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Bert Molewijk, Maarten Verkerk, Henk Milius & Guy Widdershoven (2008). Implementing Moral Case Deliberation in a Psychiatric Hospital: Process and Outcome. [REVIEW]

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  1.  7
    Relational Autonomy in the Care of the Vulnerable: Health Care Professionals’ Reasoning in Moral Case Deliberation.Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt & Mia Svantesson - forthcoming - Medicine, Health Care and Philosophy.
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    Ethical Challenges Assessed in the Clinical Ethics Committee of Psychiatry in the Region of Southern Denmark in 2010–2015: A Qualitative Content Analyses. [REVIEW]H. Bruun, S. G. Lystbaek, E. Stenager, L. Huniche & R. Pedersen - 2018 - BMC Medical Ethics 19 (1):62.
    The aim of this article is to give more insight into what ethical challenges clinicians in mental healthcare experience and discuss with a Clinical Ethics Committee in psychiatry in the Region of Southern Denmark. Ethical considerations are an important part of the daily decision-making processes and thereby for the quality of care in mental healthcare. However, such ethical challenges have been given little systematic attention – both in research and in practices. A qualitative content analysis of 55 written case-reports from (...)
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  3.  1
    Impact of Moral Case Deliberation in Healthcare Settings: A Literature Review.Maaike M. Haan, Jelle L. P. Van Gurp, Simone M. Naber & A. Stef Groenewoud - 2018 - BMC Medical Ethics 19 (1):85.
    An important and supposedly impactful form of clinical ethics support is moral case deliberation. Empirical evidence, however, is limited with regard to its actual impact. With this literature review, we aim to investigate the empirical evidence of MCD, thereby a) informing the practice, and b) providing a focus for further research on and development of MCD in healthcare settings. A systematic literature search was conducted in the electronic databases PubMed, CINAHL and Web of Science. Both the data collection and the (...)
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  4.  8
    Ethical Challenges When Using Coercion in Mental Healthcare: A Systematic Literature Review.Marit Helene Hem, Elisabeth Gjerberg, Tonje Lossius Husum & Reidar Pedersen - 2018 - Nursing Ethics 25 (1):92-110.
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  5.  1
    The Significance of Ethics Reflection Groups in Mental Health Care: A Focus Group Study Among Health Care Professionals.Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen & Reidar Pedersen - 2018 - BMC Medical Ethics 19 (1):54.
    Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion. In 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of ‘bricolage’ which means our approach was inductive. Most participants report (...)
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  6.  5
    It’s Not All About Moral Reasoning: Understanding the Content of Moral Case Deliberation.Mia Svantesson, Marit Silén & Inger James - 2018 - Nursing Ethics 25 (2):212-229.
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  7.  4
    The Relevance of Foucauldian Art-of-Living for Ethics Education in a Military Context: Theory and Practice.Eva van Baarle, Desiree Verweij, Bert Molewijk & Guy Widdershoven - 2018 - Journal of Moral Education 47 (1):126-143.
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  8.  7
    Inspectors’ Ethical Challenges in Health Care Regulation: A Pilot Study.W. Seekles, G. Widdershoven, P. Robben, G. van Dalfsen & B. Molewijk - 2017 - Medicine, Health Care and Philosophy 20 (3):311-320.
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  9.  3
    Context-Adjusted Clinical Ethics Support in Psychiatry: Accompanying a Team Through a Sensitive Period.Dagmar Meyer & Stella Reiter-Theil - 2016 - Clinical Ethics 11 (2-3):70-80.
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  10.  10
    Two Years of Moral Case Deliberations on the Use of Coercion in Mental Health Care: Which Ethical Challenges Are Being Discussed by Health Care Professionals?B. Molewijk, I. S. Engerdahl & R. Pedersen - 2016 - Clinical Ethics 11 (2-3):87-96.
  11.  6
    The Particular Relevance of Clinical Ethics Support in Psychiatry: Concepts, Research, and Experiences.Bert Molewijk & Stella Reiter-Theil - 2016 - Clinical Ethics 11 (2-3):43-44.
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  12.  3
    Initiating and Maintaining Clinical Ethics Support in Psychiatry. Ten Tasks and Challenges – And How to Meet Them.Stella Reiter-Theil - 2016 - Clinical Ethics 11 (2-3):45-53.
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  13.  13
    Ethics Rounds.Marit Silén, Mia Ramklint, Mats G. Hansson & Kristina Haglund - 2016 - Nursing Ethics 23 (2):203-213.
  14.  4
    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.
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  15.  1
    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.
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  16.  20
    Dealing with Ethical Challenges: A Focus Group Study with Professionals in Mental Health Care.Bert Molewijk, Marit Helene Hem & Reidar Pedersen - 2015 - BMC Medical Ethics 16 (1):4.
