. M. Widdershoven (2011). Triad Collaboration in Psychiatry: Privacy and Confidentiality Revisited. International Journal of Feminist Approaches to Bioethics 4 (1):121-139.
    Recently, there has been increased interest in the involvement of family members in treating psychiatric patients who are involuntarily admitted into mental hospitals (Goodwin and Happel 2006; Wilkinson and McAndrew 2008). Family is, for instance, expected to be of use in preventing escalations and aggression on the wards by giving information about patient needs and providing support to the patient. Yet, in practice, family is not routinely involved in the treatment process, and is not even regularly informed about situations (Marshall (...)
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  11. Tineke A. Abma, Vivianne E. Baur, Bert Molewijk & Guy A. M. Widdershoven (2010). Inter-Ethics: Towards an Interactive and Interdependent Bioethics. Bioethics 24 (5):242-255.
    Since its origin bioethics has been a specialized, academic discipline, focussing on moral issues, using a vast set of globalized principles and rational techniques to evaluate and guide healthcare practices. With the emergence of a plural society, the loss of faith in experts and authorities and the decline of overarching grand narratives and shared moralities, a new approach to bioethics is needed. This approach implies a shift from an external critique of practices towards embedded ethics and interactive practice improvement, and (...)
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  12. Merel A. Visse, Truus Teunissen, Albert Peters, Guy A. M. Widdershoven & Tineke A. Abma (2010). Dialogue for Air, Air for Dialogue: Towards Shared Responsibilities in COPD Practice. Health Care Analysis 18 (4):358-373.
    For the past several years patients have been expected to play a key role in their recovery. Self management and disease management have reached a hype status. Considering these recent trends what does this mean for the division of responsibilities between doctors and patients? What kind of role should healthcare providers play? With findings based on a qualitative research project of an innovative practice for people with Chronic Obstructive Pulmonary Disease (COPD) we reflect on these questions. In-depth interviews conducted with (...)
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  13. 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.
    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 (...)
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  14. Tineke A. Abma, Guy Am Widdershoven, Brenda Jm Frederiks, Rob H. Van Hooren, Frans van Wijmen & Paul Lmg Curfs (2008). Dialogical Nursing Ethics: The Quality of Freedom Restrictions. Nursing Ethics 15 (6):789-802.
    This article deals with the question of how ethicists respond to practical moral problems emerging in health care practices. Do they remain distanced, taking on the role of an expert, or do they become engaged with nurses and other participants in practice and jointly develop contextualized insights about good care? A basic assumption of dialogical ethics entails that the definition of good care and what it means to be a good nurse is a collaborative product of ongoing dialogues among various (...)
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  15. Tineke A. Abma & Guy Am Widdershoven (2006). Moral Deliberation in Psychiatric Nursing Practice. Nursing Ethics 13 (5):546-557.
    Moral deliberation has been receiving more attention in nursing ethics. Several ethical conversation models have been developed. This article explores the feasibility of the so-called CARE (Considerations, Actions, Reasons, Experiences) model as a framework for moral deliberation in psychiatric nursing practice. This model was used in combination with narrative and dialogical approaches to foster discourse between various stakeholders about coercion in a closed admission clinic in a mental hospital in the Netherlands. The findings demonstrate that the CARE model provides a (...)
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  16. Barth Oeseburg & Tineke A. Abma (2006). Care as a Mutual Endeavour: Experiences of a Multiple Sclerosis Patient and Her Healthcare Professionals. [REVIEW] Medicine, Health Care and Philosophy 9 (3):349-357.
    In Dutch healthcare policy patients are seen as informed, autonomous experts and active decision makers with control over their illness and care. Healthcare professionals are expected to operate as providers of information. The purpose of this article is to argue that the consumerist approach of the patient–professional relationship is not a productive way to envision the patient–professional relationship. We argue that an interpretive/deliberative model is a more productive way to envision this relationship, especially in the care for people with a (...)
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  17. Tineke A. Abma (2005). Struggling with the Fragility of Life: A Relational-Narrative Approach to Ethics in Palliative Nursing. Nursing Ethics 12 (4):337-348.
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  18. Tineke A. Abma, Barth Oeseburg, Guy Am Widdershoven, Minke Goldsteen & Marian A. Verkerk (2005). Two Women with Multiple Sclerosis and Their Caregivers: Conflicting Normative Expectations. Nursing Ethics 12 (5):479-492.
    It is not uncommon that nurses are unable to meet the normative expectations of chronically ill patients. The purpose of this article is to describe and illustrate Walker’s expressive-collaborative view of morality to interpret the normative expectations of two women with multiple sclerosis. Both women present themselves as autonomous persons who make their own choices, but who also have to rely on others for many aspects of their lives, for example, to find a new balance between work and social contacts (...)
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  19. Tineke A. Abma (2001). Evaluating Palliative Care: Facilitating Reflexive Dialgoues About an Ambiguous Concept. [REVIEW] Medicine, Health Care and Philosophy 4 (3):261-276.
    Palliation is a relatively new concept that is used in connection with the integral care provided to those who are unable to recover from their illness. The specific meaning of the concept has not been clearly defined. This article explores the possibilities offered by a responsive approach to evaluation that can facilitate a reflexive dialogue on this ambiguous concept. In doing so it draws on a case study of a palliative care project in a Dutch health care authority. The article (...)
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