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  1. A Pragmatist Approach to Clinical Ethics Support: Overcoming the Perils of Ethical Pluralism.Giulia Inguaggiato, Suzanne Metselaar, Rouven Porz & Guy Widdershoven - 2019 - Medicine, Health Care and Philosophy 22 (3):427-438.
    In today’s pluralistic society, clinical ethics consultation cannot count on a pre-given set of rules and principles to be applied to a specific situation, because such an approach would deny the existence of different and divergent backgrounds by imposing a dogmatic and transcultural morality. Clinical ethics support needs to overcome this lack of foundations and conjugate the respect for the difference at stake with the necessity to find shared and workable solutions for ethical issues encountered in clinical practice. We argue (...)
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  • The Care Dialog: The “Ethics of Care” Approach and its Importance for Clinical Ethics Consultation.Patrick Schuchter & Andreas Heller - 2018 - Medicine, Health Care and Philosophy 21 (1):51-62.
    Ethics consultation in institutions of the healthcare system has been given a standard form based on three pillars: education, the development of guidelines and concrete ethics consultation in case conferences. The spread of ethics committees, which perform these tasks on an organizational level, is a remarkable historic achievement. At the same time it cannot be denied that modern ethics consultation neglects relevant aspects of care ethics approaches. In our essay we present an “ethics of care” approach as well as an (...)
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  • 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.
    There is an increasing body of research on what kind of ethical challenges health care professionals experience regarding the quality of care. In the Netherlands the Dutch Health Care Inspectorate is responsible for monitoring and regulating the quality of health care. No research exists on what kind of ethical challenges inspectors experience during the regulation process itself. In a pilot study we used moral case deliberation as method in order to reflect upon inspectors’ ethical challenges. The objective of this paper (...)
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  • Tragedy in Moral Case Deliberation.Benita Spronk, Margreet Stolper & Guy Widdershoven - 2017 - Medicine, Health Care and Philosophy 20 (3):321-333.
    In healthcare practice, care providers are confronted with tragic situations, in which they are expected to make choices and decisions that can have far-reaching consequences. This article investigates the role of moral case deliberation in dealing with tragic situations. It focuses on experiences of care givers involved in the treatment of a pregnant woman with a brain tumour, and their evaluation of a series of MCD meetings in which the dilemmas around care were discussed. The study was qualitative, focusing on (...)
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  • Addressing harm in moral case deliberation: the views and experiences of facilitators.Benita Spronk, Guy Widdershoven & Hans Alma - 2020 - BMC Medical Ethics 21 (1):1-11.
    In healthcare practice, care providers are confronted with decisions they have to make, directly affecting patients and inevitably harmful. These decisions are tragic by nature. This study investigates the role of Moral Case Deliberation in dealing with tragic situations. In MCD, caregivers reflect on real-life dilemmas, involving a choice between two ethical claims, both resulting in moral damage and harm. One element of the reflection process is making explicit the harm involved in the choice. How harmful are our decisions? We (...)
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  • Hospital Ethics Reflection Groups: A Learning and Development Resource for Clinical Practice.Henriette Bruun, Reidar Pedersen, Elsebeth Stenager, Christian Backer Mogensen & Lotte Huniche - 2019 - BMC Medical Ethics 20 (1):1-16.
    An ethics reflection group is one of a number of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the significance of ERGs in psychiatric and general hospital departments in Denmark. This is a qualitative action research study, including systematic text condensation of 28 individual interviews and 4 focus groups with clinicians, ethics facilitators and ward managers. Short written descriptions of the ethical challenges presented in the ERGs also informed the (...)
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  • Theory and Practice of Integrative Clinical Ethics Support: A Joint Experience Within Gender Affirmative Care.Laura Hartman, Giulia Inguaggiato, Guy Widdershoven, Annelijn Wensing-Kruger & Bert Molewijk - 2020 - BMC Medical Ethics 21 (1):1-13.
    BackgroundClinical ethics support aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study (...)
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  • Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Laura Hartman, Guy Widdershoven, Annelou de Vries, Annelijn Wensing-Kruger, Martin den Heijer, Thomas Steensma & Bert Molewijk - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...)