    Little is known about how health care professionals deal with ethical challenges in mental health care, especially when not making use of a formal ethics support service. Understanding this is important in order to be able to support the professionals, to improve the quality of care, and to know in which way future ethics support services might be helpful.
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  17.  15
    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 (...)
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  18.  8
    Procedures for Clinical Ethics Case Reflections: An Example From Childhood Cancer Care.C. Bartholdson, P. Pergert & G. Helgesson - 2014 - Clinical Ethics 9 (2-3):87-95.
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  19. 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.
  20.  7
    The Impact of an Ethics Training Programme on the Success of Clinical Ethics Services.A. Dorries, A. Simon, J. Vollmann & G. Neitzke - 2014 - Clinical Ethics 9 (1):36-44.
  21.  1
    Written Institutional Ethics Policies on Euthanasia: An Empirical-Based Organizational-Ethical Framework.Joke Lemiengre, Bernadette Dierckx de Casterlé, Paul Schotsmans & Chris Gastmans - 2014 - Medicine, Health Care and Philosophy 17 (2):215-228.
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  22.  25
    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 (...)
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  23.  12
    Goals of Clinical Ethics Support: Perceptions of Dutch Healthcare Institutions. [REVIEW]L. Dauwerse, T. A. Abma, B. Molewijk & G. Widdershoven - 2013 - Health Care Analysis 21 (4):323-337.
    In previous literature, ethicists mention several goals of Clinical Ethics Support (CES). It is unknown what key persons in healthcare institutions see as main–—and sub-goals of CES. This article presents the goals of CES as perceived by board members and members of ethics support staff. This is part of a Dutch national research using a mixed methods design with questionnaires, focus groups and interviews. Quantitative and qualitative data were analyzed and combined in an iterative process. Four main clusters of goals (...)
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  24.  6
    Ethics in Municipal Health Services: Working Systematically with, and Developing Competence in Ethics.Lillian Lillemoen & Reidar Pedersen - 2013 - Clinical Ethics 8 (1):19-28.
    The Norwegian Parliament has decided to give priority to ethics in municipal health services. This priority is supposed to raise competence in ethics within municipal health services. As part of the national project, the participating municipalities were encouraged to develop and carry out local projects. In this article, we present a local ethics project in one of the participating municipalities in central eastern Norway. The local project for raising competence in ethics was carried out in cooperation with researchers at the (...)
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  25.  22
    Evaluation of Clinical Ethics Support Services and its Normativity.J. Schildmann, B. Molewijk, L. Benaroyo, R. Forde & G. 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 (...)
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  26.  14
    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 (...)
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  27.  11
    Avoiding Bias in Medical Ethical Decision-Making. Lessons to Be Learnt From Psychology Research.Heidi Albisser Schleger, Nicole R. Oehninger & Stella Reiter-Theil - 2011 - Medicine, Health Care and Philosophy 14 (2):155-162.
    When ethical decisions have to be taken in critical, complex medical situations, they often involve decisions that set the course for or against life-sustaining treatments. Therefore the decisions have far-reaching consequences for the patients, their relatives, and often for the clinical staff. Although the rich psychology literature provides evidence that reasoning may be affected by undesired influences that may undermine the quality of the decision outcome, not much attention has been given to this phenomenon in health care or ethics consultation. (...)
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  28.  8
    Discourses of Disability and Clinical Ethics Support.M. Dunn - 2011 - Clinical Ethics 6 (1):32-38.
    It is now broadly accepted that disability is a concept infused with both descriptive and evaluative meaning, such that invoking the concept of disability necessarily involves making judgements of moral value as well as describing certain facts about individuals. This paper aims to map the complex terrain that shapes our current understandings of disability by outlining five distinct ‘discourses of disability’. It is shown how the similarities and differences between the discourses hinge on different ways of making sense of the (...)
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  29.  75
    The Development of a Descriptive Evaluation Tool for Clinical Ethics Case Consultations.R. Pedersen, S. A. Hurst, J. Schildmann, S. Schuster & B. Molewijk - 2010 - Clinical Ethics 5 (3):136-141.
    There is growing interest in clinical ethics. However, we still have sparse knowledge about what is actually going on in the everyday practice of clinical ethics consultations. This paper introduces a descriptive evaluation tool to present, discuss and compare how clinical ethics case consultations are actually carried out. The tool does not aim to define ‘best practice’. Rather, it facilitates concrete comparisons and evaluative discussions of the role, function, procedures and ideals inherent in clinical ethics case consultation practices. The tool (...)
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  30.  42
    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 (...)
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