Nursing Ethics 18 (3):327-340 (2011)
Authors |
|
Abstract |
Moral case deliberation (MCD) is a specific form of clinical ethics, aiming to stimulate ethical reflection in daily practice in order to improve the quality of care. This article focuses on the implementation of MCD in nursing homes and the questions how and where to organize MCD. The purpose of this study was to evaluate one way of organizing MCD in two Dutch nursing homes. In both of these nursing homes the MCD groups had a heterogeneous composition and were organized apart from existing institutional communication structures. As part of a naturalistic evaluation, systematic observations, interviews and focus groups were completed. The findings indicate that the heterogeneous composition and MCD meetings separate from existing structures have benefits. However, the participants also reported negative experiences. This gives rise to the question whether a mixed MCD group which meets separately is an effective way to embed MCD as an instrument for reflection on moral issues in daily practice. We conclude that there is no single answer to that question. In the end, the two implementation strategies (i.e. within existing communication structures and a mixed MCD group) can be complementary to each other
|
Keywords | No keywords specified (fix it) |
Categories | (categorize this paper) |
DOI | 10.1177/0969733011400299 |
Options |
![]() ![]() ![]() ![]() |
Download options
References found in this work BETA
No references found.
Citations of this work BETA
Aims and Harvest of Moral Case Deliberation.Froukje C. Weidema, Bert Ac Molewijk, Frans Kamsteeg & Guy Am Widdershoven - 2013 - Nursing Ethics 20 (6):617-631.
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.
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.
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.
Ethical Challenges and How to Develop Ethics Support in Primary Health Care.Lillian Lillemoen & Reidar Pedersen - 2013 - Nursing Ethics 20 (1):96-108.
View all 34 citations / Add more citations
Similar books and articles
“Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
“Here’s My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. van der Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
Aims and Harvest of Moral Case Deliberation.Froukje C. Weidema, Bert Ac Molewijk, Frans Kamsteeg & Guy Am Widdershoven - 2013 - Nursing Ethics 20 (6):617-631.
Evaluation of the Dissemination and Implementation of Pressure Ulcer Guidelines in Dutch Nursing Homes.Esther Meesterberends, Ruud J. G. Halfens, Christa Lohrmann, Jos M. G. A. Schols & Rianne de Wit - 2011 - Journal of Evaluation in Clinical Practice 17 (4):705-712.
A Nursing Ethic: The Moral Voice of Experienced Nurses.M. Woods - 1999 - Nursing Ethics 6 (5):423-433.
Moral Deliberation in Psychiatric Nursing Practice.Tineke A. Abma & Guy Am Widdershoven - 2006 - Nursing Ethics 13 (5):546-557.
Prevention of Unethical Actions in Nursing Homes.Eva Merethe Solum, Åshild Slettebø & Solveig Hauge - 2008 - Nursing Ethics 15 (4):536-548.
Experiences of Caregivers and Relatives in Public Nursing Homes.Elisabeth Häggström & Annica Kihlgren - 2007 - Nursing Ethics 14 (5):691-701.
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.
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.
Implementing Moral Case Deliberation in a Psychiatric Hospital: Process and Outcome. [REVIEW]Bert Molewijk, Maarten Verkerk, Henk Milius & Guy Widdershoven - 2008 - Medicine, Health Care and Philosophy 11 (1):43-56.
Analytics
Added to PP index
2013-12-09
Total views
7 ( #1,006,510 of 2,411,838 )
Recent downloads (6 months)
2 ( #346,023 of 2,411,838 )
2013-12-09
Total views
7 ( #1,006,510 of 2,411,838 )
Recent downloads (6 months)
2 ( #346,023 of 2,411,838 )
How can I increase my downloads?
Downloads