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  • Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Laura Hartman, Guy Widdershoven, Annelou de Vries, Annelijn Wensing-Kruger, Martin den Heijer, Thomas Steensma & Bert Molewijk - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...)
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  • Examining the Doing of Ethics Support Staff. A Dialogical Approach Toward Assessing the Quality of Facilitators of Moral Case Deliberation.Bert Molewijk, Reidar Pedersen & Margreet Stolper - 2020 - American Journal of Bioethics 20 (3):42-44.
    Volume 20, Issue 3, March 2020, Page 42-44.
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  • A Profession Without Expertise? Professionalization in Reverse.Joseph A. Raho & James A. Hynds - 2020 - American Journal of Bioethics 20 (3):44-46.
    Volume 20, Issue 3, March 2020, Page 44-46.
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  • Context, Context, Context.Mark P. Aulisio - 2019 - American Journal of Bioethics 19 (11):73-75.
    Volume 19, Issue 11, November 2019, Page 73-75.
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  • Clinical Ethics Expertise as the Ability to Co-Create Normative Recommendations by Guiding a Dialogical Process of Moral Learning.Bert Molewijk, Guy Widdershoven, Suzanne Metselaar & Giulia Inguaggiato - 2019 - American Journal of Bioethics 19 (11):71-73.
    Volume 19, Issue 11, November 2019, Page 71-73.
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  • The Ethics of Public and Service User Involvement in Health Research: The Need for Participatory Reflection on Everyday Ethical Issues.Tineke Abma, Barbara Groot & Guy Widdershoven - 2019 - American Journal of Bioethics 19 (8):23-25.
    Volume 19, Issue 8, August 2019, Page 23-25.
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  • Developing an Ethics Support Tool for Dealing with Dilemmas Around Client Autonomy Based on Moral Case Deliberations.L. A. Hartman, S. Metselaar, A. C. Molewijk, H. M. Edelbroek & G. A. M. Widdershoven - 2018 - BMC Medical Ethics 19 (1):97.
    Moral Case Deliberations are reflective dialogues with a group of participants on their own moral dilemmas. Although MCD is successful as clinical ethics support, it also has limitations. 1. Lessons learned from individual MCDs are not shared in order to be used in other contexts 2. Moral learning stays limited to the participants of the MCD; 3. MCD requires quite some organisational effort, 4. MCD deals with one individual concrete case. It does not address other, similar cases. These limitations warrant (...)
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  • Implementing Ethics Reflection Groups in Hospitals: An Action Research Study Evaluating Barriers and Promotors.Henriette Bruun, Reidar Pedersen, Elsebeth Stenager, Christian Backer Mogensen & Lotte Huniche - 2019 - BMC Medical Ethics 20 (1):49.
    An ethics reflection group is one of a range of ethics support services developed to better handle ethical challenges in healthcare. The aim of this article is to evaluate the implementation process of interdisciplinary ERGs in psychiatric and general hospital departments in Denmark. To our knowledge, this is the first study of ERG implementation to include both psychiatric and general hospital departments. The implementation and evaluation strategies are inspired by action research, using a qualitative approach and systematic text condensation of (...)
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  • ‘You Can Give Them Wings to Fly’: A Qualitative Study on Values-Based Leadership in Health Care.Yvonne Denier, Lieve Dhaene & Chris Gastmans - 2019 - BMC Medical Ethics 20 (1):35.
    Within contemporary health care, many of the decisions affecting the health and well-being of patients are not being made by the clinicians or health professionals, but by those involved in health care management. Existing literature on organizational ethics provides insight into the various structures, processes and strategies - such as mission statement, ethics committees, ethical rounds … - that exist to create an organizational climate, which fosters ethical practices and decision-making It does not, however, show how health care managers experience (...)
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  • Moral Case Deliberation: Its Value for Neuroethics.S. Metselaar, G. Meynen & G. Widdershoven - 2017 - American Journal of Bioethics Neuroscience 8 (1):23-25.
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  • Clinical Ethics in Forensic Psychiatry: Fostering Reflection and Dialog on the Ward Through Moral Case Deliberation.Yolande Voskes, Frouk Weidema & Guy Widdershoven - 2016 - Clinical Ethics 11 (2-3):63-69.
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